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Coşkun O, Erdoğan MM, Arslan M. WHEN REMOVE THE NASOGASTRIC TUBE: BEFORE OR AFTER ENDOSCOPY? Gastroenterol Nurs 2023; 46:404-407. [PMID: 37158409 DOI: 10.1097/sga.0000000000000732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 01/17/2023] [Indexed: 05/10/2023] Open
Affiliation(s)
- Orhan Coşkun
- Orhan Coşkun, MD, is gastroenterologist, Department of Gastroenterology, Ankara City Hospital, Ankara, Turkey
- Mehmet Mustafa Erdoğan, MD, is otolaryngologist, Department of Otorhinolaryngology and Head and Neck Surgery, Amasya University Sabuncuoglu Serefeddin Training and Research Hospital, Amasya, Turkey
- Mustafa Arslan, MD, is infectious disease specialist, Department of Infectious Diseases and Clinical Microbiology, Amasya University Sabuncuoglu Serefeddin Training and Research Hospital, Amasya, Turkey
| | - Mehmet Mustafa Erdoğan
- Orhan Coşkun, MD, is gastroenterologist, Department of Gastroenterology, Ankara City Hospital, Ankara, Turkey
- Mehmet Mustafa Erdoğan, MD, is otolaryngologist, Department of Otorhinolaryngology and Head and Neck Surgery, Amasya University Sabuncuoglu Serefeddin Training and Research Hospital, Amasya, Turkey
- Mustafa Arslan, MD, is infectious disease specialist, Department of Infectious Diseases and Clinical Microbiology, Amasya University Sabuncuoglu Serefeddin Training and Research Hospital, Amasya, Turkey
| | - Mustafa Arslan
- Orhan Coşkun, MD, is gastroenterologist, Department of Gastroenterology, Ankara City Hospital, Ankara, Turkey
- Mehmet Mustafa Erdoğan, MD, is otolaryngologist, Department of Otorhinolaryngology and Head and Neck Surgery, Amasya University Sabuncuoglu Serefeddin Training and Research Hospital, Amasya, Turkey
- Mustafa Arslan, MD, is infectious disease specialist, Department of Infectious Diseases and Clinical Microbiology, Amasya University Sabuncuoglu Serefeddin Training and Research Hospital, Amasya, Turkey
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Coşkun O, Ödemiş B. POST-ERCP RARE COMPLICATION: PNEUMOMEDIASTINUM. Gastroenterol Nurs 2023; 46:329-331. [PMID: 37126089 DOI: 10.1097/sga.0000000000000719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 10/10/2022] [Indexed: 05/02/2023] Open
Affiliation(s)
- Orhan Coşkun
- Orhan Coşkun, MD, is at Department of Gastroenterology, University of Health Sciences, Ankara City Training and Research Hospital, Ankara City Hospital, Ankara, Turkey
- Bülent Ödemiş, MD, is at Department of Gastroenterology, University of Health Sciences, Ankara City Training and Research Hospital, Ankara City Hospital, Ankara, Turkey
| | - Bülent Ödemiş
- Orhan Coşkun, MD, is at Department of Gastroenterology, University of Health Sciences, Ankara City Training and Research Hospital, Ankara City Hospital, Ankara, Turkey
- Bülent Ödemiş, MD, is at Department of Gastroenterology, University of Health Sciences, Ankara City Training and Research Hospital, Ankara City Hospital, Ankara, Turkey
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Erdoğan Ç, Arı D, Yeşil B, Koşar K, Coşkun O, Tenlik İ, Köseoğlu HT, Yüksel M. Evaluation of non-gastric upper gastrointestinal system polyps: an epidemiological assessment. Sci Rep 2023; 13:6168. [PMID: 37061587 PMCID: PMC10105756 DOI: 10.1038/s41598-023-33451-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 04/13/2023] [Indexed: 04/17/2023] Open
Abstract
Non-gastric upper gastrointestinal system polyps are detected rarely and mostly incidentally during upper gastrointestinal endoscopy. While the majority of lesions are asymptomatic and benign, some lesions have the potential to become malignant, and may be associated with other malignancies. Between May 2010 and June 2022, a total of 127,493 patients who underwent upper gastrointestinal endoscopy were retrospectively screened. Among these patients, those who had polyps in the esophagus and duodenum and biopsied were included in the study. A total of 248 patients with non-gastric polyps were included in this study. The esophageal polyp detection rate was 80.00/100,000, while the duodenal polyp detection rate was 114.52/100,000. In 102 patients (41.1%) with esophageal