Often during routine gastroenterology examinations, ulcers and strictures in the colon and small intestine are encountered in patients. Differential diagnosis of ulcers in these patients may not always be easy. Graft-versushost disease (GVHD) is a serious complication that can be life-threatening after allogeneic bone marrow transplantation (1). Since the introduction of modern immunosuppressive treatment regimens, clinical symptoms, radiographic and histological findings are rarely seen in chronic graft-versus-host disease (CGVHD) (2). However, CGVHD patients often present with various gastrointestinal symptoms such as esophageal reflux, dysphagia, bloating, weight loss, and diarrhea (2). Edema, erythema, diffuse polypoid lesions, multiple ulcers, and strictures in the mucosa can be observed in the endoscopic examination of intestinal GVHD (3).
{"title":"A rare cause of stricture and ulcer in the colon: Chronic graft versus host disease","authors":"O. Coşkun, D. Yılmaz, F. Özen, M. Çapraz","doi":"10.17941/agd.980428","DOIUrl":"https://doi.org/10.17941/agd.980428","url":null,"abstract":"Often during routine gastroenterology examinations, ulcers and strictures in the colon and small intestine are encountered in patients. Differential diagnosis of ulcers in these patients may not always be easy. Graft-versushost disease (GVHD) is a serious complication that can be life-threatening after allogeneic bone marrow transplantation (1). Since the introduction of modern immunosuppressive treatment regimens, clinical symptoms, radiographic and histological findings are rarely seen in chronic graft-versus-host disease (CGVHD) (2). However, CGVHD patients often present with various gastrointestinal symptoms such as esophageal reflux, dysphagia, bloating, weight loss, and diarrhea (2). Edema, erythema, diffuse polypoid lesions, multiple ulcers, and strictures in the mucosa can be observed in the endoscopic examination of intestinal GVHD (3).","PeriodicalId":118745,"journal":{"name":"Akademik Gastroenteroloji Dergisi","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121539327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Erol Pi̇şki̇n, Volkan Oter, Muhammet Kadri Çolakoğlu, Yigit Mehmet Ozgun, O. Aydin, E. Bostanci
Background and Aims: Minimally invasive surgery is associated with short-term recovery and better functional results in gastrointestinal sys-tem cancer surgery. It is applied in gastric and colon cancer surgery without compromising long-term oncological results. This study exam- ines patients who underwent anastomosis with the double linear stapler technique with isoperistaltic intracorporeal ileocolic and isoperistaltic colocolic anastomosis after laparoscopic radical distal Billroth 2 and laparoscopic right-left hemicolectomy. Material and Method: Thirteen patients who underwent anastomosis with the double linear stapler technique in our clinic between December 2019 and March 2021 were included in this study. All procedures were performed entirely laparoscopically, and anastomoses were completed intracorporeally with the assistance of a stapler. Results: The mean age of 13 patients in whom we performed the described anastomosis was 51.31 ± 16.84 years. Ten (76.9%) patients were male, and three (23.1%) were female. The median duration of the anastomosis was 12.38 ± 3.09 minutes. The median operation time was 13 minutes (min-max) (8–19 minutes). While no perioperative complications developed in 12 (92.3%) patients during anastomosis, perioperative intraluminal hemorrhage was observed in one (7.7%) patient. This hemorrhage was treated medically with fol-low-up. No relaparotomy was required for any patient. Conclusion: This stapler anastomosis technique can be performed quickly and easily in the reconstruction phase after laparoscopy. We think it can be done safely concerning anastomotic leakage.
