Pub Date : 2021-09-08DOI: 10.24125/sanamed.v16i2.511
Katarina M. Janicijevic, M. Sazdanović, M. Petrović, Zorana Kovačević
{"title":"IN THE MEMORY OF KATARINA MILOVUK AND SERBIAN CHARITY","authors":"Katarina M. Janicijevic, M. Sazdanović, M. Petrović, Zorana Kovačević","doi":"10.24125/sanamed.v16i2.511","DOIUrl":"https://doi.org/10.24125/sanamed.v16i2.511","url":null,"abstract":"","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48350278","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 : 2021-09-08DOI: 10.24125/sanamed.v16i2.518
Dzenana A. Detanac
Global school closures and home quarantine caused by the COVID-19 pandemic increases digital screen time and the overall time spent on near work while decreasing outdoor time especially among school-going children, which can cause serious factors associated with asthenopia, refractive errors, low visual acuity, and accommodative insufficiency. Professionals believe that ophthalmologists now have an opportunity to draw attention to the problem, raise awareness among parents, children, and teachers, and eventually influence policymakers to develop strategies that will help children and students as well as parents and relevant institutions to deal with this issue even beyond the pandemic. Prompt implementation of adequate public and school policies and eye care services globally, effective planning of public health measures for prevention and treatment of myopia must be part of the crucial measures in the future. The consequences of widespread acceptance of digital devices in all spheres of public life by affecting visual function also affect learning, school performance, development of children, and thus their future.
{"title":"DIGITAL DEVICE OVERUSE DURING THE COVID-19 PANDEMIC AND VISUAL IMPAIRMENT AMONG CHILDREN: IS THERE A RISK FOR LONG-TERM EFFECTS?","authors":"Dzenana A. Detanac","doi":"10.24125/sanamed.v16i2.518","DOIUrl":"https://doi.org/10.24125/sanamed.v16i2.518","url":null,"abstract":"Global school closures and home quarantine caused by the COVID-19 pandemic increases digital screen time and the overall time spent on near work while decreasing outdoor time especially among school-going children, which can cause serious factors associated with asthenopia, refractive errors, low visual acuity, and accommodative insufficiency. Professionals believe that ophthalmologists now have an opportunity to draw attention to the problem, raise awareness among parents, children, and teachers, and eventually influence policymakers to develop strategies that will help children and students as well as parents and relevant institutions to deal with this issue even beyond the pandemic. Prompt implementation of adequate public and school policies and eye care services globally, effective planning of public health measures for prevention and treatment of myopia must be part of the crucial measures in the future. The consequences of widespread acceptance of digital devices in all spheres of public life by affecting visual function also affect learning, school performance, development of children, and thus their future.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46661890","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 : 2021-06-28DOI: 10.24125/sanamed.v16i2.510
A. Şahin, Emced Khalil
{"title":"LOWER EXTREMITY PROBLEMS AND RELATED SURGICAL PROCEDURES BEFORE AND DURING THE COVID-19 PANDEMIC IN A TERTIARY HEALTHCARE INSTITUTION","authors":"A. Şahin, Emced Khalil","doi":"10.24125/sanamed.v16i2.510","DOIUrl":"https://doi.org/10.24125/sanamed.v16i2.510","url":null,"abstract":"","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48372701","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 : 2021-06-28DOI: 10.24125/sanamed.v16i2.479
S. Ercan, Dursun Hakan Delba
{"title":"STIGMATIZING ATTITUDES AND THE USE OF STIGMATIZING LANGUAGE TOWARDS MENTAL ILLNESS AMONG DOCTORS AND NURSES IN TURKEY","authors":"S. Ercan, Dursun Hakan Delba","doi":"10.24125/sanamed.v16i2.479","DOIUrl":"https://doi.org/10.24125/sanamed.v16i2.479","url":null,"abstract":"","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41381534","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 : 2021-04-24DOI: 10.24125/SANAMED.V16I1.481
S. Ferahman, T. Donmez, A. Sürek, C. Akarsu, H. Aydin, H. Seyit, H. Ozcevik, Harun Tecir, M. Karabulut
