Thrombogenic superior vena cava syndrome is an uncommon, dangerous complication of long-standing central venous catheter use. The increased use of central venous catheters has resulted in more non-malignant cases of superior vena cava syndrome across all age groups.A 23-year-old patient who underwent Hemodialysis (HD) due to Chronic Renal Failure, was admitted to our clinic with swelling in the neck, face, and eyes 2 years after the insertion of a double-lumen indwelling catheter for HD.Beside those complaints, the patient had active bleeding from trachea. After venography, it was observed that there was complete occlusion in the Superior Vena Cava(SVC) and the upper venous system was drained into the Right Atrium via the Azygos vein and the Azygos vein was fully occluded where it was poured into the Atrium. Surgical decision was given together with Interventional Radiology.The operation was performed with sternotomy.After sternotomy, an Azygos-Atrial bypass was performed as an Off- Pump technique. On the first postoperative day, the edema in the neck, face and eyelids decreased. The patient, who had no complaints in the follow-ups, was discharged with medical treatment.
{"title":"Azygos-Atrial Bypass in Catheter Associated Superior Vena Cava Syndrome","authors":"Subhan Mammadov, Sercan Tak, H. Demirtaş, M. Zor","doi":"10.12996/gmj.2023.16","DOIUrl":"https://doi.org/10.12996/gmj.2023.16","url":null,"abstract":"Thrombogenic superior vena cava syndrome is an uncommon, dangerous complication of long-standing central venous catheter use. The increased use of central venous catheters has resulted in more non-malignant cases of superior vena cava syndrome across all age groups.A 23-year-old patient who underwent Hemodialysis (HD) due to Chronic Renal Failure, was admitted to our clinic with swelling in the neck, face, and eyes 2 years after the insertion of a double-lumen indwelling catheter for HD.Beside those complaints, the patient had active bleeding from trachea. After venography, it was observed that there was complete occlusion in the Superior Vena Cava(SVC) and the upper venous system was drained into the Right Atrium via the Azygos vein and the Azygos vein was fully occluded where it was poured into the Atrium. Surgical decision was given together with Interventional Radiology.The operation was performed with sternotomy.After sternotomy, an Azygos-Atrial bypass was performed as an Off- Pump technique. On the first postoperative day, the edema in the neck, face and eyelids decreased. The patient, who had no complaints in the follow-ups, was discharged with medical treatment.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48856794","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}
{"title":"Brief History of Pediatric Surgery and Establishment Stages in Turkey","authors":"","doi":"10.12996/gmj.2023.21","DOIUrl":"https://doi.org/10.12996/gmj.2023.21","url":null,"abstract":"","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43938271","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}
Objective: To assess cardiac functions of large for gestational age (LGA) infants with no maternal gestational diabetes mellitus using tissue Doppler imaging
目的：应用组织多普勒成像评估未患妊娠期糖尿病的孕龄大（LGA）婴儿的心功能
{"title":"Assessing Cardiac Functions in Large for Gestational Age Infants using Tissue Doppler Imaging","authors":"Ayşe Şimşek, S. Şahin","doi":"10.12996/gmj.2023.11","DOIUrl":"https://doi.org/10.12996/gmj.2023.11","url":null,"abstract":"Objective: To assess cardiac functions of large for gestational age (LGA) infants with no maternal gestational diabetes mellitus using tissue Doppler imaging","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43004375","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}
Multiple myeloma is B-cell neoplastic disease occurring as a result of monoclonal expansion of plasma cells. This lymphoproliferative disease may involve bone marrow and extramedullary soft tissues. It has been treated successfully over the years with chemotherapy. Novel chemotherapeutic agents may result in devastating unknown complication. Herein, we would like to report a case of bilateral vocal cord palsy following Bortezumib in an elderly gentleman with multiple myeloma.