{"title":"Laparoskopik cerrahide izoperistaltik intra-korporeal çift lineer stapler anastomoz: Erken oral beslenme; hızlı, kolay ve güvenilir teknik","authors":"Erol Pi̇şki̇n, Volkan Oter, Muhammet Kadri Çolakoğlu, Yigit Mehmet Ozgun, O. Aydin, E. Bostanci","doi":"10.17941/agd.980422","DOIUrl":"https://doi.org/10.17941/agd.980422","url":null,"abstract":"Background and Aims: Minimally invasive surgery is associated with short-term recovery and better functional results in gastrointestinal sys-tem cancer surgery. It is applied in gastric and colon cancer surgery without compromising long-term oncological results. This study exam- ines patients who underwent anastomosis with the double linear stapler technique with isoperistaltic intracorporeal ileocolic and isoperistaltic colocolic anastomosis after laparoscopic radical distal Billroth 2 and laparoscopic right-left hemicolectomy. Material and Method: Thirteen patients who underwent anastomosis with the double linear stapler technique in our clinic between December 2019 and March 2021 were included in this study. All procedures were performed entirely laparoscopically, and anastomoses were completed intracorporeally with the assistance of a stapler. Results: The mean age of 13 patients in whom we performed the described anastomosis was 51.31 ± 16.84 years. Ten (76.9%) patients were male, and three (23.1%) were female. The median duration of the anastomosis was 12.38 ± 3.09 minutes. The median operation time was 13 minutes (min-max) (8–19 minutes). While no perioperative complications developed in 12 (92.3%) patients during anastomosis, perioperative intraluminal hemorrhage was observed in one (7.7%) patient. This hemorrhage was treated medically with fol-low-up. No relaparotomy was required for any patient. Conclusion: This stapler anastomosis technique can be performed quickly and easily in the reconstruction phase after laparoscopy. We think it can be done safely concerning anastomotic leakage.","PeriodicalId":118745,"journal":{"name":"Akademik Gastroenteroloji Dergisi","volume":"16 5-6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114038493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Şehmus Ölmez, B. Sarıtaş, Çisem Kzildağ, M. Mülayim
To the Editor, A spider angioma or spider naevus is a type of telangiectasis found slightly beneath the skin surface, often containing a central arteriole and many small vessels which radiate outwards like a spider's web. Applying pressure to the center of the lesion leads to fading of the lesion. Spider angioma is a common presentation of liver cirrhosis, especially alcoholic cirrhosis. Spider angiomas are found only in the distribution of the superior vena cava, and are thus commonly found on the face, neck, upper chest and upper arm. Spider angioma is rarely observed on hand (1, 2). Here, we report a a very rare case with spider angioma on back of hand. A 54-year-old male patient admitted to our clinic with icterus and ascites. The patient had a diagnosis of alcoholic liver cirrhosis one month before. On physical examination, he had icterus and ascites. He had spider angiomas on his back, neck and on the back of his right hand, just proximal to second metacarpophalangeal joint (Figure 1). The patient’s Child Turcotte Pugh score (CTP) and model for end stage liver disease (MELD) scores were 12 and 22, respectively. Abdomen ultrasound showed cirrhosis with massive ascites. Endoscopy revealed grade 1 esophageal varices and portal hypertensive gastropathy. The patient gave written consent regarding this article. Spider angioma appears frequently in alcoholic cirrhotic or noncirrhotic alcoholic liver diseases with deuteriation of liver functions. Although, the exact cause of SA is not known, there have been many theories of possible etiologic factors such as disturbance of sex hormones (increased level of luteinizing hormone, decreased level of testosterone and a higher estradiol/testosterone ratio), angiogenesis, vasodilation, alcohol abuse, hyperdynamic circulation state, and liver dysfunction[3, 4]. The number and size of SA are correlated with the degree of liver disease (1, 3, 4). Our patient was a heavy drinker and had alcoholic liver cirrhosis with high CTP and MELD score. Although, our patient had multiple telangiectasias, it is a very rare finding of SA, observed on back of hand.