polyps, the mean age was 50.6 ± 15.1, and 44.1% (n = 45) were male. The most common type of polyps was squamous papilloma (n = 61, 59.8%), followed by inflammatory papilloma (n = 18, 17.6%). In 146 patients (58.9%) with duodenal polyps, the mean age of patients was 58.3 ± 16.5, and 69.8% (n = 102) were male. Brunner's gland hyperplasia, inflammatory polyp, ectopic gastric mucosa, and adenomatous polyp were reported to be the most prevalent types of polyps in the duodenum overall (28.1%, 27.4%, 14.4%, and 13.7%, respectively). It is crucial to identify rare non-gastric polyps and create an effective follow-up and treatment plan in the era of frequently performed upper gastrointestinal endoscopies. The epidemiological assessment of non-gastric polyps, as well as a follow-up and treatment strategy, are presented in this study.
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Affiliation(s)
- Çağdaş Erdoğan
- Department of Gastroenterology, Ankara City Hospital, University of Health Sciences, Bilkent Avenue, Çankaya, 06800, Ankara, Turkey.
| | - Derya Arı
- Department of Gastroenterology, Ankara City Hospital, University of Health Sciences, Bilkent Avenue, Çankaya, 06800, Ankara, Turkey
| | - Bayram Yeşil
- Department of Gastroenterology, Ankara City Hospital, University of Health Sciences, Bilkent Avenue, Çankaya, 06800, Ankara, Turkey
| | - Kenan Koşar
- Department of Gastroenterology, Ankara City Hospital, University of Health Sciences, Bilkent Avenue, Çankaya, 06800, Ankara, Turkey
| | - Orhan Coşkun
- Department of Gastroenterology, Ankara City Hospital, University of Health Sciences, Bilkent Avenue, Çankaya, 06800, Ankara, Turkey
| | - İlyas Tenlik
- Department of Gastroenterology, Ankara City Hospital, University of Health Sciences, Bilkent Avenue, Çankaya, 06800, Ankara, Turkey
| | - Hasan Tankut Köseoğlu
- Department of Gastroenterology, Ankara City Hospital, University of Health Sciences, Bilkent Avenue, Çankaya, 06800, Ankara, Turkey
| | - Mahmut Yüksel
- Department of Gastroenterology, Ankara City Hospital, University of Health Sciences, Bilkent Avenue, Çankaya, 06800, Ankara, Turkey
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Karacabey BN, Bayramoğlu Z, Coşkun O, Sarı ZNA, Özkan MU, Yıldız EP, Aydınlı N, Çalışkan M. Shear Wave Elastography in Patients with Spinal Muscular Atrophy Types 2 and 3. Neuropediatrics 2023. [PMID: 36706786 DOI: 10.1055/a-2021-0403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
INTRODUCTION This study aimed to investigate selective muscle involvement by shear wave elastography (SWE) in patients with spinal muscular atrophy (SMA) types 2 and 3 and to compare SWE values with magnetic resonance imaging (MRI) in demonstrating muscle involvement. METHODS Seventeen patients with SMA types 2 and3 were included in the study. SWE was used to evaluate stiffness of the upper and lower extremities and paraspinal muscles. Involvement of the paraspinal muscles was evaluated using 1.5-T MRI. RESULTS Among the upper extremity muscles, SWE values were the highest for the triceps brachii; however, no significant difference was noted (p = 0.23). In post hoc analysis, a significant difference was observed between triceps brachii and biceps brachii (p = 0.003). Patients with a longer disease duration have the highest SWE values for the triceps brachii (r = 0.67, p = 0.003). Among the lower extremity muscles, SWE values for the iliopsoas were significantly higher than the gluteus maximus (p < 0.001). A positive correlation was found between SWE values and MRI scores of paraspinal muscles (r = 0.49, p = 0.045; r = 0.67, p = 0.003). CONCLUSION This is the first study to report muscle involvement assessed by SWE in patients with SMA types 2 and 3. Our findings are similar to the presence of selective muscle involvement demonstrated in previous studies, and also SWE and MRI values were similar. SWE is an alternative noninvasive practical method that can be used to demonstrate muscle involvement in patients with SMA, to understand the pathogenesis of segmental involvement, and to guide future treatments or to monitor the effectiveness of existing new treatment options.
