Background: We assessed whether postoperative day-1(POD-1) complete blood count(CBC) test paramet... more Background: We assessed whether postoperative day-1(POD-1) complete blood count(CBC) test parameters, including red cell distribution width(RDW), mean platelet volume(MPV), plateletcrit(PCT), platelet-to-lymphocyte ratio(PLR), and neutrophil-to-lymphocyte ratio(NLR), could identify patients with gastric leaks after laparoscopic sleeve gastrectomy(LSG). Methods: Patients with postoperative gastric leaks(n=36) and patients with no complications that were selected by age-sex-BMI matching(n=254) were included into the study. The levels of RDW, MPW, PCT, PLR, and NLR were compared between groups in univariate analyses. Receiver operating characteristic(ROC) curve analysis was run for CBC parameters with a p-value<0.05 in univariate analyses. The area under the curve(AUC) was evaluated, and a cut-off value was determined. Sensitivity, specificity, likelihood ratio(LR), positive predictive value(PPV), negative predictive value(NPV), and accuracy were calculated. Results: The level of PC...
We used self-expandable metallic stents in benign disease-related fistulas of the esophagus and r... more We used self-expandable metallic stents in benign disease-related fistulas of the esophagus and report our experience pertaining to three cases. All the cases were implanted with retrievable stents under direct endoscopic view and fluoroscopic control. The fistulas were closed within two weeks in all cases. While one of the stents was endoscopically retrieved, the other two were not taken out due to the adverse general condition of the patients. In benign esophageal fistulas, SEMS can be an alternative to surgical intervention because of their easiness of placement and the possibility of retrieval at an early stage.
Amac: Yeni kurulan Tip Fakultesi hastanemizde yaklasik 18 aylik surecte meme kanseri tanisiyla ce... more Amac: Yeni kurulan Tip Fakultesi hastanemizde yaklasik 18 aylik surecte meme kanseri tanisiyla cerrahi uygulanan olgularimizin sonuclarini paylasmayi amacladik. Gerec ve Yontem: Mayis 2017-Aralik 2018 tarihleri arasinda meme kanseri tanisiyla cerrahi uygulanan 35 olguya ait demografik ozellikler, ameliyat oncesi uygulanan tedavi, uygulanan cerrahi yontem, histopatolojik bulgular retrospektif olarak degerlendirildi. Bulgular: Olgularin yas ortalamasi 55.8 (28-86) idi. Olgularin tamami kadin idi. Calismaya dahil edilen olgularin 33’unde (94.3%) ilk basvuru sikayeti agrisiz ele gelen kitle idi. Olgularin 22’sine (62.8%) meme koruyucu cerrahi uygulandi. Sentinel lenf nodu biyopsisinde aksiller metastaz saptanan 5 olguya (14.3%) aksiller diseksiyon yapildi. Ameliyat sonrasi hicbir olguda morbidite ve mortalite izlenmedi. Sonuc: Meme kanseri tum dunyada kadinlar arasinda en sik gorulen kanser turu olup son yillarda tedavisinde minimal invaziv yontemler one cikmaktadir. Meme kanseri tedavi...
Amac: Yeni kurulan universite hastanesi genel cerrahi kliniginde bir yillik tiroidektomi operasyo... more Amac: Yeni kurulan universite hastanesi genel cerrahi kliniginde bir yillik tiroidektomi operasyonu sonrasi papiller kanser insidansini inceleyip paylasmayi amacladik. Gerec ve Yontem : Temmuz 2017-Temmuz 2018 tarihleri arasinda tiroid bezi hastaligi tanisi ile basvurup, tiroid cerrahisi uygulanan olgularin demografik ozellikleri, ameliyat oncesi tanilari, uygulanan cerrahi yontem, histopatoloji bulgulari, morbidite ve mortalite oranlari retrospektif olarak incelendi. Bulgular: Olgularin (n=11) yas ortalamasi 36.72 (22-63) olup, %54.5’i erkekti. Ameliyat oncesi yapilan igne aspirasyon biyopsilerinde 6 (%54.5) olguda papiller karsinom izlendi. 10 (%90.9) olguya total tiroidektomi ameliyati yapildi. Tiroidektomi spesimenlerinin histopatolojik incelemesinde 7 (%63.6) olguda papiller karsinom, 3 (%27.3) olguda papiller mikrokarsinom izlendi. Ameliyat sonrasi kalici komplikasyon izlenmedi. Sonuc: Son yillarda tiroid kanser insidansinin tum dunyada artmasi ve ozellikle kadinlarda en sik g...