Introduction: Covid-19 is a viral epidemic disease that causes serious health problems and death worldwide. The rapid expansion of Covid-19 infection led to the disruption of healthcare services and radical re-organisation of healthcare resources due to the healthcare workers' infection. Aim: This clinical study investigated the effects of Covid-19 infection on emergency and elective cases in our general surgery clinic. Material and methods: We retrospectively analysed the clinical data of 195 patients who underwent elective (Group Elective) and emergency (Group Emergency) surgery during the Covid-19 incubation period in the Bakirkoy Dr. Sadi Konuk Training and Research Hospital between March 11 - May 18, 2020. Demographic features, symptoms, surgical diagnoses, surgical methods, complications, duration of surgery, length of hospital stay and mortality, the status of Covid-19 of all patients were recorded. Results: 195 patients, including emergency and elective surgery cases, were operated on (104 and 91, respectively). The incidence of Covid-19 infection was 5.49% in patients scheduled for elective surgery and 4.8% in patients operated urgently, and all developed in the postoperative period. Two patients with emergency surgery died of respiratory failure, their mean age was 51 years. Two of 104 emergency-operated patients were positive from Covid-19 (1.92%) at the time of admission. Eighteen medical staff and nurses got Covid-19 infections. Conclusions: Due to the rapid spread of Covid-19 infection, early precautions must be taken in surgical clinics to guarantee the safety of patients all healthcare providers, and personnel.
{"title":"THE EFFECT OF COVID-19 PANDEMIC ON THE FUNCTIONING OF A SURGICAL CLINIC: SINGLE CENTRE EXPERIENCE IN TURKEY","authors":"S. Ferahman, T. Donmez, A. Sürek, C. Akarsu, H. Aydin, H. Seyit, H. Ozcevik, Harun Tecir, M. Karabulut","doi":"10.24125/SANAMED.V16I1.481","DOIUrl":"https://doi.org/10.24125/SANAMED.V16I1.481","url":null,"abstract":"Introduction: Covid-19 is a viral epidemic disease that causes serious health problems and death worldwide. The rapid expansion of Covid-19 infection led to the disruption of healthcare services and radical re-organisation of healthcare resources due to the healthcare workers' infection. Aim: This clinical study investigated the effects of Covid-19 infection on emergency and elective cases in our general surgery clinic. Material and methods: We retrospectively analysed the clinical data of 195 patients who underwent elective (Group Elective) and emergency (Group Emergency) surgery during the Covid-19 incubation period in the Bakirkoy Dr. Sadi Konuk Training and Research Hospital between March 11 - May 18, 2020. Demographic features, symptoms, surgical diagnoses, surgical methods, complications, duration of surgery, length of hospital stay and mortality, the status of Covid-19 of all patients were recorded. Results: 195 patients, including emergency and elective surgery cases, were operated on (104 and 91, respectively). The incidence of Covid-19 infection was 5.49% in patients scheduled for elective surgery and 4.8% in patients operated urgently, and all developed in the postoperative period. Two patients with emergency surgery died of respiratory failure, their mean age was 51 years. Two of 104 emergency-operated patients were positive from Covid-19 (1.92%) at the time of admission. Eighteen medical staff and nurses got Covid-19 infections. Conclusions: Due to the rapid spread of Covid-19 infection, early precautions must be taken in surgical clinics to guarantee the safety of patients all healthcare providers, and personnel.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41316637","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 : 2021-04-24DOI: 10.24125/SANAMED.V16I1.501
C. Pop, I. Ferenț
Introduction : The coronavirus disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is associated with an inflammatory and prothrombotic state that increases the risk of thromboembolic events. High levels of D-dimer are associated with the severity of the disease and acute pulmonary embolism (PE) is the most common thrombotic complication. Material and methods : We analyzed a series of four cases of COVID-19 in young patients (under 45 years) who developed PE with a delay of two to four weeks after hospital discharge. Results: These patients had elevated D-dimer (at least 10 times the upper limit of normal) at the initial admission and at the time of the PE diagnostic, while other parameters which involved inflammation and coagulation (C-reactive protein—CRP; lactate dehydrogenase—LDH; fibrinogen; international normalized ratio—INR) were normal. There were no pre-existing risk factors for PE and all the patients were anticoagulated with prophylactic intermediate doses of enoxaparin. Conclusions: PE is a complication of the COVID-19 disease which may occur later, especially in young patients with no other risk factors for the condition. The highly elevated levels of D-dimer at COVID-19 admission seem to be associated with the post-discharge apparition of PE. This data suggests the role of extended anticoagulation in selected COVID-19 patients and warrants further investigations.
