• Ulus Travma Acil Cer · Jul 2012

    The impact of Ramadan on peptic ulcer perforation.

    • Ali Kağan Gökakın, Atilla Kurt, Mustafa Atabey, Ayhan Koyuncu, Omer Topçu, Cengiz Aydın, Metin Sen, and Gündüz Akgöl.
    • Department of General Surgery, Cumhuriyet University Faculty of Medicine, Sivas, Turkey. dralihan20@hotmail.com
    • Ulus Travma Acil Cer. 2012 Jul 1;18(4):339-43.

    BackgroundMedical treatment has played an important role in the reduction of peptic ulcer perforation (PUP). The goal of this study was to evaluate the effect of fasting on PUP.MethodsA retrospective analysis of 229 patients who were operated due to PUP between 1999-2009 was made. Patients were divided into two groups. Group I (n=188) included the patients who were operated in other periods of the year, while Group II (n=41) included the patients who were operated during Ramadan, the Muslim period of fasting. Patients in Group II were analyzed in terms of duration of fasting.ResultsThe increase in surgeries per group was higher in Group II than Group I (p<0.05). Predisposing factors, anti-ulcer drug usage and demographic variables were seen to have no role in this difference. Duration of fasting may have a minimal effect on the perforation.ConclusionThe results of this study demonstrate that PUP is detected as relatively higher during Ramadan among those who are fasting for more than 12 hours daily. We suggest that people with predisposing factors should be informed before making a decision to fast.

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