Pilomatriksoma veya Malherbe tumoru kil folikulunun matriksinden koken alan, benign, kalsifiye, a... more Pilomatriksoma veya Malherbe tumoru kil folikulunun matriksinden koken alan, benign, kalsifiye, adneksal bir tumordur. Klinik olarak cesitli benign ve malign cilt lezyonlari ile karistirilabilmektedir. Tumor cikarildiktan sonra nuks nadirdir. Bu calismada meme kanseri hikayesi olan bir hastada mastektomi lojuna yakin alanda gorulen ve tipik ozellikleri gostermedigi icin meme kanserinin lokal nuksu on tanisi ile cikartilan pilomatriksoma olgusu anlatilmistir.
RReessiimm 33..Bulbus apeks on duvar tavanda koledokoduedonosto- mi anastomoz hatti ve anastomoz ... more RReessiimm 33..Bulbus apeks on duvar tavanda koledokoduedonosto- mi anastomoz hatti ve anastomoz orifisinde koledok lumeninde distale dogru uzanan yabanci cisim gorulerek cikarildi. Safra ve pu akisi gozlendi
Aksesuar meme normal populasyonda %2-6 oraninda gorulmekle beraber en sik %60-70 oraninda aksille... more Aksesuar meme normal populasyonda %2-6 oraninda gorulmekle beraber en sik %60-70 oraninda aksiller bolgede gorulmektedir. Normal meme dokusunun tum benign ve malign hastaliklarinin olabilecegi goz onunde bulundurularak takibi ve tedavisi onerilmelidir. Bu olgumuzda 40 yasinda bilateral aksiller aksesuar meme dokusu ve sol tarafta aksesuar memede 1.5 cm’lik fibroadenomu olan bir hastamizi sunduk.
Colonoscopic detorsion (CD) is the first treatment option for uncomplicated sigmoid volvulus (SV)... more Colonoscopic detorsion (CD) is the first treatment option for uncomplicated sigmoid volvulus (SV). We aim to examine the factors affecting the failure of CD. The files of patients, treated after diagnosis of SV between January 2015 and September 2020, were retrospectively reviewed. Patients’ demographic data, comorbidities, endoscopy reports, and surgical and other treatments were recorded. Patients were divided into two groups, as the successful CD group and unsuccessful CD group. The data were compared between the groups, and multivariate analysis of statistically significant variables was performed. There were 21 patients in the unsuccessful CD group and 52 patients in the successful CD group. The unsuccessful CD rate was found to be 28.76%; this is likely a function of more neuropsychiatric disease, more accompanying sigmoid diverticulum, previous abdominal surgery, abdominal tenderness, onset of symptoms for more than 48 h, higher mean intra-abdominal pressure (IAP), IAP over 15 mmHg, larger mean diameter of the cecum, the cecum diameter over 10 cm, and higher mean C-reactive protein (CRP) values as statistically significant. In the multivariate analysis, previous abdominal surgery and cecum diameter over 10 cm were seen as predictive factors for failure of CD (p=0.049, OR=0.103, and p = 0.028, OR=10.540, respectively). CD failure rate was significantly associated with previous abdominal surgery and a cecum diameter over 10 cm. We found that patients with these factors will tend to need more emergency surgery.