{"title":"HIGH D-DIMER VALUES AND POST-DISCHARGE ACUTE PULMONARY EMBOLISM IN YOUNG PATIENTS WITH COVID-19: A CASE SERIES","authors":"C. Pop, I. Ferenț","doi":"10.24125/SANAMED.V16I1.501","DOIUrl":"https://doi.org/10.24125/SANAMED.V16I1.501","url":null,"abstract":"Introduction : The coronavirus disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is associated with an inflammatory and prothrombotic state that increases the risk of thromboembolic events. High levels of D-dimer are associated with the severity of the disease and acute pulmonary embolism (PE) is the most common thrombotic complication. Material and methods : We analyzed a series of four cases of COVID-19 in young patients (under 45 years) who developed PE with a delay of two to four weeks after hospital discharge. Results: These patients had elevated D-dimer (at least 10 times the upper limit of normal) at the initial admission and at the time of the PE diagnostic, while other parameters which involved inflammation and coagulation (C-reactive protein—CRP; lactate dehydrogenase—LDH; fibrinogen; international normalized ratio—INR) were normal. There were no pre-existing risk factors for PE and all the patients were anticoagulated with prophylactic intermediate doses of enoxaparin. Conclusions: PE is a complication of the COVID-19 disease which may occur later, especially in young patients with no other risk factors for the condition. The highly elevated levels of D-dimer at COVID-19 admission seem to be associated with the post-discharge apparition of PE. This data suggests the role of extended anticoagulation in selected COVID-19 patients and warrants further investigations.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42032634","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 : 2021-04-24DOI: 10.24125/SANAMED.V16I1.503
D. Hadžić, F. Skokić, S. Brkić
Aim: To evaluate the incidence, characteristics, transmission, and outcomes of COVID-19 infection in hospitalized neonates in Tuzla Canton and to emphasize the importance of quality triage in the prevention and control of infection. Material and Methods: A retrospective cohort study, which included all consecutive neonates suspected of COVID-19 infection, and which required screening supervision in the triage department, from those who required hospital treatment at the Pediatric Clinic, University Clinical Center Tuzla for 12 months. (January 1 to December 31, 2020). Statistical analysis applied standard methods, and the research was approved by the Ethics Committee of the institution. Results: In the observed period, in the neonatal triage department, 111 neonates suspected to COVID-19 were treated, with no gender difference. Among them were 92 neonates of mothers suspected of COVID-19 (66 admitted immediately after birth, 26 readmitted after discharge home), and 19 neonates of mothers positive for COVID-19 (16 admitted immediately after birth, 3 readmitted). Cesarean delivery was a more common delivery option, and fever a more common symptom in COVID-19 positive mothers, but without statistical significance. The neonates from COVID-19 suspected mothers formed a heterogeneous group, with common perinatal problems, while neonates from COVID-19 positive mothers, hospitalized immediately after birth, were almost term neonates with appropriate birth weight, without need for a lot of treatment. All neonates hospitalized immediately after birth were negative for COVID-19. The only three COVID-19 positive neonates were readmitted after previous discharge home, and they had mild symptoms, mostly one-day fever, and they all recovered completely. All of these neonates are under further follow-up after discharge from the hospital, and all are, for now, in good general condition, and all have continued to breastfeed. Conclusion: Neonates born to mothers with positive COVID-19 infection generally have favorable outcomes, with no convincing case of vertical transmission. Neonatal COVID-19 is mostly asymptomatic, acquired postnatally, and associated with favorable outcomes. The importance of quality triage in the prevention and control of infection is crucial, with consistent implementation of safe practices including proper patient isolation and appropriate protective equipment.
