Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
Benign Anorektal Hastalıklar ile Yaşam Tarzı ve Beslenme Alışkanlıkları Arasındaki İlişkinin Değerlendirilmesi
Evaluation of the Relationship Between Benign Anorectal Diseases and Lifestyle and Nutritional Habits
Aybala TAZEOĞLUa, Cemile İDİZb, Deniz TAZEOĞLUc, Fazıl SAĞLAMd, Ali ALEMDARd
aOsmaniye Korkut Ata Üniversitesi Sağlık Bilimleri Fakültesi, Beslenme ve Diyetetik ABD, Osmaniye, TÜRKİYE
bİstanbul Üniversitesi İstanbul Tıp Fakültesi Hastanesi, İç Hastalıkları ABD, Beslenme ve Diyet Bölümü, Diyet Polikliniği, İstanbul, TÜRKİYE
cMersin Üniversitesi Tıp Fakültesi Hastanesi, Genel Cerrahi Kliniği, Mersin, TÜRKİYE
dSağlık Bilimleri Üniversitesi Okmeydanı Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, TÜRKİYE
J Tradit Complem Med. 2020;3(3):361-6
doi: 10.5336/jtracom.2020-75680
Article Language: TR
Full Text
ÖZET
 Amaç: Benign anal hastalıkların (hemoroid, anal fissür ve anal fistül) etiyolojisinde, beslenme ve yaşam tarzının ilişkisi olduğu bilinmektedir. Bu çalışmanın amacı, anal bölgenin benign hastalıkları sebebiyle hastaneye başvuran hastalar ile herhangi bir anorektal şikâyeti olmayan kişilerin beslenme ve yaşam tarzı alışkanlıklarını karşılaştırmaktır. Gereç ve Yöntemler: Okmeydanı Eğitim ve Araştırma Hastanesinde prospektif olarak dizayn edilen araştırmaya, Ağustos 2016-Aralık 2016 tarihleri arasında 130 hasta dâhil edilmiştir. Hemoroid, anal fissür, anal fistül ve anorektal şikâyeti olmayan kontrol grubu olarak 4 grup vardır. Yaş, boy, kilo, beden kitle indeksi, yaşam tarzı ve alışkanlıkları sorgulanmış, değerlendirilmiştir. Bulgular: Grupların sırasıyla; ortalama yaşı 44,31±14,51 yıl, (n=38) kadın (K)/erkek (E) oranı 14/24; 34,50±12,06 yıl, (n=28) K/E oranı 12/16; 39,20±8,73 yıl, (n=34) K/E oranı 3/31; 40,76±12,11 yıl olup, (n=30) K/E ise oranı 8/22 olarak bulunmuştur. Kontrol grubunda, benign anal hastalığı olanlara göre daha fazla egzersiz yaptığı istatistiksel olarak anlamlıdır (p<0,05). Kontrol grubundaki hastaların, diğer gruptaki hastalara göre daha fazla su ve çay tükettiği, daha az şeker kullandığı, düzenli yemek yediği, ara öğün yaptığı ve daha fazla lifli gıda tüketmeye dikkat ettiği, daha sık gaita yapma alışkanlığına sahip olduğu, daha az tuvalette vakit geçirdiği, tuvaletten sonra tam boşalma hissinin daha fazla olduğu ve daha düzenli dışkılama yaptıkları görülmüştür (p<0,05). Sonuç: Literatürde, yaşam tarzı ve beslenme alışkanlıkları ile benign anal hastalıklar arasındasıkı bir ilişki olduğu bildirilmektedir. Bu çalışmada, benign anorektal hastalığı olmayan hastalar ile hastalığı olanların, yaşam tarzı ve beslenmeleri arasında anlamlı farklılıklar gözlenmiştir. Böylece yaşam tarzı ve beslenmenin düzenlenmesinin, benign hastalıkları engelleyebileceği düşünülmektedir.

Anahtar Kelimeler: Anüs hastalıkları; yaşam tarzı; beslenme
ABSTRACT
 Objective: It is known that the relationship between nutrition and lifestyle is the etiology of benign anal diseases (hemorrhoids, anal fissures and anal fistulas). The aim of this study was to compare the nutritional and lifestyle habits of patients who presented to the hospital with benign diseases of the anal region and those without any anorectal complaints. Material and Methods: A total of 130 patients were included in the study which was designed prospectively in Okmeydanı Training and Research Hospital between August 2016 and December 2016. There were four groups as hemorrhoids, anal fissures, anal fistulas and control group without anorectal complaints. Age, height, weight, BMI, lifestyle and habits were evaluated. Results: The groups were; mean age was 44.31±14.51 years, and the (n=38) female (F)/male (M) ratio was 14/24; 34.50±12.06 years, (n=28) F/M ratio 12/16; 39.20±8.73 years, (n=34) F/M ratio 3/31; was 40.76±12.11 years and the ratio of (n=30) F/M was found to be 8/22. It was statistically significant that exercised more exercise in the control group than those with benign anal disease (p<0.05). The patients in the control group consumed more water and tea, consumed less sugar, ate regular meals, took snacks, and paid attention to consuming more fibrous food, had more habit of making stools, spent less time in the toilet than the patients in the other group. It was observed that the feeling of full ejaculation was higher and they performed more regular defecation (p<0.05). Conclusion: There is a close relationship between lifestyle and dietary habits and benign anal diseases in the literature. In this study, significant differences were observed between lifestyle and nutrition of patients without benign anorectal disease and those with disease. Thus, it is thought that the regulation of lifestyle and nutrition may prevent benign diseases.