Purpose Morbidity and mortality are higher in urgently operated abdominal hernia cases compared t... more Purpose Morbidity and mortality are higher in urgently operated abdominal hernia cases compared to elective surgeries. The present study aims to investigate the factors that cause increased morbidity and mortality in emergency surgical operations. Methods The files of a total of 426 patients who were operated for non-reducible abdominal hernia between 2015 and 2020 were reviewed retrospectively. Patients' ages, genders, comorbidities, Charlson Comorbidity Index (CCI), ASA score, BMI, hernia types, duration of symptom, laboratory values, intestinal strangulations or necroses, whether intestinal resection was performed, whether mesh was preferred for hernia repair, and rates of morbidity and mortality were recorded. Factors affecting morbidity and mortality rates were analyzed. Results Factors such as gender, BMI (> 30), duration of symptom (> 24 h), presence of bowel necrosis and resection, type of hernia and prolonged operation time were found to cause an increase in morbidity. In the multivariate analysis, however, gender, duration of symptom and BMI (> 30) were statistically significant factors causing increased morbidity (p = 0.009, p < 0.001, p = 0.032, respectively). Advanced age, high ASA scores, CCI and duration of symptom were determined as factors affecting the increase in mortality. In the multivariate analysis, the effect of high ASA scores and advanced age on high mortality rate was statistically significant (p < 0.023, p = 0.039, respectively). Conclusions The mortality rate is higher, especially in elderly patients with high comorbidity. Therefore, we argue that the cases of abdominal wall hernia should be operated under elective conditions even if they do not give any clinical findings to prevent problems in older ages.
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Objective: The aim of this observational clinical study was to evaluate the success of angiograph... more Objective: The aim of this observational clinical study was to evaluate the success of angiographic selective venous sampling (ASVS) in locating parathyroid adenoma in patients with primary hyperparathyroidism (PHPT), in whom the other imaging modalities have failed, and and to evaluate its possible contribution to the applicability of minimal invasive surgery. Material and Methods: Fifty-five patients who were admitted to our hospital's General Surgery department between January 2012 and January 2015 for PHPT in whom ultrasound and sestamibi scintigraphy have failed to localize the diseased gland were included to the study. Patients were divided into two groups: those who underwent ASVS and those who did not. The outcomes of patients were reviewed retrospectively. Results: Among 55 patients, 20 underwent ASVS. ASVS successfully lateralized the diseased gland in 17 (85%) patients, and minimally invasive parathyroidectomy could be performed in 14 (70%) patients. The cutoff value of parathormon gradient was considered 10% for lateralization and the accuracy of ASVS in lateralization was 94.1%. In 11 (59%) patients, the superior-inferior discrimination could be achieved in addition to lateralization. Conclusion: ASVS has a high sensitivity in locating the diseased gland in patients with PHPT in whom ultrasound and sestamibi scan have failed, and thereby, rendering the performance of minimally invasive surgery possible. Further studies may reveal the role of ASVS in providing useful information about not only lateralization but also the superior-inferior discrimination.
İntraduktal lezyon ön tanısıyla biyopsi yapılan olguların radyolojik ve patolojik bulgularının de... more İntraduktal lezyon ön tanısıyla biyopsi yapılan olguların radyolojik ve patolojik bulgularının değerlendirilmesini, ayrıca postoperatif intraduktal papillom (İDP) tanısı alan olguların cerrahi gereksiniminin tartışılmasını amaçladık.
Bakirkoy Tip Dergisi / Medical Journal of Bakirkoy, 2017
Objective: Evaluation of patient satisfaction is an important aspect of hospital management. It i... more Objective: Evaluation of patient satisfaction is an important aspect of hospital management. It is crucial to improve quality of service. In our study, we aimed to evaluate the effects of specialized outpatient clinics on patient satisfaction and quality of service at Bakırköy Dr. Sadi Konuk Training and Research Hospital.