{"title":"Atypically located spider angioma","authors":"Şehmus Ölmez, B. Sarıtaş, Çisem Kzildağ, M. Mülayim","doi":"10.17941/AGD.931889","DOIUrl":"https://doi.org/10.17941/AGD.931889","url":null,"abstract":"To the Editor, A spider angioma or spider naevus is a type of telangiectasis found slightly beneath the skin surface, often containing a central arteriole and many small vessels which radiate outwards like a spider's web. Applying pressure to the center of the lesion leads to fading of the lesion. Spider angioma is a common presentation of liver cirrhosis, especially alcoholic cirrhosis. Spider angiomas are found only in the distribution of the superior vena cava, and are thus commonly found on the face, neck, upper chest and upper arm. Spider angioma is rarely observed on hand (1, 2). Here, we report a a very rare case with spider angioma on back of hand. A 54-year-old male patient admitted to our clinic with icterus and ascites. The patient had a diagnosis of alcoholic liver cirrhosis one month before. On physical examination, he had icterus and ascites. He had spider angiomas on his back, neck and on the back of his right hand, just proximal to second metacarpophalangeal joint (Figure 1). The patient’s Child Turcotte Pugh score (CTP) and model for end stage liver disease (MELD) scores were 12 and 22, respectively. Abdomen ultrasound showed cirrhosis with massive ascites. Endoscopy revealed grade 1 esophageal varices and portal hypertensive gastropathy. The patient gave written consent regarding this article. Spider angioma appears frequently in alcoholic cirrhotic or noncirrhotic alcoholic liver diseases with deuteriation of liver functions. Although, the exact cause of SA is not known, there have been many theories of possible etiologic factors such as disturbance of sex hormones (increased level of luteinizing hormone, decreased level of testosterone and a higher estradiol/testosterone ratio), angiogenesis, vasodilation, alcohol abuse, hyperdynamic circulation state, and liver dysfunction[3, 4]. The number and size of SA are correlated with the degree of liver disease (1, 3, 4). Our patient was a heavy drinker and had alcoholic liver cirrhosis with high CTP and MELD score. Although, our patient had multiple telangiectasias, it is a very rare finding of SA, observed on back of hand.","PeriodicalId":118745,"journal":{"name":"Akademik Gastroenteroloji Dergisi","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130665407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Results: Forty-nine (49) studies were matching the inclusion and exclusion criteria from the four databases. After analyzing these 49 studies we found that in the general group of the population the prevalence was ranged between 0.07%-8.5%. Where the highest prevalence was in pregnant women (up to 8.5%) then the public (up to 6%) then blood donors and children up to 3% and 2.8% respectively. In the intermediate-risk group, hepatitis C virus infection prevalence was ranged between 1.03%-3.5% where all population was from the health department workers. In the high-risk group, the range was between 6.4%-62.7%, and the highest prevalence was recorded in liver disease patients. In the patient’s group the range of hepatitis C virus infection prevalence was between 0%-46%, while the sickle cell anemia patients were the lowest prevalence the chronic renal failure patients had the highest prevalence. Conclusion: This systemic review demonstrates a high prevalence of hepatitis C infection in Yemen. There is also a need to expand the scope of research and pay attention to new research groups and other cities to get a more comprehensive idea of the prevalence of the hepatitis C virus in Yemen.
