Pub Date : 2022-08-22DOI: 10.4274/terh.galenos.2021.06926
V. Emirdar, Funda Göde, V. Karataşlı, Gülin Okay, Ibrahim Pala, Z. Sertkaya
{"title":"Current Status of Oocyte Cryopreservation in Assisted Reproductive Technologies and Evaluation of Oocyte Freezing Cycles Performed in Our Clinic","authors":"V. Emirdar, Funda Göde, V. Karataşlı, Gülin Okay, Ibrahim Pala, Z. Sertkaya","doi":"10.4274/terh.galenos.2021.06926","DOIUrl":"https://doi.org/10.4274/terh.galenos.2021.06926","url":null,"abstract":"","PeriodicalId":22987,"journal":{"name":"The Journal of Tepecik Education and Research Hospital","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88602810","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}
Pub Date : 2022-08-22DOI: 10.4274/terh.galenos.2020.05579
Serdar Balci
{"title":"Various Perspectives on Foreseeing Placental Failure","authors":"Serdar Balci","doi":"10.4274/terh.galenos.2020.05579","DOIUrl":"https://doi.org/10.4274/terh.galenos.2020.05579","url":null,"abstract":"","PeriodicalId":22987,"journal":{"name":"The Journal of Tepecik Education and Research Hospital","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84254289","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}
Pub Date : 2022-08-22DOI: 10.4274/terh.galenos.2022.34437
M. Yoldaş, Burak Karabacakoğlu, C. Yücel, E. Kısa, G. Koc, Hakan Üçok, T. Süelözgen, M. Keskin
{"title":"Effect of HALP Rate to Pathological Stage with Bladder Tumor Patients","authors":"M. Yoldaş, Burak Karabacakoğlu, C. Yücel, E. Kısa, G. Koc, Hakan Üçok, T. Süelözgen, M. Keskin","doi":"10.4274/terh.galenos.2022.34437","DOIUrl":"https://doi.org/10.4274/terh.galenos.2022.34437","url":null,"abstract":"","PeriodicalId":22987,"journal":{"name":"The Journal of Tepecik Education and Research Hospital","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81516405","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}
Pub Date : 2022-04-12DOI: 10.4274/terh.galenos.2021.92195
M. Ertürk, B. Çekiç, B. Pamuk
Amaç: Günümüzde minimal invaziv termal ablasyon tedavileri semptomatik benign Endokrinoloji polikliniğine 2018’den 2020’ye kadar semptomatik benign ötiroid nodüller için ultrason kılavuzluğunda ardışık 40 toplam tiroid çalışmaya (%HKO), semptom ve kozmetik skorları değerlendirildi. of on Abstract Results: Eighteen (45%) of the cases were male, 22 (55%) were female, and the mean age was 46±9. The baseline cosmetic score decreased from 3.3±0.75 to 1.4±0.49 at the end of the 12 th month (p<0.001). The initial symptom score decreased from 6.77±1.42 to 1.97±0.83 at the end of the 12 th month (p<0.001). Thyroid nodule volumes after RFA decreased from the initial volume of 23.78±14.98 mL to 6.03±4.10 mL at the end of the 12 th month (p<0.001). VRR was 69.70±10.86 and 74.88±8.86 for 6 and 12 months, respectively (p<0.001). There were no major or minor complications during the procedure. Treatment success was 100% in all nodules at the end of the 6 th month. Conclusion: This study showed a significant improvement in the cosmetic and symptomatic score of benign solid euthyroid nodules after RFA therapy. RFA appears to be a safe and effective technique for selected cases with low complications and effective nodule reduction.