Introduction: Shear wave elastography is a method for the measurement of tissue stiffness. The ad... more Introduction: Shear wave elastography is a method for the measurement of tissue stiffness. The advantage of this method is that its outcome is not operator dependent. Our aim was to compare the elastiscity values of the right lobe of the liver of normal weighted and morbidly obese patients. Materials and Methods: The mean elastiscity values of the right lobe of the liver were calculated for 38 normal weighted and 37 morbidly obese patients. All the patients had no history of liver disease. Results: The mean elastiscity value was significantly higher in morbidly obese patients than (25,7 +3,30 kPascal) in normal weighted patients for the right lobe of liver (10,55 +2,20 kPascal). Conclusion: Morbidly obese patients have a potential risk for liver fibrosis even in the absence of hepatosteatosis.
Journal of B.U.ON. : official journal of the Balkan Union of Oncology
The proinflammatory cytokine, interleukin-17 (IL-17) plays a potent role in T-cell mediated angio... more The proinflammatory cytokine, interleukin-17 (IL-17) plays a potent role in T-cell mediated angiogenesis and promotes tumorigenicity. The objective of this study was to determine the clinical outcomes of colorectal cancer (CRC) patients in relation to serum IL-17 levels. Ninety-six CRC patients were enrolled in this study. Pre-treatment serum IL-17 levels were determined by enzyme- linked immunosorbent assay (ELISA). Thirty age - and sex-matched healthy controls were included in the analysis. The median patient age was 60 years (range: 24-84) and the most frequent localization was colon (N=59;61%). Median follow-up time was 14 months, 27 patients (28%) experienced disease progression, and 20 of the remaining patients (20%) died. The estimated and 1-year progression-free survival (PFS) and 2-year overall survival (OS) rates for the whole patient group were 26.9% (95% confidence interval [CI]=9.9-44.0) and 71% (95% CI=56.0- 85.0), respectively. The number of patients who received neoa...
Background: We assessed whether postoperative day-1(POD-1) complete blood count(CBC) test paramet... more Background: We assessed whether postoperative day-1(POD-1) complete blood count(CBC) test parameters, including red cell distribution width(RDW), mean platelet volume(MPV), plateletcrit(PCT), platelet-to-lymphocyte ratio(PLR), and neutrophil-to-lymphocyte ratio(NLR), could identify patients with gastric leaks after laparoscopic sleeve gastrectomy(LSG). Methods: Patients with postoperative gastric leaks(n=36) and patients with no complications that were selected by age-sex-BMI matching(n=254) were included into the study. The levels of RDW, MPW, PCT, PLR, and NLR were compared between groups in univariate analyses. Receiver operating characteristic(ROC) curve analysis was run for CBC parameters with a p-value<0.05 in univariate analyses. The area under the curve(AUC) was evaluated, and a cut-off value was determined. Sensitivity, specificity, likelihood ratio(LR), positive predictive value(PPV), negative predictive value(NPV), and accuracy were calculated. Results: The level of PC...
We used self-expandable metallic stents in benign disease-related fistulas of the esophagus and r... more We used self-expandable metallic stents in benign disease-related fistulas of the esophagus and report our experience pertaining to three cases. All the cases were implanted with retrievable stents under direct endoscopic view and fluoroscopic control. The fistulas were closed within two weeks in all cases. While one of the stents was endoscopically retrieved, the other two were not taken out due to the adverse general condition of the patients. In benign esophageal fistulas, SEMS can be an alternative to surgical intervention because of their easiness of placement and the possibility of retrieval at an early stage.
