Results
A total of 74 patients including 16 in Group 1 and 58 in group 2 were
included in the study. Amount of wild pear which patients in Group 1
consumed was median 600 grammes (range, 450-800 gr). All patients in
Group 1 were admitted to the hospital between the end of August and the
end of November and that period was consistent with the harvesting
period of wild pears.
The median age in Group 1 and Group 2 was 55 (range, 23-74) and 60.5
(range, 18-93), respectively. Male to female ratio was 7 in Group 1 and
it was statistically significantly higher compared to Group 2 (p=0.01).
Comorbid diseases were more common in Group 2 and hypertension (n=15)
and diabetes mellitus (n=10) were the most seen comorbidities in study
group. Age, comorbidities and history of previous operation were
comparable between groups. History of previous SBO was significantly
higher in Group 2 (p=0.032). Patients in Group 2 had significantly
abnormal levels of WBC, CRP and BUN compared to Group 1 (all
p<0.05), however, there was no difference in levels of
creatinine, potassium and BUN/creatinine ratio between groups (all
p>0.05). Group 1 was associated with a shorter duration of
complaints and shorter length of hospital stay and also faster clinical
recovery (all p<0.05). Surgical intervention was required for
six patients (10.3%) in Group 2. Four patients (6.9%) underwent
surgery on the fourth day of admission due to the absence of clinical
improvement. Other two (3.4%) patients developed an acute abdomen in
the second day of admission and taken into exploratory laparotomy.
Adhesiolysis in four (6.9%), and segmental intestinal resection and
anastomosis were performed in two patients (3.4%). Intestinal resection
and anastomosis required only in those who developed an acute abdomen.
Postoperative superficial surgical site infection and urinary tract
infection were developed in two patients (3.4%) and in one patient
(1.7%), respectively. Although the mean follow-up period was
significantly longer in Group 1 compared to Group 2, no recurrence
occurred. In group 2, SBO was relapsed in none of the patients who
underwent laparotomy. However, 11 patients (21.2%) among 52 patients
conservatively managed readmitted to the hospital due to recurrence of
SBO during a median of 11-month (range, 7-22 months) follow-up. All
patients were treated conservatively again. The demographic
characteristics and clinicopathologic features of patients are
summarized in Table 1 .