Keywords: Anus diseases; lifestyle; nutrition
REFERENCES:
  1. Clark SJ. Benign anal disease. JAAPA. 2016;29(11):23-9.[PubMed] 
  2. Goldstein ET. Outcomes of anorectal disease in a health maintenance organization setting. The need for colorectal surgeons. Dis Colon Rectum. 1996;39(11):1193-8.[Crossref] [PubMed] 
  3. Sneider EB, Maykel JA. Diagnosis and management of symptomatic hemorrhoids. Surg Clin North Am. 2010;90(1):17-32.[Crossref] [PubMed] 
  4. Johanson JF, Sonnenberg A. The prevalence of hemorrhoids and chronic constipation. An epidemiologic study. Gastroenterology. 1990;98(2):380-6.[Crossref] [PubMed] 
  5. Nelson RL, Abcarian H, Davis FG, Persky V. Prevalence of benign anorectal disease in a randomly selected population. Dis Colon Rectum. 1995;38(4):341-4.[Crossref] [PubMed] 
  6. Oh C, Divino CM, Steinhagen RM. Anal fissure. 20-year experience. Dis Colon Rectum. 1995;38(4):378-82.[Crossref] [PubMed] 
  7. Madalinski MH. Identifying the best therapy for chronic anal fissure. World J Gastrointest Pharmacol Ther. 2011;2(2):9-16.[PubMed] 
  8. Nordgren S, Fasth S, Hultén L. Anal fistulas in Crohn's disease: incidence and outcome of surgical treatment. Int J Colorectal Dis. 1992;7(4):214-8.[Crossref] [PubMed] 
  9. Jensen SL. Treatment of first episodes of acute anal fissure: prospective randomised study of lignocaine ointment versus hydrocortisone ointment or warm sitz baths plus bran. Br Med J (Clin Res Ed). 1986;292(6529):1167-9.[Crossref] [PubMed] [PMC] 
  10. Keighley M. Fissure in ano. In: Keighley MRB, Williams NS, eds. Surgery of the Anus, Rectum and Colon. Vol. 1. 1st ed. Philadelphia: WB Saunders; 1993. p.364-86.
  11. Geçim E. [Hemorrhoidal disease]. Menteş B, Bulut T, Alabaz Ö, Leventoğlu S, editörler. Anorektal Bölgenin Selim Hastalıkları. 1. Baskı Ankara: Türk Kolon Rektum Cerrahisi Derneği; 2011. p.58-9.
  12. Madoff RD, Fleshman JW; Clinical Practice Committee, American Gastroenterological Association. American Gastroenterological Association technical review on the diagnosis and treatment of hemorrhoids. Gastroenterology. 2004;126(5):1463-73.[Crossref] [PubMed] 
  13. Shawki S, Costedio M. Anal fissure and stenosis. Gastroenterol Clin North Am. 2013;42(4):729-58.[Crossref] [PubMed] 
  14. Moesgaard F, Nielsen ML, Hansen JB, Knudsen JT. High-fiber diet reduces bleeding and pain in patients with hemorrhoids: a double-blind trial of Vi-Siblin. Dis Colon Rectum. 1982;25(5):454-6.[Crossref] [PubMed] 
  15. Chang J, Mclemore E, Tejirian T. Anal health care basics. Perm J. 2016;20(4):15-222.[PubMed] 
  16. U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015-2020 Dietary Guidelines for Americans. 8th ed. 2015.[Link] 
  17. Clemens R, Kranz S, Mobley AR, Nicklas TA, Raimondi MP, Rodriguez JC, et al. Filling America's fiber intake gap: summary of a roundtable to probe realistic solutions with a focus on grain-based foods. J Nutr. 2012;142(7):1390S-401S.[Crossref] [PubMed] 
  18. Jensen SL. Maintenance therapy with unprocessed bran in the prevention of acute anal fissure recurrence. J R Soc Med. 1987;80(5):296-8.[Crossref] [PubMed] [PMC] 
  19. Chong PS, Bartolo DCC. Hemorrhoids and fissure in ano. Gastroenterol Clin North Am. 2008;37(3):627-44.[Crossref] [PubMed] 
  20. Johanson JF, Sonnenberg A. Constipation is not a risk factor for hemorrhoids: a case-control study of potential etiological agents. Am J Gastroenterol. 1994;89(11):1981-6.[PubMed] 
  21. Riss S, Weiser FA, Schwameis K, Mittlböck M, Stift A. Haemorrhoids, constipation and faecal incontinence: is there any relationship? Colorectal Dis. 2011;13(8):e227-33.[Crossref] [PubMed] 
  22. Dunn KMB, Rothenberger DA. Colon, rectum, and anus. In: Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, eds. Schwartz's Principles of Surgery. 10th ed. New York: McGraw-Hill Education; 2014. p.1223
  23. Villalba H, Villalba S, Abbas MA. Anal fissure: a common cause of anal pain. Perm J. 2007;11(4):62-5.[Crossref] [PubMed] 
  24. Loder PB, Kamm MA, Nicholls RJ, Phillips RK. Haemorrhoids: pathology, pathophysiology and aetiology. Br J Surg. 1994;81(7):946-54.[PubMed] 
  25. Chang JY, Locke GR, Schleck CD, Zinsmeister AR, Talley NJ. Risk factors for chronic constipation and a possible role of analgesics. Neurogastroenterol Motil. 2007;19(11):905-11.[Crossref] [PubMed] 

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