{"title":"COVID-19 TRIAGE AMONG HOSPITALIZED NEONATES IN TUZLA CANTON","authors":"D. Hadžić, F. Skokić, S. Brkić","doi":"10.24125/SANAMED.V16I1.503","DOIUrl":"https://doi.org/10.24125/SANAMED.V16I1.503","url":null,"abstract":"Aim: To evaluate the incidence, characteristics, transmission, and outcomes of COVID-19 infection in hospitalized neonates in Tuzla Canton and to emphasize the importance of quality triage in the prevention and control of infection. Material and Methods: A retrospective cohort study, which included all consecutive neonates suspected of COVID-19 infection, and which required screening supervision in the triage department, from those who required hospital treatment at the Pediatric Clinic, University Clinical Center Tuzla for 12 months. (January 1 to December 31, 2020). Statistical analysis applied standard methods, and the research was approved by the Ethics Committee of the institution. Results: In the observed period, in the neonatal triage department, 111 neonates suspected to COVID-19 were treated, with no gender difference. Among them were 92 neonates of mothers suspected of COVID-19 (66 admitted immediately after birth, 26 readmitted after discharge home), and 19 neonates of mothers positive for COVID-19 (16 admitted immediately after birth, 3 readmitted). Cesarean delivery was a more common delivery option, and fever a more common symptom in COVID-19 positive mothers, but without statistical significance. The neonates from COVID-19 suspected mothers formed a heterogeneous group, with common perinatal problems, while neonates from COVID-19 positive mothers, hospitalized immediately after birth, were almost term neonates with appropriate birth weight, without need for a lot of treatment. All neonates hospitalized immediately after birth were negative for COVID-19. The only three COVID-19 positive neonates were readmitted after previous discharge home, and they had mild symptoms, mostly one-day fever, and they all recovered completely. All of these neonates are under further follow-up after discharge from the hospital, and all are, for now, in good general condition, and all have continued to breastfeed. Conclusion: Neonates born to mothers with positive COVID-19 infection generally have favorable outcomes, with no convincing case of vertical transmission. Neonatal COVID-19 is mostly asymptomatic, acquired postnatally, and associated with favorable outcomes. The importance of quality triage in the prevention and control of infection is crucial, with consistent implementation of safe practices including proper patient isolation and appropriate protective equipment.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41799939","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 : 2020-12-28DOI: 10.24125/sanamed.v15i3.460
Mohammad Abdullah Dhulaimi, Moroj AlDarmasi
The magnetic resonance (MR) imaging of intra-abdominal tumors is necessary for clinical practice. MR imaging involves the optimal evaluation of masses due to its inherent soft tissue contrast and multiplanar scanning abilities. T2 low-signal tumors are not common, and individuals need to be careful when interpreting them. The tumors that contain smooth muscle components, a high nucleus-to-cytoplasm ratio, or papillary architecture, among other components, tend to display low signal intensity on T2-weighted images. MR imaging allows for both the detection and characterization of tumors, especially when they have low signal intensity when presented on T2-weighted images. As a result, it becomes essential to identify the various characteristics that define each tumor. Identification of the tumor spectrum and knowing the cause of low signal intensity on T2 –weighted images helps the radiologist to narrow the differential diagnosis and reach a final diagnosis.