Amac: Yeni kurulan Tip Fakultesi hastanemizde yaklasik 18 aylik surecte meme kanseri tanisiyla ce... more Amac: Yeni kurulan Tip Fakultesi hastanemizde yaklasik 18 aylik surecte meme kanseri tanisiyla cerrahi uygulanan olgularimizin sonuclarini paylasmayi amacladik. Gerec ve Yontem: Mayis 2017-Aralik 2018 tarihleri arasinda meme kanseri tanisiyla cerrahi uygulanan 35 olguya ait demografik ozellikler, ameliyat oncesi uygulanan tedavi, uygulanan cerrahi yontem, histopatolojik bulgular retrospektif olarak degerlendirildi. Bulgular: Olgularin yas ortalamasi 55.8 (28-86) idi. Olgularin tamami kadin idi. Calismaya dahil edilen olgularin 33’unde (94.3%) ilk basvuru sikayeti agrisiz ele gelen kitle idi. Olgularin 22’sine (62.8%) meme koruyucu cerrahi uygulandi. Sentinel lenf nodu biyopsisinde aksiller metastaz saptanan 5 olguya (14.3%) aksiller diseksiyon yapildi. Ameliyat sonrasi hicbir olguda morbidite ve mortalite izlenmedi. Sonuc: Meme kanseri tum dunyada kadinlar arasinda en sik gorulen kanser turu olup son yillarda tedavisinde minimal invaziv yontemler one cikmaktadir. Meme kanseri tedavi...
Amac: Yeni kurulan universite hastanesi genel cerrahi kliniginde bir yillik tiroidektomi operasyo... more Amac: Yeni kurulan universite hastanesi genel cerrahi kliniginde bir yillik tiroidektomi operasyonu sonrasi papiller kanser insidansini inceleyip paylasmayi amacladik. Gerec ve Yontem : Temmuz 2017-Temmuz 2018 tarihleri arasinda tiroid bezi hastaligi tanisi ile basvurup, tiroid cerrahisi uygulanan olgularin demografik ozellikleri, ameliyat oncesi tanilari, uygulanan cerrahi yontem, histopatoloji bulgulari, morbidite ve mortalite oranlari retrospektif olarak incelendi. Bulgular: Olgularin (n=11) yas ortalamasi 36.72 (22-63) olup, %54.5’i erkekti. Ameliyat oncesi yapilan igne aspirasyon biyopsilerinde 6 (%54.5) olguda papiller karsinom izlendi. 10 (%90.9) olguya total tiroidektomi ameliyati yapildi. Tiroidektomi spesimenlerinin histopatolojik incelemesinde 7 (%63.6) olguda papiller karsinom, 3 (%27.3) olguda papiller mikrokarsinom izlendi. Ameliyat sonrasi kalici komplikasyon izlenmedi. Sonuc: Son yillarda tiroid kanser insidansinin tum dunyada artmasi ve ozellikle kadinlarda en sik g...
Pilomatriksoma veya Malherbe tumoru kil folikulunun matriksinden koken alan, benign, kalsifiye, a... more Pilomatriksoma veya Malherbe tumoru kil folikulunun matriksinden koken alan, benign, kalsifiye, adneksal bir tumordur. Klinik olarak cesitli benign ve malign cilt lezyonlari ile karistirilabilmektedir. Tumor cikarildiktan sonra nuks nadirdir. Bu calismada meme kanseri hikayesi olan bir hastada mastektomi lojuna yakin alanda gorulen ve tipik ozellikleri gostermedigi icin meme kanserinin lokal nuksu on tanisi ile cikartilan pilomatriksoma olgusu anlatilmistir.
RReessiimm 33..Bulbus apeks on duvar tavanda koledokoduedonosto- mi anastomoz hatti ve anastomoz ... more RReessiimm 33..Bulbus apeks on duvar tavanda koledokoduedonosto- mi anastomoz hatti ve anastomoz orifisinde koledok lumeninde distale dogru uzanan yabanci cisim gorulerek cikarildi. Safra ve pu akisi gozlendi
Aksesuar meme normal populasyonda %2-6 oraninda gorulmekle beraber en sik %60-70 oraninda aksille... more Aksesuar meme normal populasyonda %2-6 oraninda gorulmekle beraber en sik %60-70 oraninda aksiller bolgede gorulmektedir. Normal meme dokusunun tum benign ve malign hastaliklarinin olabilecegi goz onunde bulundurularak takibi ve tedavisi onerilmelidir. Bu olgumuzda 40 yasinda bilateral aksiller aksesuar meme dokusu ve sol tarafta aksesuar memede 1.5 cm’lik fibroadenomu olan bir hastamizi sunduk.