{"title":"Hepatitis C Virus Epidemiology in Yemen: Systematic Review","authors":"A. Almahbashi","doi":"10.17941/AGD.923259","DOIUrl":"https://doi.org/10.17941/AGD.923259","url":null,"abstract":"Results: Forty-nine (49) studies were matching the inclusion and exclusion criteria from the four databases. After analyzing these 49 studies we found that in the general group of the population the prevalence was ranged between 0.07%-8.5%. Where the highest prevalence was in pregnant women (up to 8.5%) then the public (up to 6%) then blood donors and children up to 3% and 2.8% respectively. In the intermediate-risk group, hepatitis C virus infection prevalence was ranged between 1.03%-3.5% where all population was from the health department workers. In the high-risk group, the range was between 6.4%-62.7%, and the highest prevalence was recorded in liver disease patients. In the patient’s group the range of hepatitis C virus infection prevalence was between 0%-46%, while the sickle cell anemia patients were the lowest prevalence the chronic renal failure patients had the highest prevalence. Conclusion: This systemic review demonstrates a high prevalence of hepatitis C infection in Yemen. There is also a need to expand the scope of research and pay attention to new research groups and other cities to get a more comprehensive idea of the prevalence of the hepatitis C virus in Yemen.","PeriodicalId":118745,"journal":{"name":"Akademik Gastroenteroloji Dergisi","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132002781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giris ve Amac: Mide poliplerinin yaklasik %75-90 kadarini hiperplastik polipler olusturur. Kronik inflamasyon nedenli epitelin asiri rejenerasyonuna bagli, foveolar hiperplazi ve kronik gastrit sonrasinda bu oncul lezyonlardan hiperplastik polipler olusur. Bu calismada mide hiperplastik polipler ve oncul lezyonlarinin Helicobacter pylori ile iliskisi ve bu lezyonlarin intestinal metaplazi, atrofi durumlarinin literatur bilgileri esliginde tartisilmasi amaclanmistir. Gerec ve Yontem: Mus Devlet Hastanesi Endoskopi unitesinde Ocak 2016-Ocak 2020 tarihleri arasinda ozofagogastroduodenoskopi yapilan 7903 hastadan endoskopik gorunumu polipoid yapida olan 172 hastanin histopatolojileri degerlendirildi. Hastalarin yasi, cinsiyeti, basvuru sikâyeti, polipoid gorunumlu lezyonun yeri, lezyonlarin histopatolojik tipi kaydedildi. Bulgular: 172 hastaya polipektomi yapildi. Hastalarin 71’i erkek (%41.2), 101’i kadin (%58.8) olup, yas ortalamalari 49.4 ± 15 (19-83) yildi. Hastalar reaktif polipoid lezyonlar; foveolar hiperplazi 57 hasta, kronik gastrit 53 hasta ve gercek polipoid 62 hasta (en sik hiperplastik polip 47 hasta %75) olarak iki gruba ayrildi. Polipoid gorunumlu lezyonlar en fazla antrumda lokalize idi. Hastalarin basvuru sikayeti her iki grupta en fazla dispepsi idi. Gercek polip lezyonlarinin capi, reaktif polipoid lezyonlarin capindan istatistiksel olarak buyuk saptandi (p 0.05). Sonuc: Hiperplastik polipler ve oncul lezyonlarinin prekanseroz durumlar olan atrofi ve intestinal metaplazi oranlari arasinda anlamli fark saptanmamistir. Bu yuzden endoskopide saptanan lezyonlardan tani ve displazinin varligini saptamak icin biyopsi alinmali ya da eksize edilmeli ve Helicobacter pylori saptanan hastalar tedavi edilmelidir.