Amaç: g nnm zde微创性终末病变tedavileri semptomatik良性Endokrinoloji polikliniğine 2018'den 2020'ye kadar sempatik良性ötiroid nodller ialtin超声kılavuzluğunda ardışık 40 topplam tiroid çalışmaya (%HKO)， semvve kozmetik skorlaryi değerlendirildi。摘要结果:男性18例(45%)，女性22例(55%)，平均年龄46±9岁。12个月结束时，美容评分从3.3±0.75降至1.4±0.49 (p<0.001)。第12个月末，患者的初始症状评分由6.77±1.42降至1.97±0.83 (p<0.001)。RFA后甲状腺结节体积由最初的23.78±14.98 mL下降到12月末的6.03±4.10 mL (p<0.001)。6个月和12个月的VRR分别为69.70±10.86和74.88±8.86 (p<0.001)。手术过程中无大、小并发症。6个月结束时，所有结节的治疗成功率为100%。结论:本研究显示RFA治疗后良性实性甲状腺结节的外观和症状评分有显著改善。RFA似乎是一种安全有效的技术，可用于低并发症和有效的结节复位。
{"title":"The Effect of Thyroid Radiofrequency Ablation Therapy on Cosmetic and Symptom Score","authors":"M. Ertürk, B. Çekiç, B. Pamuk","doi":"10.4274/terh.galenos.2021.92195","DOIUrl":"https://doi.org/10.4274/terh.galenos.2021.92195","url":null,"abstract":"Amaç: Günümüzde minimal invaziv termal ablasyon tedavileri semptomatik benign Endokrinoloji polikliniğine 2018’den 2020’ye kadar semptomatik benign ötiroid nodüller için ultrason kılavuzluğunda ardışık 40 toplam tiroid çalışmaya (%HKO), semptom ve kozmetik skorları değerlendirildi. of on Abstract Results: Eighteen (45%) of the cases were male, 22 (55%) were female, and the mean age was 46±9. The baseline cosmetic score decreased from 3.3±0.75 to 1.4±0.49 at the end of the 12 th month (p<0.001). The initial symptom score decreased from 6.77±1.42 to 1.97±0.83 at the end of the 12 th month (p<0.001). Thyroid nodule volumes after RFA decreased from the initial volume of 23.78±14.98 mL to 6.03±4.10 mL at the end of the 12 th month (p<0.001). VRR was 69.70±10.86 and 74.88±8.86 for 6 and 12 months, respectively (p<0.001). There were no major or minor complications during the procedure. Treatment success was 100% in all nodules at the end of the 6 th month. Conclusion: This study showed a significant improvement in the cosmetic and symptomatic score of benign solid euthyroid nodules after RFA therapy. RFA appears to be a safe and effective technique for selected cases with low complications and effective nodule reduction.","PeriodicalId":22987,"journal":{"name":"The Journal of Tepecik Education and Research Hospital","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73891236","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}
Pub Date : 2022-04-12DOI: 10.4274/terh.galenos.2020.81489
Suna Yıldırım Karaca, İbrahim Gülhan, G. Bozkaya, M. Özeren
Objective: This study compared the concentrations of serum amyloid A (SAA), which is an inflammatory marker, in ectopic and intrauterine pregnancies. Methods: This prospective case-control study was conducted at Tepecik Education and Research Hospital in İzmir, Turkey, between 2015 and 2016. It included 39 patients diagnosed with tubal ectopic pregnancies and 41 patients diagnosed with early intrauterine pregnancies. The SAA, β human chorionic gonadotropin, progesterone and C-reactive protein levels were measured in the serum samples taken from both groups. Data were presented as mean±standard deviation and a p value <0.05 was accepted as statistically significant. The distribution of the variables was measured using the Kolmogorov-Smirnov test, while the independent samples t-test and Mann-Whitney U test were used in the analysis of the quantitative independent data. The impact level and cut-off value were investigated using a receiver operating characteristic curve. Results: SAA levels in the ectopic pregnancy patients (2.4±2.6 µg/mL) was significantly higher than in the intrauterine pregnancies (1.4±1.9 µg/mL) (p=0.008). When using the SAA cut-off value of 0.7 μg/mL for the ectopic pregnancy diagnosis, the sensitivity was 73.2% and the specificity was 63.4%. Conclusion: The inflammation due to tubal tissue damage in an ectopic pregnancy may increase the SAA level in the maternal blood. Even though larger prospective studies are needed, our study suggests that the SAA is an important biomarker for the early diagnosis of an ectopic pregnancy.
