İntestinal Gaz ve Şişkinliğe Güncel Yaklaşım

Year 2017, Volume: 5 Issue: 2, 18 - 23, 05.02.2017

Dr. Hüseyin Savaş Göktürk

Abstract

Öz

Klinik pratikte polikliniklere başvuran hastaların önemli bir kısmının yakınması intestinal gaz ve ilişkili yakınmalardır. Yapılan çalışmalarda bu oranın, kullanılan tanımlamalara ve araştırma yapılan popülasyona göre değişmekle birlikte, %20 ile %40 arasında olduğu bildirilmektedir. İntestinal gaz ve ilişkili belirti ve bulgular karmaşık mekanizmalar ile oluşan heterojen bir tablodur. Dikkatlice alınmış bir öykü sonrası yapılan fizik muayene ve çoğu zaman sınırlı tetkikler ile fonksiyonel ve organik nedenler birbirinden ayrılabilmektedir.  Henüz, tüm hastalarda etki eden ve genel kabul gören birtedavi yöntemi mevcut değildir. Hastanın yeterince bilgilendirilmesi tedavide önemli yertutmaktadır. Gerek farmakolojik tedavilerle gerekse de diyet ve yaşam tarzı değişiklikleri ile çeşitli derecelerde etkinlik elde edilebilmektedir.

Keywords

İntestinal gaz, Şişkinlik, Abdominal distansiyon

Intestinal Gas and Bloating on Current Approaches

Abstract

Abstract

Bloating is one of the most common gastrointestinal symptoms, which is a frequentcomplaint in the patients of all ages. In surveys of healthy individuals and populations 10–30% experience bloating often, frequently, or greater than a quarter of the time. Clinicians should consider a heterogeneous condition produced by a combination of various mechanisms. Careful history and physical examination with limited tests can help to differeantiate organic and functional causes easily. Currently, there is no treatmentwhich has indisputably proven to be effective for bloating. However, reassurance, education and a step-by-step therapeutic  approach involving diet and medications. 

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