{"title":"Devastating Complication of Novel Chemotherapy Agent","authors":"K. Ponnuvelu, J. Saniasiaya, N. Gani","doi":"10.12996/gmj.2023.14","DOIUrl":"https://doi.org/10.12996/gmj.2023.14","url":null,"abstract":"Multiple myeloma is B-cell neoplastic disease occurring as a result of monoclonal expansion of plasma cells. This lymphoproliferative disease may involve bone marrow and extramedullary soft tissues. It has been treated successfully over the years with chemotherapy. Novel chemotherapeutic agents may result in devastating unknown complication. Herein, we would like to report a case of bilateral vocal cord palsy following Bortezumib in an elderly gentleman with multiple myeloma.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46363440","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}
A. Balik, C. Yucel, E. Sertoğlu, O. Yavuz, G. Taskin, E. Akkoyun, K. Arda, T. Ozgurtas
Objective: COVID-19 is a disease caused by SARS-COV-2 and early diagnosis and classification of the COVID-19 are critical for the better prognosis. This study aimed to combine laboratory data of COVID-19 patients with Computed Tomography Segmentation-Volume Analysis (CT-SVA). Thus, we hope to contribute to the early diagnosis and classification of the disease. Methods: Patients were divided into two groups according to disease severity as mild/moderate (n=41) and severe/critical (n=42). Some laboratory parameters were recorded and evaluated together with CT-SVA. Results: The results of the study have shown that sodium, C-reactive protein, D-dimer, ferritin, fibrinogen, interleukin 6, procalcitonin, white blood cells, neutrophil, neutrophil-lymphocyte ratio values were significantly higher at first admission in the severe/critical diseased group (p<0.05), while albumin, lymphocyte, and venous blood pH values were significantly lower (p<0.05). CT-SVA results have shown negative correlation with albumin, while having a positive correlation with C-reactive protein, D-dimer, ferritin, fibrinogen, interleukin 6 and procalcitonin. The results of the performed Receiver Operating Characteristics analysis revealed that CT-SVA has a cut-off value of 15.92 with a sensitivity of 87.1% and a specificity of 80.0% in predicting disease severity. Binary logistic regression model has included CT-SVA, D-dimer, ferritin, interleukin 6, and neutrophil-lymphocyte ratio. The model correctly classified 88.1% of cases. CT-SVA, D-dimer, ferritin, interleukin 6, and neutrophil-lymphocyte ratio were detected to be the independent predictors of disease severity. Conclusion: Evaluation of laboratory parameters together with CT-SVA results will help identification of cases with a poor prognosis and accelerate intervention.
{"title":"Evaluation of Clinical Laboratory Findings with Computed Tomography Segmentation-Volume Analysis Results in COVID-19 Patients","authors":"A. Balik, C. Yucel, E. Sertoğlu, O. Yavuz, G. Taskin, E. Akkoyun, K. Arda, T. Ozgurtas","doi":"10.12996/gmj.2023.8","DOIUrl":"https://doi.org/10.12996/gmj.2023.8","url":null,"abstract":"Objective: COVID-19 is a disease caused by SARS-COV-2 and early diagnosis and classification of the COVID-19 are critical for the better prognosis. This study aimed to combine laboratory data of COVID-19 patients with Computed Tomography Segmentation-Volume Analysis (CT-SVA). Thus, we hope to contribute to the early diagnosis and classification of the disease. Methods: Patients were divided into two groups according to disease severity as mild/moderate (n=41) and severe/critical (n=42). Some laboratory parameters were recorded and evaluated together with CT-SVA. Results: The results of the study have shown that sodium, C-reactive protein, D-dimer, ferritin, fibrinogen, interleukin 6, procalcitonin, white blood cells, neutrophil, neutrophil-lymphocyte ratio values were significantly higher at first admission in the severe/critical diseased group (p<0.05), while albumin, lymphocyte, and venous blood pH values were significantly lower (p<0.05). CT-SVA results have shown negative correlation with albumin, while having a positive correlation with C-reactive protein, D-dimer, ferritin, fibrinogen, interleukin 6 and procalcitonin. The results of the performed Receiver Operating Characteristics analysis revealed that CT-SVA has a cut-off value