{"title":"Serum Amyloid A Protein as a Potential Biomarker for Ectopic Pregnancy","authors":"Suna Yıldırım Karaca, İbrahim Gülhan, G. Bozkaya, M. Özeren","doi":"10.4274/terh.galenos.2020.81489","DOIUrl":"https://doi.org/10.4274/terh.galenos.2020.81489","url":null,"abstract":"Objective: This study compared the concentrations of serum amyloid A (SAA), which is an inflammatory marker, in ectopic and intrauterine pregnancies. Methods: This prospective case-control study was conducted at Tepecik Education and Research Hospital in İzmir, Turkey, between 2015 and 2016. It included 39 patients diagnosed with tubal ectopic pregnancies and 41 patients diagnosed with early intrauterine pregnancies. The SAA, β human chorionic gonadotropin, progesterone and C-reactive protein levels were measured in the serum samples taken from both groups. Data were presented as mean±standard deviation and a p value <0.05 was accepted as statistically significant. The distribution of the variables was measured using the Kolmogorov-Smirnov test, while the independent samples t-test and Mann-Whitney U test were used in the analysis of the quantitative independent data. The impact level and cut-off value were investigated using a receiver operating characteristic curve. Results: SAA levels in the ectopic pregnancy patients (2.4±2.6 µg/mL) was significantly higher than in the intrauterine pregnancies (1.4±1.9 µg/mL) (p=0.008). When using the SAA cut-off value of 0.7 μg/mL for the ectopic pregnancy diagnosis, the sensitivity was 73.2% and the specificity was 63.4%. Conclusion: The inflammation due to tubal tissue damage in an ectopic pregnancy may increase the SAA level in the maternal blood. Even though larger prospective studies are needed, our study suggests that the SAA is an important biomarker for the early diagnosis of an ectopic pregnancy.","PeriodicalId":22987,"journal":{"name":"The Journal of Tepecik Education and Research Hospital","volume":"73 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84298108","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}
Pub Date : 2022-04-12DOI: 10.4274/terh.galenos.2020.89814
Selin Paker, G. Ertem
Amaç: Bu değerlendirmek (DİÖ) kültürümüze uyarlanarak geçerlilik polikliniğine başvuran gebelerle gerçekleştirilen metodolojik bir araştırmadır. Araştırmanın evrenini dahil edilme kriterlerine uyan ve araştırmaya katılmayı kabul eden tüm gebeler oluşturmuştur. Veriler yüz yüze görüşme yöntemi ile 205 gebeye Birey Tanıtım Formu ve DİÖ kullanılarak toplanmıştır. Bulgular: Çevirisi yapılan maddelere yönelik uzman puanları ile Kapsam Geçerlik İndeksi Davis tekniğine göre hesaplanmış ve tüm maddeler 0,80’in üzerinde bulunmuştur. Yapı geçerliliği için açıklayıcı faktör analizi ile doğrulayıcı faktör analizi uygulanarak ölçeğin iki faktör altında toplandığı saptanmıştır. Ölçeğin güvenirlik analizleri doğrultusunda birinci alt boyut için Cronbach alfa katsayısı 0,890; ikinci alt boyut için Cronbach alfa katsayısı 0,868 bulunmuştur. Zamana karşı Abstract to the reliability analysis of the scale, Cronbach’s alpha coefficient for the first sub-scale was 0.890; Cronbach’s alpha coefficient for the second sub-scale was found to be 0.868. The test-retest intraclass correlation coefficients in which time invariance was evaluated for the first subscale was 0.993 and for the second subscale was 0.984. The relationship between the two factors was statistically significant at a negative level of 0.752. Conclusion: Adapted BBS is a highly valid and reliable tool that can be used in the field. In our country, especially caesarean behavior is recommended to be used to determine the underlying beliefs.