Colonoscopic detorsion (CD) is the first treatment option for uncomplicated sigmoid volvulus (SV)... more Colonoscopic detorsion (CD) is the first treatment option for uncomplicated sigmoid volvulus (SV). We aim to examine the factors affecting the failure of CD. The files of patients, treated after diagnosis of SV between January 2015 and September 2020, were retrospectively reviewed. Patients’ demographic data, comorbidities, endoscopy reports, and surgical and other treatments were recorded. Patients were divided into two groups, as the successful CD group and unsuccessful CD group. The data were compared between the groups, and multivariate analysis of statistically significant variables was performed. There were 21 patients in the unsuccessful CD group and 52 patients in the successful CD group. The unsuccessful CD rate was found to be 28.76%; this is likely a function of more neuropsychiatric disease, more accompanying sigmoid diverticulum, previous abdominal surgery, abdominal tenderness, onset of symptoms for more than 48 h, higher mean intra-abdominal pressure (IAP), IAP over 15 mmHg, larger mean diameter of the cecum, the cecum diameter over 10 cm, and higher mean C-reactive protein (CRP) values as statistically significant. In the multivariate analysis, previous abdominal surgery and cecum diameter over 10 cm were seen as predictive factors for failure of CD (p=0.049, OR=0.103, and p = 0.028, OR=10.540, respectively). CD failure rate was significantly associated with previous abdominal surgery and a cecum diameter over 10 cm. We found that patients with these factors will tend to need more emergency surgery.
Purpose Morbidity and mortality are higher in urgently operated abdominal hernia cases compared t... more Purpose Morbidity and mortality are higher in urgently operated abdominal hernia cases compared to elective surgeries. The present study aims to investigate the factors that cause increased morbidity and mortality in emergency surgical operations. Methods The files of a total of 426 patients who were operated for non-reducible abdominal hernia between 2015 and 2020 were reviewed retrospectively. Patients' ages, genders, comorbidities, Charlson Comorbidity Index (CCI), ASA score, BMI, hernia types, duration of symptom, laboratory values, intestinal strangulations or necroses, whether intestinal resection was performed, whether mesh was preferred for hernia repair, and rates of morbidity and mortality were recorded. Factors affecting morbidity and mortality rates were analyzed. Results Factors such as gender, BMI (> 30), duration of symptom (> 24 h), presence of bowel necrosis and resection, type of hernia and prolonged operation time were found to cause an increase in morbidity. In the multivariate analysis, however, gender, duration of symptom and BMI (> 30) were statistically significant factors causing increased morbidity (p = 0.009, p < 0.001, p = 0.032, respectively). Advanced age, high ASA scores, CCI and duration of symptom were determined as factors affecting the increase in mortality. In the multivariate analysis, the effect of high ASA scores and advanced age on high mortality rate was statistically significant (p < 0.023, p = 0.039, respectively). Conclusions The mortality rate is higher, especially in elderly patients with high comorbidity. Therefore, we argue that the cases of abdominal wall hernia should be operated under elective conditions even if they do not give any clinical findings to prevent problems in older ages.
