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Effects of Ramadan fasting on peptic ulcer disease as diagnosed by upper gastrointestinal endoscopy.
MedLine Citation:
PMID:  23432987     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND AND STUDY AIMS: The diagnostic methods such as upper gastrointestinal endoscopy (UGE) have played an important role in the evaluation of peptic ulcer (PU). Every year, millions of Muslims fast in Ramadan month. The aim of this study was to evaluate the effect of fasting on PU via UGE.
PATIENTS AND METHODS: A total of 321 patients in the period from 2009 to 2011, who underwent UGE as a diagnostic work-up mainly for epigastric pain, were analysed. Patients were divided into three groups: Patients who have been evaluated by UGE, in the month just before Ramadan (group I, n=69), in Ramadan month (group II, n=132) and in the month just after Ramadan (group III, n=120). Continuous data were expressed as the mean±SD, and were compared with one-way analysis of variance (ANOVA) test amongst groups. Categorical data were given as percentages and were compared with the chi-squared test.
RESULTS: Epigastric pain was the most common indication for referral in each group. Interestingly, the indication 'bleeding' was found to be the least in group II, but was far from statistical significance. The highest prevalence of duodenal ulcers and duodenitis was found in group II; the differences to the other groups were statistically significant.
CONCLUSION: Duodenal ulcers and duodenitis were found more during Ramadan month. We recommend that, the patients with epigastric pain may fast by taking their medications.
Authors:
Ali Kagan Gokakin; Atilla Kurt; Gunduz Akgol; Boran Cihat Karakus; Mustafa Atabey; Ayhan Koyuncu; Omer Topcu; Erdal Goren
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Publication Detail:
Type:  Journal Article     Date:  2013-02-01
Journal Detail:
Title:  Arab journal of gastroenterology : the official publication of the Pan-Arab Association of Gastroenterology     Volume:  13     ISSN:  2090-2387     ISO Abbreviation:  Arab J Gastroenterol     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2013-02-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101298363     Medline TA:  Arab J Gastroenterol     Country:  Egypt    
Other Details:
Languages:  eng     Pagination:  180-3     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Arab Journal of Gastroenterology. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Cumhuriyet University, School of Medicine, Department of General Surgery, Sivas, Turkey. Electronic address: dralihan20@hotmail.com.
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