of 15.92 with a sensitivity of 87.1% and a specificity of 80.0% in predicting disease severity. Binary logistic regression model has included CT-SVA, D-dimer, ferritin, interleukin 6, and neutrophil-lymphocyte ratio. The model correctly classified 88.1% of cases. CT-SVA, D-dimer, ferritin, interleukin 6, and neutrophil-lymphocyte ratio were detected to be the independent predictors of disease severity. Conclusion: Evaluation of laboratory parameters together with CT-SVA results will help identification of cases with a poor prognosis and accelerate intervention.","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44554956","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}
{"title":"Small Cell Neuroendocrine Tumour of Bladder: A Rare Entity and Review of the Literature","authors":"","doi":"10.12996/gmj.2022.99","DOIUrl":"https://doi.org/10.12996/gmj.2022.99","url":null,"abstract":"","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47676957","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}
{"title":"Possible Effect of 2100 Mhz Cell Phone Radiation on Heart and Spleen Tissues of Rats","authors":"","doi":"10.12996/gmj.2022.77","DOIUrl":"https://doi.org/10.12996/gmj.2022.77","url":null,"abstract":"","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46447429","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}
{"title":"Comparing Therapeutic Effects of Intraarticular Ozone and Hyaluronic Acid in the Rat Model of Experimental Knee Osteoarthritis","authors":"","doi":"10.12996/gmj.2022.86","DOIUrl":"https://doi.org/10.12996/gmj.2022.86","url":null,"abstract":"","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44164622","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}
{"title":"The Evaluation of Peripapillary Retinal Nerve Fiber Layer Thickness Changes in Patients with Retinitis Pigmentosa and Patients with Early-Late Stage Glaucoma","authors":"","doi":"10.12996/gmj.2022.82","DOIUrl":"https://doi.org/10.12996/gmj.2022.82","url":null,"abstract":"","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44718366","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}
Aim: This study aims to investigate the effect of Covid-19 infection in the first trimester of pregnancy on Gestational Diabetes Mellitus. Material-Method: The retrospective descriptive study was conducted by scanning the files of pregnant women who applied to the Obstetrics outpatient clinic of the Obstetrics and Gynecology Department of Ankara Dr. Sami Ulus Gynecology, Child Health and Diseases E.A.H. between 11.03.2020, the pandemic start date, and 30.05.2022. The study group consisted of single pregnant women (n=150), aged 18-45 years, who did not have any additional disease, and who were not vaccinated against Covid-19, who had a 50 gr Oral Glucose Tolerance Test. The next single pregnant woman applying to the clinic, who did not have the Covid-19 infection, had a 50 g Oral Glucose Tolerance Test, was aged between 18-45 years, had no additional disease, and was not vaccinated against Covid-19, was enrolled in the study control group (n=150). The rates of gestational diabetes diagnosis of pregnant women in the study and control groups were compared. Results: It was determined that 12 (8.0%) of 150 pregnant women in the study group and only 4 (2.7%) of 150 pregnant women in the control group were diagnosed with GDM, and the difference was found to be statistically significant (p=0.040). As a result of logistic regression analysis;it was determined that the diagnosis of Covid-19 was an important parameter affecting the risk of gestational diabetes (p<0.05), and the risk of gestational diabetes was found to be 3.174 times higher in those diagnosed with Covid-19 (OR=3.174). Conclusion: It is obvious that stress caused by covid-19 infection in pregnant women, acute damage to pancreatic islets, and resulting hypercoagulability may increase GDM by disrupting glucose metabolism. Considering that GDM is a disease that brings not only perinatal risks but also long-term chronic metabolic complications, it is clear that special attention should be paid to vaccination and prevention measures to protect pregnant women from extra risk factors such as Covid-19 infection. (English) [ FROM AUTHOR] Amaç: Bu çalışmanın amacı, gebeliğin ilk trimesterinde geçirilmiş Covid-19 enfeksiyonunun Gestasyonel Diabetes Mellitus üzerine etkisinin araştırılmasıdır. Materyal-Metod: Çalışma retrospektif tanımlayıcı bir çalışma olup, pandemi başlangıç tarihi olan 11.03.2020 ile 30.05.2022 tarihleri arasında Ankara Dr Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları E.A.H. Kadın Hastalıkları ve Doğum Bölümü Obstetrik Polikliniği'ne başvuran gebelerin dosyalarının taranması ile yürütülmüştür. 