An analysis of gastrointestinal symptoms in causalities of catastrophic earthquake of Bam, Iran

Zahra Honarkar; Mahnaz Baladast; Ziba Khorram; Shahab Akhondi; Mohammadhosain Antikchi; Mohsen Masoodi; Manoochehr Koshbaten; Reza Fatemi; Saeed Yazdani; Afsaneh Sharifian; Leila Emadian; Ahmad Shavakhi; Bahman Talebipoor; Mohsen Rezaie Hamami; Mohammad Hosain Somie; Mojgan Karimifar; Majeed Samsami; Elham Mehravaran; Maryam Moeini; Khalil Alizadeh; Babak Noori Nayer; Mohammadjavad Ehsani; Amirhoshang Mohammadalizadeh; Rahim Aghazadeh; Mohammad Reza Zali

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Abstract
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An analysis of gastrointestinal symptoms in causalities of catastrophic earthquake of Bam, Iran

Author(s):

Zahra Honarkar^1,*,

Mahnaz Baladast¹,

Ziba Khorram¹,

Shahab Akhondi¹,

Mohammadhosain Antikchi¹,

Mohsen Masoodi¹,

Manoochehr Koshbaten¹,

Reza Fatemi¹,

Saeed Yazdani¹,

Afsaneh Sharifian¹,

Leila Emadian¹,

Ahmad Shavakhi¹,

Bahman Talebipoor¹,

Mohsen Rezaie Hamami¹,

Mohammad Hosain Somie¹,

Mojgan Karimifar²,

Majeed Samsami³,

Elham Mehravaran³,

Maryam Moeini⁴,

Khalil Alizadeh⁵,

Babak Noori Nayer¹,

Mohammadjavad Ehsani¹,

Amirhoshang Mohammadalizadeh¹,

Rahim Aghazadeh¹,

Mohammad Reza Zali¹

1Member, RCGLD (Research Center of Gastroenterology and Liver Disease), Shaheed Beheshti University of Medical Science, Tehran, Iran

2Esfehan Uuniversity of Medical Sscience, Esfahan, Iran

3Yazd University of Medical Science, Yazd, Iran

4Shiraz University of Medical Science, Shiraz, Iran

5Department of Orthopedics, Shaheed Beheshti University of Medical Science, Tehran, Iran

Shiraz E-Medical Journal:Vol. 6, issue 1 and 2; 31835

Published online:Apr 04, 2005

Article type:Research Article

Received:Oct 11, 2004

Accepted:Dec 13, 2004

How to Cite:Zahra HonarkarMahnaz BaladastZiba KhorramShahab AkhondiMohammadhosain AntikchiMohsen MasoodiManoochehr KoshbatenReza FatemiSaeed YazdaniAfsaneh SharifianLeila EmadianAhmad ShavakhiBahman TalebipoorMohsen Rezaie HamamiMohammad Hosain SomieMojgan KarimifarMajeed SamsamiElham MehravaranMaryam MoeiniKhalil AlizadehBabak Noori NayerMohammadjavad EhsaniAmirhoshang MohammadalizadehRahim AghazadehMohammad Reza Zaliet al.An analysis of gastrointestinal symptoms in causalities of catastrophic earthquake of Bam, Iran.Shiraz E-Med J.6(1 and 2):31835.

Abstract

Gastrointestinal diseases are among the most common problems occurring during the post earthquake period. This study conducted to determine the frequency of gastrointestinal disorders after the Bam earthquake disaster. The injured people of Bam earthquake, admitted in some hospitals of Tehran, Yazd, Esfahan and Shiraz during the first 10 days of earthquake were studied. The epidemiological data and gastrointestinal complaints were fulfilled in the questionnaires. According to the type and severity of the physical injuries, the patients were divided into four groups (grade 1-4). 737 injured people including 361 (%49) male and 376 (%51) female with mean age of 3014 were studied. Abdominal pain 143(19.4%), nausea 167(22.7%), vomiting 104(14.1%) and excessive gas 161(21.8%), anorexia 287(38.9%), early satiety 200(27.1%), heartburn 188(25.5%), fullness 154(20.9%), bloating 144(19.5%), distention 114(15.5%), belching 93(12.6%), regurgitation 74 (10%), dysphagia 34 (4.65), diarrhea 32 (4.3%) constipation 200 (27.1%), melena 24(3.3%), hematemesis 10(1.4) and hematochezia 5 (0.7%). According to the grade of physical injury, patients divided to 4 groups as follow: 139 (18.9%) patients in grade 1, 323(43.8%) patients in grade 2, 210(28.5%) grade3 patients in and 65(8.8%) patients in grade 4. Excessive gas, abdominal pain, belching and dysphagia were significantly more prevalent among patients with grade 3 injury. Anorexia, early satiety, distention and constipation were significantly more prevalent among patients with grade 3 injury. As a result, gastrointestinal disorders are relatively frequent among injured people of earthquake. Excessive gas, abdominal pain, belching and dysphagia were more prevalent among patients with grade 3 injury.

Keywords

Bam

earthquake

gastrointestinal diseases

physical injury

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