ISSN: 2149-2247 | E-ISSN: 2149-2549
Volume : 43 Issue : 4 Year : 2021
Effects of Ramadan Fasting on Gastrointestinal System [Erciyes Med J]
Erciyes Med J. 2021; 43(4): 350-354 | DOI: 10.14744/etd.2020.03442

Effects of Ramadan Fasting on Gastrointestinal System

Umut Payza1, Ahmet Kayalı1, Zeynep Karakaya1, Fatih Esat Topal1, Serkan Bilgin1, Firdevs Topal2, Pinar Yesim Akyol1, Umur Suadiye1
1Department of Emergency Medicine, Atatürk Training and Research Hospital, Katip Çelebi University, İzmir, Turkey
2Department of Gastroenterology, Atatürk Training and Research Hospital, Katip Çelebi University, İzmir, Turkey

Objective: The aim of this study was to investigate the effects of Ramadan model intermittent fasting (IF) on acute pancreatitis, acute cholecystitis, and acute cholangitis, which is closely related to nutrition.
Materials and Methods: This retrospective research study was conducted from 2014 to 2018. Patients over 18 years old with acute pancreatitis, acute cholecystitis, and acute cholangitis were included in the study. Patients with lipid metabolism disorders such as hyperlipidemia, pregnant women, malignancies, viral infections, hepatic insufficiency, and cirrhosis were excluded from the study. A total of 3940 patients were included in the study. Hospital applications in Ramadan were compared with the rest of the year.
Results: One thousand eight hundred and sixteen male and 2124 female patients were included in the study. 1797 patients (45.6%) with pancreatitis, 1032 patients (26.2%) with cholangitis and 1015 patients (25.8%) with cholecystitis. Pancreatitis (46.4%), cholangitis (29.8%), and cholecystitis (19.3%) were the most frequently diagnosis in Ramadan. The monthly admission rates were calculated in a 5-year period. It was found that the admission rates were 26.6% more in Ramadan than other months. Ramadan fasting significantly increased acute pancreatitis and acute cholangitis. However, cholecystitis decreased. Both sexes were similarly affected from the Ramadan period.
Conclusion: Ramadan model of IF induces an increase in the incidence of acute pancreatitis and acute cholangitis and a decrease in acute cholecystitis. Ramadan model may not be a suitable model for a healthy diet.

Keywords: Gastrointestinal disease, intermittent fasting, ramadan.

Umut Payza, Ahmet Kayalı, Zeynep Karakaya, Fatih Esat Topal, Serkan Bilgin, Firdevs Topal, Pinar Yesim Akyol, Umur Suadiye. Effects of Ramadan Fasting on Gastrointestinal System. Erciyes Med J. 2021; 43(4): 350-354

Corresponding Author: Umut Payza, Türkiye
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