{"title":"Validity and Reliability Study of the Turkish Form of the Birth Beliefs Scale","authors":"Selin Paker, G. Ertem","doi":"10.4274/terh.galenos.2020.89814","DOIUrl":"https://doi.org/10.4274/terh.galenos.2020.89814","url":null,"abstract":"Amaç: Bu değerlendirmek (DİÖ) kültürümüze uyarlanarak geçerlilik polikliniğine başvuran gebelerle gerçekleştirilen metodolojik bir araştırmadır. Araştırmanın evrenini dahil edilme kriterlerine uyan ve araştırmaya katılmayı kabul eden tüm gebeler oluşturmuştur. Veriler yüz yüze görüşme yöntemi ile 205 gebeye Birey Tanıtım Formu ve DİÖ kullanılarak toplanmıştır. Bulgular: Çevirisi yapılan maddelere yönelik uzman puanları ile Kapsam Geçerlik İndeksi Davis tekniğine göre hesaplanmış ve tüm maddeler 0,80’in üzerinde bulunmuştur. Yapı geçerliliği için açıklayıcı faktör analizi ile doğrulayıcı faktör analizi uygulanarak ölçeğin iki faktör altında toplandığı saptanmıştır. Ölçeğin güvenirlik analizleri doğrultusunda birinci alt boyut için Cronbach alfa katsayısı 0,890; ikinci alt boyut için Cronbach alfa katsayısı 0,868 bulunmuştur. Zamana karşı Abstract to the reliability analysis of the scale, Cronbach’s alpha coefficient for the first sub-scale was 0.890; Cronbach’s alpha coefficient for the second sub-scale was found to be 0.868. The test-retest intraclass correlation coefficients in which time invariance was evaluated for the first subscale was 0.993 and for the second subscale was 0.984. The relationship between the two factors was statistically significant at a negative level of 0.752. Conclusion: Adapted BBS is a highly valid and reliable tool that can be used in the field. In our country, especially caesarean behavior is recommended to be used to determine the underlying beliefs.","PeriodicalId":22987,"journal":{"name":"The Journal of Tepecik Education and Research Hospital","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74166683","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}
Pub Date : 2022-04-12DOI: 10.4274/terh.galenos.2020.57431
Neslisah Kutlu Uzakgider, Seda Karaca Adıyeke
Objective: Non-arteritic ischemic optic neuropathy (NAION) is the most common clinical presentation of acute ischemic damage to the optic nerve. It is possible to evaluate choroidal changes in these cases with optical cohorens tomography (OCT). Methods: The records of 48 patients with NAION (group 1) were retrospectively reviewed. The best corrected visual acuities, intraocular pressure, ophthalmologic examination findings and macular enhanced depth imaging optic coherent tomography (EDI-OCT) examinations were evaluated. The data were compared with the right eyes of the control group of 50 volunteers (group 2). Results: The mean age of group 1 was 59.25±9.685 years, and the mean age of group 2 was 58.26±9.249 years. There was no statistically significant difference between the two groups in terms of age (p=0.08). When the macular EDI-OCT tests were evaluated in the acute period, the affected eye choroidal thickness was significantly higher when compared with unaffected eyes in subfovea, nasal and temporal areas and group 2 (respectively p=0.001, p=0.001, p=0.001). Group 1 unaffected eye subfovea, nasal and temporal OCT were significantly higher than control group (respectively p=0.001, p=0.001, p=0.001). In the chronic period, thinning was observed in the affected eye choroidal thickness, but it was not statistically significant when compared with group 2 [respectively (p=0.543, p=0.513, p=0.497)]. Conclusion: The choroidal thickness changes in the early and late stages of the disease in NAION cases. This change may be due to the protection and adaptation mechanisms of optic nerve head perfusion.