{"title":"Mide hiperplastik polipleri ve öncül lezyonlarının değerlendirilmesi","authors":"Rıfat Peksöz, Ali Mizrak","doi":"10.17941/AGD.927776","DOIUrl":"https://doi.org/10.17941/AGD.927776","url":null,"abstract":"Giris ve Amac: Mide poliplerinin yaklasik %75-90 kadarini hiperplastik polipler olusturur. Kronik inflamasyon nedenli epitelin asiri rejenerasyonuna bagli, foveolar hiperplazi ve kronik gastrit sonrasinda bu oncul lezyonlardan hiperplastik polipler olusur. Bu calismada mide hiperplastik polipler ve oncul lezyonlarinin Helicobacter pylori ile iliskisi ve bu lezyonlarin intestinal metaplazi, atrofi durumlarinin literatur bilgileri esliginde tartisilmasi amaclanmistir. Gerec ve Yontem: Mus Devlet Hastanesi Endoskopi unitesinde Ocak 2016-Ocak 2020 tarihleri arasinda ozofagogastroduodenoskopi yapilan 7903 hastadan endoskopik gorunumu polipoid yapida olan 172 hastanin histopatolojileri degerlendirildi. Hastalarin yasi, cinsiyeti, basvuru sikâyeti, polipoid gorunumlu lezyonun yeri, lezyonlarin histopatolojik tipi kaydedildi. Bulgular: 172 hastaya polipektomi yapildi. Hastalarin 71’i erkek (%41.2), 101’i kadin (%58.8) olup, yas ortalamalari 49.4 ± 15 (19-83) yildi. Hastalar reaktif polipoid lezyonlar; foveolar hiperplazi 57 hasta, kronik gastrit 53 hasta ve gercek polipoid 62 hasta (en sik hiperplastik polip 47 hasta %75) olarak iki gruba ayrildi. Polipoid gorunumlu lezyonlar en fazla antrumda lokalize idi. Hastalarin basvuru sikayeti her iki grupta en fazla dispepsi idi. Gercek polip lezyonlarinin capi, reaktif polipoid lezyonlarin capindan istatistiksel olarak buyuk saptandi (p 0.05). Sonuc: Hiperplastik polipler ve oncul lezyonlarinin prekanseroz durumlar olan atrofi ve intestinal metaplazi oranlari arasinda anlamli fark saptanmamistir. Bu yuzden endoskopide saptanan lezyonlardan tani ve displazinin varligini saptamak icin biyopsi alinmali ya da eksize edilmeli ve Helicobacter pylori saptanan hastalar tedavi edilmelidir.","PeriodicalId":118745,"journal":{"name":"Akademik Gastroenteroloji Dergisi","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115411933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nilay Daniş, A. Arslan, Murat Abdullah Buyruk, Fulya Günşar, A. Zeytinoğlu, İ. Altuğlu, U. Akarca
Giris ve Amac: Direkt etkili anti viral ilaclarin kullanilmasiyla, hepatit C virusu enfeksiyonunun tedavisinde basari orani %100’e yaklasmistir. Bununla birlikte, bircok hasta teshis konulmayi beklemektedir. Biz mevcut calismada cerrahi oncesi hepatit C virusu taramasi yapilan hastalarda anti-hepatit C virusu ve hepatit C virus-RNA pozitifliginin prevalansini belirlemeyi ve hastaligindan habersiz olan hastalarin oranini arastirmayi amacladik. Gerec ve Yontem: 2012-2015 yillari arasinda cerrahi kliniklerinde anti-hepatit C virusu pozitif saptanan hastalar, hepatit C virus-RNA pozitifligi ve tedavi gecmisi acisindan arastirildi. Hepatit C virus-RNA pozitifligi acisindan hastane kayitlari tarandi. Tedavi bilgilerine Medula Sisteminden (Sosyal Guvenlik Sisteminden entegre bir veri tabani) ulasildi. Tedavisiz anti-hepatit C virusu pozitif hastalara telefonla pozitiflikten haberdar olup olmadiklari soruldu. Bulgular: 4 yil boyunca 19627 hasta anti-hepatit C virusu pozitifligi acisindan tarandi. 158 hastada (%0.8) anti-hepatit C virusu pozitif bulundu (76 erkek, 82 kadin; yas: 58.2 ± 17.6). Hepatit C virus-RNA 83 hastada bakilmisti, 75 hastada hepatit C virus-RNA testi yoktu. Ulasilabilen 58 hastanin sadece 14’u anti-hepatit C virusu pozitif oldugunu biliyordu. Diger 44 hasta gastroenteroloji veya enfeksiyon hastaliklari polikliniklerine basvurmalari konusunda uyarildi. Sonuc: Cerrahi girisim uygulanan 19627 hastanin %0.8’inde anti-hepatit C virusu genel Turkiye nufusuna benzer oranda pozitif bulunmustur. Hastalarin neredeyse yarisinda hepatit C virus-RNA test edilmemis ve cogu hasta hepatit C virusu-RNA’nin test edilmesi ve izlenmesi gerektigi bilgisine sahip degildir. Anti- hepatit C virusunun cerrahi oncesi taranmasi yeni hastalarin tespiti acisindan yetersiz bulunmustur.