{"title":"RENAL, PELVIC AND MESENTERIC TUMORS WITH LOW SIGNAL INTENSITY ON T2-WEIGHTED MR IMAGE: A REVIEW","authors":"Mohammad Abdullah Dhulaimi, Moroj AlDarmasi","doi":"10.24125/sanamed.v15i3.460","DOIUrl":"https://doi.org/10.24125/sanamed.v15i3.460","url":null,"abstract":"The magnetic resonance (MR) imaging of intra-abdominal tumors is necessary for clinical practice. MR imaging involves the optimal evaluation of masses due to its inherent soft tissue contrast and multiplanar scanning abilities. T2 low-signal tumors are not common, and individuals need to be careful when interpreting them. The tumors that contain smooth muscle components, a high nucleus-to-cytoplasm ratio, or papillary architecture, among other components, tend to display low signal intensity on T2-weighted images. MR imaging allows for both the detection and characterization of tumors, especially when they have low signal intensity when presented on T2-weighted images. As a result, it becomes essential to identify the various characteristics that define each tumor. Identification of the tumor spectrum and knowing the cause of low signal intensity on T2 –weighted images helps the radiologist to narrow the differential diagnosis and reach a final diagnosis.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43787228","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 : 2020-12-28DOI: 10.24125/sanamed.v15i3.476
Milica Mitrović, Nevena Stanišić, Z. Perišić, Ivana Lešević, Dragan Vasin, K. Doklestić
Introduction : Biliary ileus is a rare emergency condition that mainly affects the elderly population, with a predominance of females and a mortality rate of 12-27%. It is a mechanical intestinal obstruction caused by the impaction of the biliary calculus within the gastrointestinal tract. It occurs due to the formation of bilio-enteric fistula, as a rare complication of cholelithiasis. Case report: A 73-year-old male patient with epigastric pain, nausea and vomiting was referred for ultrasound exam. The analysis of the clinical-biochemical status of the patient as well as the ultrasound examination of the abdomen itself raised the suspicion of small intestine obstruction, due to the enclaved biliary calculus. After an urgent exploratory laparotomy, the diagnosis was confirmed, and enterotomy was successfully performed with calculus extraction. Cholecysto-duodenal fistula has been confirmed as a major cause of biliary ileus. The post-operative course was uneventful. Conclusion: This case report highlights the enormous importance of ultrasound diagnostics in diagnosing biliary ileus using the criteria of The Rigler Triad, which includes pneumobilia, intestinal obstruction and ectopic calculus. Initialy unrecognisied cause of obstruction and a late diagnosis correlated with bad prognosis. Ultrasonographic examination of these patients, can be a sufficient diagnostic modality in making an accurate diagnosis and further surgical treatment of these patients.
{"title":"EMERGENCY ABDOMINAL ULTRASOUND AS SUFFICIENT DIAGNOSTIC MODALITY IN THE DIAGNOSIS OF BILIARY ILEUS","authors":"Milica Mitrović, Nevena Stanišić, Z. Perišić, Ivana Lešević, Dragan Vasin, K. Doklestić","doi":"10.24125/sanamed.v15i3.476","DOIUrl":"https://doi.org/10.24125/sanamed.v15i3.476","url":null,"abstract":"Introduction : Biliary ileus is a rare emergency condition that mainly affects the elderly population, with a predominance of females and a mortality rate of 12-27%. It is a mechanical intestinal obstruction caused by the impaction of the biliary calculus within the gastrointestinal tract. It occurs due to the formation of bilio-enteric fistula, as a rare complication of cholelithiasis. Case report: A 73-year-old male patient with epigastric pain, nausea and vomiting was referred for ultrasound exam. The analysis of the clinical-biochemical status of the patient as well as the ultrasound examination of the abdomen itself raised the suspicion of small intestine obstruction, due to the enclaved biliary calculus. After an urgent exploratory laparotomy, the diagnosis was confirmed, and enterotomy was successfully performed with calculus extraction. Cholecysto-duodenal fistula has been confirmed as a major cause of biliary ileus. The post-operative course was uneventful. Conclusion: This case report highlights the enormous importance of ultrasound diagnostics in diagnosing biliary ileus using the criteria of The Rigler Triad, which includes pneumobilia, intestinal obstruction and ectopic calculus. Initialy unrecognisied cause of obstruction and a late diagnosis correlated with bad prognosis. Ultrasonographic examination of these patients, can be a sufficient diagnostic modality in making an accurate diagnosis and further surgical treatment of these patients.