{"title":"Evaluation of Early and Late Period Choroidal Thickness in Non-arteritic Anterior Ischemic Optic Neuropathy Cases","authors":"Neslisah Kutlu Uzakgider, Seda Karaca Adıyeke","doi":"10.4274/terh.galenos.2020.57431","DOIUrl":"https://doi.org/10.4274/terh.galenos.2020.57431","url":null,"abstract":"Objective: Non-arteritic ischemic optic neuropathy (NAION) is the most common clinical presentation of acute ischemic damage to the optic nerve. It is possible to evaluate choroidal changes in these cases with optical cohorens tomography (OCT). Methods: The records of 48 patients with NAION (group 1) were retrospectively reviewed. The best corrected visual acuities, intraocular pressure, ophthalmologic examination findings and macular enhanced depth imaging optic coherent tomography (EDI-OCT) examinations were evaluated. The data were compared with the right eyes of the control group of 50 volunteers (group 2). Results: The mean age of group 1 was 59.25±9.685 years, and the mean age of group 2 was 58.26±9.249 years. There was no statistically significant difference between the two groups in terms of age (p=0.08). When the macular EDI-OCT tests were evaluated in the acute period, the affected eye choroidal thickness was significantly higher when compared with unaffected eyes in subfovea, nasal and temporal areas and group 2 (respectively p=0.001, p=0.001, p=0.001). Group 1 unaffected eye subfovea, nasal and temporal OCT were significantly higher than control group (respectively p=0.001, p=0.001, p=0.001). In the chronic period, thinning was observed in the affected eye choroidal thickness, but it was not statistically significant when compared with group 2 [respectively (p=0.543, p=0.513, p=0.497)]. Conclusion: The choroidal thickness changes in the early and late stages of the disease in NAION cases. This change may be due to the protection and adaptation mechanisms of optic nerve head perfusion.","PeriodicalId":22987,"journal":{"name":"The Journal of Tepecik Education and Research Hospital","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89068863","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}
Pub Date : 2022-04-12DOI: 10.4274/terh.galenos.2020.58234
Alper Ileri, Hande İleri, Can Ata, A. Şenkaya, Umut Gök Balcı
{"title":"Long-term Outcomes of Gestational Diabetes Mellitus, a Retrospective Cohort Study","authors":"Alper Ileri, Hande İleri, Can Ata, A. Şenkaya, Umut Gök Balcı","doi":"10.4274/terh.galenos.2020.58234","DOIUrl":"https://doi.org/10.4274/terh.galenos.2020.58234","url":null,"abstract":"","PeriodicalId":22987,"journal":{"name":"The Journal of Tepecik Education and Research Hospital","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75430110","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}
Pub Date : 2022-04-11DOI: 10.4274/terh.galenos.2022.53323
O. Yalbuzdağ, Barış Karademir, Burak Karabacakoğlu, C. S. Isoglu, T. Süelözgen, U. Miçooğulları, M. Keskin, Y. Ilbey
Öz Acute lobar nephronia (ALN) is a kidney infection that can be confused with space-occupying solid masses. It is usually seen in children and renal abscess may develop in 25% of the cases. First-line treatment of ALN is medical treatment. Here, a 30-year-old female patient was admitted to the emergency department with nausea, vomiting, flank pain and fever. Computed tomography (CT) showed an appearance of a wedge-shaped mass in the right renal parenchyma. On the 6th day of antibiotherapy, his right side pain was completely recovered and there was no costovertebral angle tenderness on physical examination. The patient was discharged after completing 21 days of treatment without any complications. There was no mass appearance in the CT images taken on the day of discharge. Although ALN is more frequently seen in children and immunosuppressive patients, it can be seen in young adult patients as in this case. A Case with
{"title":"An Unusual Presentation of Renal Mass in a Healthy Adult: Acute Lobar Nephronia Case Report and Review of the Literature","authors":"O. Yalbuzdağ, Barış Karademir, Burak Karabacakoğlu, C. S. Isoglu, T. Süelözgen, U. Miçooğulları, M. Keskin, Y. Ilbey","doi":"10.4274/terh.galenos.2022.53323","DOIUrl":"https://doi.org/10.4274/terh.galenos.2022.53323","url":null,"abstract":"Öz Acute lobar nephronia (ALN) is a kidney infection that can be confused with space-occupying solid masses. It is usually seen in children and renal abscess may develop in 25% of the cases. First-line treatment of ALN is medical treatment. Here, a 30-year-old female patient was admitted to the emergency