{"title":"Cerrahi prosedürler öncesi anti-HCV taraması: Hastalar yeterince bilgi sahibi mi?","authors":"Nilay Daniş, A. Arslan, Murat Abdullah Buyruk, Fulya Günşar, A. Zeytinoğlu, İ. Altuğlu, U. Akarca","doi":"10.17941/AGD.930893","DOIUrl":"https://doi.org/10.17941/AGD.930893","url":null,"abstract":"Giris ve Amac: Direkt etkili anti viral ilaclarin kullanilmasiyla, hepatit C virusu enfeksiyonunun tedavisinde basari orani %100’e yaklasmistir. Bununla birlikte, bircok hasta teshis konulmayi beklemektedir. Biz mevcut calismada cerrahi oncesi hepatit C virusu taramasi yapilan hastalarda anti-hepatit C virusu ve hepatit C virus-RNA pozitifliginin prevalansini belirlemeyi ve hastaligindan habersiz olan hastalarin oranini arastirmayi amacladik. Gerec ve Yontem: 2012-2015 yillari arasinda cerrahi kliniklerinde anti-hepatit C virusu pozitif saptanan hastalar, hepatit C virus-RNA pozitifligi ve tedavi gecmisi acisindan arastirildi. Hepatit C virus-RNA pozitifligi acisindan hastane kayitlari tarandi. Tedavi bilgilerine Medula Sisteminden (Sosyal Guvenlik Sisteminden entegre bir veri tabani) ulasildi. Tedavisiz anti-hepatit C virusu pozitif hastalara telefonla pozitiflikten haberdar olup olmadiklari soruldu. Bulgular: 4 yil boyunca 19627 hasta anti-hepatit C virusu pozitifligi acisindan tarandi. 158 hastada (%0.8) anti-hepatit C virusu pozitif bulundu (76 erkek, 82 kadin; yas: 58.2 ± 17.6). Hepatit C virus-RNA 83 hastada bakilmisti, 75 hastada hepatit C virus-RNA testi yoktu. Ulasilabilen 58 hastanin sadece 14’u anti-hepatit C virusu pozitif oldugunu biliyordu. Diger 44 hasta gastroenteroloji veya enfeksiyon hastaliklari polikliniklerine basvurmalari konusunda uyarildi. Sonuc: Cerrahi girisim uygulanan 19627 hastanin %0.8’inde anti-hepatit C virusu genel Turkiye nufusuna benzer oranda pozitif bulunmustur. Hastalarin neredeyse yarisinda hepatit C virus-RNA test edilmemis ve cogu hasta hepatit C virusu-RNA’nin test edilmesi ve izlenmesi gerektigi bilgisine sahip degildir. Anti- hepatit C virusunun cerrahi oncesi taranmasi yeni hastalarin tespiti acisindan yetersiz bulunmustur.","PeriodicalId":118745,"journal":{"name":"Akademik Gastroenteroloji Dergisi","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116217562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Şehmus Ölmez, S. Baş, Nevin AKÇAER ÖZTÜRK, O. Dilek, B. Sarıtaş
{"title":"Massive gastrointestinal bleeding due to rectovaginal fistula: A rare case report","authors":"Şehmus Ölmez, S. Baş, Nevin AKÇAER ÖZTÜRK, O. Dilek, B. Sarıtaş","doi":"10.17941/agd.1052909","DOIUrl":"https://doi.org/10.17941/agd.1052909","url":null,"abstract":"","PeriodicalId":118745,"journal":{"name":"Akademik Gastroenteroloji Dergisi","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127743232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Göktuğ Şirin, Ali Duman, Hasan Yılmaz, S. Balci, Ayça Haktanir, Emrullah Dengeşik, Kenan Özendi, Altay Çelebi, Sadettin Hülagü
{"title":"Dieulafoy lezyonu tanılı hastalarda endoskopik tedavi başarısı ve takip sonuçları","authors":"Göktuğ Şirin, Ali Duman, Hasan Yılmaz, S. Balci, Ayça Haktanir, Emrullah Dengeşik, Kenan Özendi, Altay Çelebi, Sadettin Hülagü","doi":"10.17941/agd.836616","DOIUrl":"https://doi.org/10.17941/agd.836616","url":null,"abstract":"","PeriodicalId":118745,"journal":{"name":"Akademik Gastroenteroloji Dergisi","volume":"269 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121984537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ezgi Guler, Egemen Öztürk, M. Yuksel, Timur Köse, Mustafa Harman, A. Özütemiz, Nevra Elmas
Background and Aims: The purpose of this study was to evaluate the use of diffusion-weighted imaging at 3 Tesla magnetic resonance imaging in differentiating malignant from benign portal vein thrombo- sis. Materials and Method: Abdominal magnetic resonance imaging examinations obtained at 3 Tesla magnetic resonance imaging unit be- tween January 2011 and December 2016 were reviewed retrospective-ly to identify the cases with portal vein thrombosis. Portal vein thrombosis was considered malignant if it enhanced ≥15% on arterial phase contrast-enhanced images relative to precontrast images. Moreover, the diameter of the portal vein involved with the thrombus was mea-sured, and the