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Affiliation(s)
- Burçin Nazlı Karacabey
- Department of Pediatric Neurology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey
| | - Zuhal Bayramoğlu
- Department of Radiology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey
| | - Orhan Coşkun
- Department of Pediatric Neurology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey
| | - Zeynep Nur Akyol Sarı
- Department of Radiology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey
| | - Melis Ulak Özkan
- Institute of Child Health, Istanbul University, Fatih, Istanbul, Turkey
| | - Edibe Pembegül Yıldız
- Department of Pediatric Neurology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey.,Department of Radiology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey.,Institute of Child Health, Istanbul University, Fatih, Istanbul, Turkey
| | - Nur Aydınlı
- Department of Pediatric Neurology, Istanbul Faculty of Medicine, Istanbul University, Fatih, Istanbul, Turkey
| | - Mine Çalışkan
- Institute of Child Health, Istanbul University, Fatih, Istanbul, Turkey
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Tenlik İ, Öztürk Ö, Özin Y, Arı D, Coşkun O, Turan Gökçe D, Gökbulut V, Göktaş Z, Kılıç ZMY, Kilic ZMY. Pneumatic Dilation in Geriatric Achalasia Patients. Turk J Gastroenterol 2023; 34:332-338. [PMID: 36789986 DOI: 10.5152/tjg.2023.22178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/15/2023]
Abstract
BACKGROUND The aim of the study was to share the effectiveness of pneumatic dilation in geriatric achalasia patients. METHODS Achalasia patients over the age of 65 and those under the age of 65 as the control group who received pneumatic dilation as the first-line treatment were evaluated in the study. RESULTS The average age of geriatric patients was 72.5 ± 55.92 years (65-90), with 50.3% of them being male. Follow-up was conducted for a mean of 64.52 ± 38.73 months. While pneumatic dilation was successful in 98.6% (141/143) of geriatric patients, it was also successful in 94% (141/150) of non-geriatric patients. Remission after single balloon dilatation was observed in 81.8% of geriatric patients, while it was observed in only 52.7% of non-geriatric patients (P = .000). When comparing remission after single dilatation and multiple dilatations, it was observed that geriatric patients who achieved remission after multiple balloon dilatation had higher lower esophageal sphincter pressure and Eckardt scores at the diagnosis and higher lower esophageal sphincter pressure and esophageal body resting pressures after the first balloon dilatation. CONCLUSIONS The proportion of elders in the world population is increasing daily and this disease has been known to disproportionately afflict this group. Although surgical treatments, in particular per-oral endoscopic myotomy, have recently gained popularity as therapies for achalasia, pneumatic dilation remains the most commonly used in geriatric patients.