department with nausea, vomiting, flank pain and fever. Computed tomography (CT) showed an appearance of a wedge-shaped mass in the right renal parenchyma. On the 6th day of antibiotherapy, his right side pain was completely recovered and there was no costovertebral angle tenderness on physical examination. The patient was discharged after completing 21 days of treatment without any complications. There was no mass appearance in the CT images taken on the day of discharge. Although ALN is more frequently seen in children and immunosuppressive patients, it can be seen in young adult patients as in this case. A Case with","PeriodicalId":22987,"journal":{"name":"The Journal of Tepecik Education and Research Hospital","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87503786","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}
Pub Date : 2022-04-11DOI: 10.4274/terh.galenos.2021.47135
T. Kaya, Dilek Kuzukıran, S. Demirli Atıcı, I. Sert, Kenan Teker
Objective: Acute mesenteric ischemia (AMI) is a fatal vascular pathological condition requiring urgent surgical intervention, where early diagnosis significantly affects the prognosis. The aim of this study was to investigate the preoperative, perioperative and postoperative factors affecting mortality in patients who were operated with the diagnosis of AMI. Methods: Patients who were operated with the diagnosis of AMI between January 2012 and January 2016 were evaluated. The patients were grouped as survivors (group 1) and non-survivors (group 2). Age, gender, concomitant disease history, clinical and laboratory findings, surgical treatment, the remaining bowel amount, short bowel syndrome, ileocecal valve intactness, ostomy opening status, the first 30-day mortality and morbidities were recorded. Results: Among group 1 and group 2, respectively there was no statistically significant difference in terms of age, gender, concomitant disease, remaining bowel amount, short bowel syndrome, providing total parenteral nutrition support, ileocecal valve intactness and opening ostomy (p>0.05). Hemodialysis was found to be a risk factor for mortality (p=0.020). Conclusion: AMI is a disease with high mortality, and prognostic factors that can predict pre-op and postoperative mortality are still being investigated. While it is observed that ileocecal valve intactness does not affect mortality, the preoperative urea and creatinine elevation and the need for postoperative hemodialysis may be a predictors of mortality.
{"title":"Factors Determining the Prognosis of Acute Mesenteric Ischemia","authors":"T. Kaya, Dilek Kuzukıran, S. Demirli Atıcı, I. Sert, Kenan Teker","doi":"10.4274/terh.galenos.2021.47135","DOIUrl":"https://doi.org/10.4274/terh.galenos.2021.47135","url":null,"abstract":"Objective: Acute mesenteric ischemia (AMI) is a fatal vascular pathological condition requiring urgent surgical intervention, where early diagnosis significantly affects the prognosis. The aim of this study was to investigate the preoperative, perioperative and postoperative factors affecting mortality in patients who were operated with the diagnosis of AMI. Methods: Patients who were operated with the diagnosis of AMI between January 2012 and January 2016 were evaluated. The patients were grouped as survivors (group 1) and non-survivors (group 2). Age, gender, concomitant disease history, clinical and laboratory findings, surgical treatment, the remaining bowel amount, short bowel syndrome, ileocecal valve intactness, ostomy opening status, the first 30-day mortality and morbidities were recorded. Results: Among group 1 and group 2, respectively there was no statistically significant difference in terms of age, gender, concomitant disease, remaining bowel amount, short bowel syndrome, providing total parenteral nutrition support, ileocecal valve intactness and opening ostomy (p>0.05). Hemodialysis was found to be a risk factor for mortality (p=0.020). Conclusion: AMI is a disease with high mortality, and prognostic factors that can predict pre-op and postoperative mortality are still being investigated. While it is observed that ileocecal valve intactness does not affect mortality, the preoperative urea and creatinine elevation and the need for postoperative hemodialysis may be a predictors of mortality.","PeriodicalId":22987,"journal":{"name":"The Journal of Tepecik Education and Research Hospital","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89638678","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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