signal intensity of the portal vein thrombosis on diffu- sion-weighted images was recorded. The apparent diffusion coefficient values for malignant and benign portal vein thrombosis were calculated by two independent readers. Results: In this study, 23 patients with malignant portal vein thrombosis [19 men, 4 women; median age 63 years (52–83)] and 14 patients with benign portal vein thrombosis (5 men, 9 women; median age 65 years 47–82)] were identified. Statis-tically significant difference was observed in signal intensity on diffu-sion-weighted images (p < 0.05) between malignant and benign portal vein thrombosis. The mean apparent diffusion coefficient values for malignant portal vein thrombosis were significantly lower than those for benign portal vein thrombosis (p < 0.05). Furthermore, there was a high agreement on the calculation of apparent diffusion coefficient values (R 1 : 0.948) between the two readers. Sensitivity and specifici- ty values were both 100% for the diagnosis of malignant portal vein thrombosis when the apparent diffusion coefficient value was ≤1.4 x 10 –3 mm 2 /s. Conclusion: Thus, diffusion-weighted imaging at 3 Tesla magnetic resonance imaging is beneficial for the differentiation of malignant and benign portal vein thrombosis. Characterization of portal vein thrombosis using its signal intensity on diffusion-weighted images and apparent diffusion coefficient values is important in patients in whom the use of contrast media is contraindicated.
{"title":"Malign ile benign portal ven trombozunun ayrımında 3 Tesla manyetik rezonans görüntülemede difüzyon ağırlıklı görüntülemenin rolü","authors":"Ezgi Guler, Egemen Öztürk, M. Yuksel, Timur Köse, Mustafa Harman, A. Özütemiz, Nevra Elmas","doi":"10.17941/agd.839289","DOIUrl":"https://doi.org/10.17941/agd.839289","url":null,"abstract":"Background and Aims: The purpose of this study was to evaluate the use of diffusion-weighted imaging at 3 Tesla magnetic resonance imaging in differentiating malignant from benign portal vein thrombo- sis. Materials and Method: Abdominal magnetic resonance imaging examinations obtained at 3 Tesla magnetic resonance imaging unit be- tween January 2011 and December 2016 were reviewed retrospective-ly to identify the cases with portal vein thrombosis. Portal vein thrombosis was considered malignant if it enhanced ≥15% on arterial phase contrast-enhanced images relative to precontrast images. Moreover, the diameter of the portal vein involved with the thrombus was mea-sured, and the signal intensity of the portal vein thrombosis on diffu- sion-weighted images was recorded. The apparent diffusion coefficient values for malignant and benign portal vein thrombosis were calculated by two independent readers. Results: In this study, 23 patients with malignant portal vein thrombosis [19 men, 4 women; median age 63 years (52–83)] and 14 patients with benign portal vein thrombosis (5 men, 9 women; median age 65 years 47–82)] were identified. Statis-tically significant difference was observed in signal intensity on diffu-sion-weighted images (p < 0.05) between malignant and benign portal vein thrombosis. The mean apparent diffusion coefficient values for malignant portal vein thrombosis were significantly lower than those for benign portal vein thrombosis (p < 0.05). Furthermore, there was a high agreement on the calculation of apparent diffusion coefficient values (R 1 : 0.948) between the two readers. Sensitivity and specifici- ty values were both 100% for the diagnosis of malignant portal vein thrombosis when the apparent diffusion coefficient value was ≤1.4 x 10 –3 mm 2 /s. Conclusion: Thus, diffusion-weighted imaging at 3 Tesla magnetic resonance imaging is beneficial for the differentiation of malignant and benign portal vein thrombosis. Characterization of portal vein thrombosis using its signal intensity on diffusion-weighted images and apparent diffusion coefficient values is important in patients in whom the use of contrast media is contraindicated.","PeriodicalId":118745,"journal":{"name":"Akademik Gastroenteroloji Dergisi","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122581216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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