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49325564","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 : 2020-12-28DOI: 10.24125/sanamed.v15i3.457
A. Surek, E. Gemici, M. Bozkurt, M. Karabulut
s: Objective: Endoscopic treatment is an effective and successful treatment for non-variceal upper gastrointestinal system (GIS) bleedings. In recent years, endoscopic combined therapies have been recommended for hemostasis. The aim of this study was to investigate primary hemostasis rates and re-bleeding rates obtained by epinephrine injection alone. Material and Methods: We analysed patients who had alone endoscopic epinephrine injection treatment for upper gastrointestinal system bleeding between January 2014 and January 2019. Gender, age, etiology of bleeding, Forrest classification, treatment efficacy and re-bleeding rates of the patients were recorded. The files of the patients were analyzed retrospectively. Results: The number of patients who met the study criteria was 107. There were 16 patients in Group 1 (Forrest 1a), 64 patients in Group 2 (Forrest 1b) and 27 patients in Group 3 (Forrest 2a). Primary hemostasis was achieved in 14 (87.5%) of 16 patients in Group 1, 62 (97%) of 64 in Group 2, and 27 (100%) of 27 Group 3. Re-bleeding rates were 4 (28%), 10 (16%), 2 (7%) in groups 1,2 and 3, respectively. Conclusion: It is thought that endoscopic combined treatment should be applied especially in patients with Forrest 1a and 1b bleeding ulcers, whereas in Forrest 2a ulcer patients, because of both the high rate of primary hemostasis and low rate of re-bleeding according to the results of the present study, the treatment of adrenalin injection alone can be used alone like other hemostasis modalities.
{"title":"UPPER GASTROINTESTINAL BLEEDING:IS ONLY AN INJECTION OF EPINEPHRINE SUFFICIENT? SUCCES RATES BY FORREST CLASSIFICATION","authors":"A. Surek, E. Gemici, M. Bozkurt, M. Karabulut","doi":"10.24125/sanamed.v15i3.457","DOIUrl":"https://doi.org/10.24125/sanamed.v15i3.457","url":null,"abstract":"s: Objective: Endoscopic treatment is an effective and successful treatment for non-variceal upper gastrointestinal system (GIS) bleedings. In recent years, endoscopic combined therapies have been recommended for hemostasis. The aim of this study was to investigate primary hemostasis rates and re-bleeding rates obtained by epinephrine injection alone. Material and Methods: We analysed patients who had alone endoscopic epinephrine injection treatment for upper gastrointestinal system bleeding between January 2014 and January 2019. Gender, age, etiology of bleeding, Forrest classification, treatment efficacy and re-bleeding rates of the patients were recorded. The files of the patients were analyzed retrospectively. Results: The number of patients who met the study criteria was 107. There were 16 patients in Group 1 (Forrest 1a), 64 patients in Group 2 (Forrest 1b) and 27 patients in Group 3 (Forrest 2a). Primary hemostasis was achieved in 14 (87.5%) of 16 patients in Group 1, 62 (97%) of 64 in Group 2, and 27 (100%) of 27 Group 3. Re-bleeding rates were 4 (28%), 10 (16%), 2 (7%) in groups 1,2 and 3, respectively. Conclusion: It is thought that endoscopic combined treatment should be applied especially in patients with Forrest 1a and 1b bleeding ulcers, whereas in Forrest 2a ulcer patients, because of both the high rate of primary hemostasis and low rate of re-bleeding according to the results of the present study, the treatment of adrenalin injection alone can be used alone like other hemostasis modalities.","PeriodicalId":53269,"journal":{"name":"Sanamed","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47015347","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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