50 gr Oral Glukoz Tolerans Testi bakılmış olan, 18-45 yaş aralığındaki, ek hastalığı olmayan, Covid-19 aşısı yapılmamış olan tekil gebeler çalışma grubunu (n=150) oluşturmuştur. Çalışma grubuna dahil edilen her gebeden bir sonraki Covid-19 enfeksiyonu geçirmemiş, 50 gr Oral Glukoz Tolerans Testi bakılmış olan, 18-45 yaş aralığındaki, ek hastalığı olmayan, Covid-19 aşısı yapılmamış olan t
{"title":"The Effect of Previous Covid-19 Infection on Gestational Diabetes Mellitus","authors":"Ç. Soysal","doi":"10.12996/gmj.2022.88","DOIUrl":"https://doi.org/10.12996/gmj.2022.88","url":null,"abstract":"Aim: This study aims to investigate the effect of Covid-19 infection in the first trimester of pregnancy on Gestational Diabetes Mellitus. Material-Method: The retrospective descriptive study was conducted by scanning the files of pregnant women who applied to the Obstetrics outpatient clinic of the Obstetrics and Gynecology Department of Ankara Dr. Sami Ulus Gynecology, Child Health and Diseases E.A.H. between 11.03.2020, the pandemic start date, and 30.05.2022. The study group consisted of single pregnant women (n=150), aged 18-45 years, who did not have any additional disease, and who were not vaccinated against Covid-19, who had a 50 gr Oral Glucose Tolerance Test. The next single pregnant woman applying to the clinic, who did not have the Covid-19 infection, had a 50 g Oral Glucose Tolerance Test, was aged between 18-45 years, had no additional disease, and was not vaccinated against Covid-19, was enrolled in the study control group (n=150). The rates of gestational diabetes diagnosis of pregnant women in the study and control groups were compared. Results: It was determined that 12 (8.0%) of 150 pregnant women in the study group and only 4 (2.7%) of 150 pregnant women in the control group were diagnosed with GDM, and the difference was found to be statistically significant (p=0.040). As a result of logistic regression analysis;it was determined that the diagnosis of Covid-19 was an important parameter affecting the risk of gestational diabetes (p<0.05), and the risk of gestational diabetes was found to be 3.174 times higher in those diagnosed with Covid-19 (OR=3.174). Conclusion: It is obvious that stress caused by covid-19 infection in pregnant women, acute damage to pancreatic islets, and resulting hypercoagulability may increase GDM by disrupting glucose metabolism. Considering that GDM is a disease that brings not only perinatal risks but also long-term chronic metabolic complications, it is clear that special attention should be paid to vaccination and prevention measures to protect pregnant women from extra risk factors such as Covid-19 infection. (English) [ FROM AUTHOR] Amaç: Bu çalışmanın amacı, gebeliğin ilk trimesterinde geçirilmiş Covid-19 enfeksiyonunun Gestasyonel Diabetes Mellitus üzerine etkisinin araştırılmasıdır. Materyal-Metod: Çalışma retrospektif tanımlayıcı bir çalışma olup, pandemi başlangıç tarihi olan 11.03.2020 ile 30.05.2022 tarihleri arasında Ankara Dr Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları E.A.H. Kadın Hastalıkları ve Doğum Bölümü Obstetrik Polikliniği'ne başvuran gebelerin dosyalarının taranması ile yürütülmüştür. 50 gr Oral Glukoz Tolerans Testi bakılmış olan, 18-45 yaş aralığındaki, ek hastalığı olmayan, Covid-19 aşısı yapılmamış olan tekil gebeler çalışma grubunu (n=150) oluşturmuştur. Çalışma grubuna dahil edilen her gebeden bir sonraki Covid-19 enfeksiyonu geçirmemiş, 50 gr Oral Glukoz Tolerans Testi bakılmış olan, 18-45 yaş aralığındaki, ek hastalığı olmayan, Covid-19 aşısı yapılmamış olan t","PeriodicalId":42791,"journal":{"name":"Gazi Medical Journal","volume":" ","pages":""},"PeriodicalIF":0.1,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45905910","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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