This is a PDF file of an article that has undergone enhancements after acceptance, such as the ad... more This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
Objective: The aim of this observational clinical study was to evaluate the success of angiograph... more Objective: The aim of this observational clinical study was to evaluate the success of angiographic selective venous sampling (ASVS) in locating parathyroid adenoma in patients with primary hyperparathyroidism (PHPT), in whom the other imaging modalities have failed, and and to evaluate its possible contribution to the applicability of minimal invasive surgery. Material and Methods: Fifty-five patients who were admitted to our hospital's General Surgery department between January 2012 and January 2015 for PHPT in whom ultrasound and sestamibi scintigraphy have failed to localize the diseased gland were included to the study. Patients were divided into two groups: those who underwent ASVS and those who did not. The outcomes of patients were reviewed retrospectively. Results: Among 55 patients, 20 underwent ASVS. ASVS successfully lateralized the diseased gland in 17 (85%) patients, and minimally invasive parathyroidectomy could be performed in 14 (70%) patients. The cutoff value of parathormon gradient was considered 10% for lateralization and the accuracy of ASVS in lateralization was 94.1%. In 11 (59%) patients, the superior-inferior discrimination could be achieved in addition to lateralization. Conclusion: ASVS has a high sensitivity in locating the diseased gland in patients with PHPT in whom ultrasound and sestamibi scan have failed, and thereby, rendering the performance of minimally invasive surgery possible. Further studies may reveal the role of ASVS in providing useful information about not only lateralization but also the superior-inferior discrimination.
İntraduktal lezyon ön tanısıyla biyopsi yapılan olguların radyolojik ve patolojik bulgularının de... more İntraduktal lezyon ön tanısıyla biyopsi yapılan olguların radyolojik ve patolojik bulgularının değerlendirilmesini, ayrıca postoperatif intraduktal papillom (İDP) tanısı alan olguların cerrahi gereksiniminin tartışılmasını amaçladık.
Bakirkoy Tip Dergisi / Medical Journal of Bakirkoy, 2017
Objective: Evaluation of patient satisfaction is an important aspect of hospital management. It i... more Objective: Evaluation of patient satisfaction is an important aspect of hospital management. It is crucial to improve quality of service. In our study, we aimed to evaluate the effects of specialized outpatient clinics on patient satisfaction and quality of service at Bakırköy Dr. Sadi Konuk Training and Research Hospital.
Introduction: Shear wave elastography is a method for the measurement of tissue stiffness. The ad... more Introduction: Shear wave elastography is a method for the measurement of tissue stiffness. The advantage of this method is that its outcome is not operator dependent. Our aim was to compare the elastiscity values of the right lobe of the liver of normal weighted and morbidly obese patients. Materials and Methods: The mean elastiscity values of the right lobe of the liver were calculated for 38 normal weighted and 37 morbidly obese patients. All the patients had no history of liver disease. Results: The mean elastiscity value was significantly higher in morbidly obese patients than (25,7 +3,30 kPascal) in normal weighted patients for the right lobe of liver (10,55 +2,20 kPascal). Conclusion: Morbidly obese patients have a potential risk for liver fibrosis even in the absence of hepatosteatosis.
Journal of B.U.ON. : official journal of the Balkan Union of Oncology
The proinflammatory cytokine, interleukin-17 (IL-17) plays a potent role in T-cell mediated angio... more The proinflammatory cytokine, interleukin-17 (IL-17) plays a potent role in T-cell mediated angiogenesis and promotes tumorigenicity. The objective of this study was to determine the clinical outcomes of colorectal cancer (CRC) patients in relation to serum IL-17 levels. Ninety-six CRC patients were enrolled in this study. Pre-treatment serum IL-17 levels were determined by enzyme- linked immunosorbent assay (ELISA). Thirty age - and sex-matched healthy controls were included in the analysis. The median patient age was 60 years (range: 24-84) and the most frequent localization was colon (N=59;61%). Median follow-up time was 14 months, 27 patients (28%) experienced disease progression, and 20 of the remaining patients (20%) died. The estimated and 1-year progression-free survival (PFS) and 2-year overall survival (OS) rates for the whole patient group were 26.9% (95% confidence interval [CI]=9.9-44.0) and 71% (95% CI=56.0- 85.0), respectively. The number of patients who received neoa...
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