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Affiliation(s)
- İlyas Tenlik
- Department of Gastroenterology, Ankara City Hospital, Ankara, Turkey
| | - Ömer Öztürk
- Department of Gastroenterology, Ankara City Hospital, Ankara, Turkey
| | - Yasemin Özin
- Department of Gastroenterology, Ankara City Hospital, Ankara, Turkey
| | - Derya Arı
- Department of Gastroenterology, Ankara City Hospital, Ankara, Turkey
| | - Orhan Coşkun
- Department of Gastroenterology, Ankara City Hospital, Ankara, Turkey
| | | | - Volkan Gökbulut
- Department of Gastroenterology, Ankara City Hospital, Ankara, Turkey
| | - Zeynep Göktaş
- Department of Nutrition and Dietetics, Hacettepe University Faculty of Health Sciences, Ankara, Turkey
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Ödemiş B, Erdoğan Ç, Başpınar B, Coşkun O, Kılıç MZY. Endoscopic treatment of Bouveret syndrome with Holmium laser lithotripsy. Endoscopy 2022; 54:E997-E998. [PMID: 35926539 PMCID: PMC9736820 DOI: 10.1055/a-1887-5539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Bülent Ödemiş
- Department of Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
| | - Çağdaş Erdoğan
- Department of Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
| | - Batuhan Başpınar
- Department of Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
| | - Orhan Coşkun
- Department of Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
| | - Mesut Zeki Yalın Kılıç
- Department of Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
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Ödemiş B, Başpınar B, Torun S, Coşkun O. Magnet-assisted endoscopic choledochoduodenostomy in anomalous opening of the common bile duct into the duodenal bulb. Endoscopy 2020; 52:E386-E387. [PMID: 32303089 DOI: 10.1055/a-1144-2378] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Affiliation(s)
- Bülent Ödemiş
- Department of Gastroenterology and Hepatology, Ankara City Hospital, Ankara, Turkey
| | - Batuhan Başpınar
- Department of Gastroenterology and Hepatology, Ankara City Hospital, Ankara, Turkey
| | - Serkan Torun
- Faculty of Medicine, Department of Gastroenterology, Düzce University, Düzce, Turkey
| | - Orhan Coşkun
- Department of Gastroenterology, Sabuncuoğlu Şerefeddin Teaching Hospital, Amasya University, Amasya, Turkey
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Kaplan M, Ateş İ, Akdoğan Kayhan M, Kaçar S, Gökbulut V, Coşkun O, Erel Ö, Alışık M, Güçlü K. Diagnostic utility of oxidative and non-oxidative markers for spontaneous bacterial peritonitis in non-malign ascites. Acta Gastroenterol Belg 2020; 83:279-284. [PMID: 32603047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
OBJECTIVE In this study, we aimed to investigate the diagnostic availability of oxidant and antioxidant parameters in ascites for spontaneous bacterial peritonitis (SBP). MATERIAL AND METHODS This study was carried out between July and October 2018 with 25 patients with SBP and 24 patients without SBP. Patients with acute infection, those taking vitamin supplements and antioxidant medication, smoking and drinking alcohol, and patients without ascites culture were excluded from the study. RESULTS In patients with SBP compared those without SBP median paraoxonase (3.1 vs 15.6 ; p <0.001), median stimulated paraoxonase (12.6 vs 53.1 ; p <0.001), median arylesterase (769,9 vs 857,5 ; p = 0,003) and median catalase (10 vs 22,2 ; p = 0,003) were found to be lower and median myeloperoxidase (8.1 vs 1.1 ; p <0.001) were found to be higher. There was a positive correlation between paraoxonase levels and stimulated paraoxonase levels, arylesterase levels and catalase levels, there was a negative correlation between paraoxonase levels and myeloperoxidase levels. Paraoxonase levels 3.7 and lower, stimulated paraoxonase levels 25.8 and lower, arylesterase levels 853.4 and lower, catalase levels 11.8 and lower and myeloperoxidase levels 2.7 and more predicted the the presence of SBP with high specificity and high sensitivity. Paraoxonase and stimulated paraoxo-nase levels were found to have superior performance in predicting the presence of SBP compared to arylesterase levels (p <0.05). CONCLUSION In this study it was shown that paraoxonase, stimulated paraoxonase, arylesterase, catalase and myeloperoxidase activities can be used for the diagnosis and severity of SBP.
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Affiliation(s)
- M Kaplan
- Ahi Evran University, Department of Gastroenterology, Kirsehir, Turkey
| | - İ Ateş
- Ankara Numune Training and Research Hospital, Department of Internal Medicine, Ankara, Turkey
| | - M Akdoğan Kayhan
- Turkey Yuksek Ihtisas Training and Research Hospital, Department of Gastroenterology, Ankara, Turkey
| | - S Kaçar
- Turkey Yuksek Ihtisas Training and Research Hospital, Department of Gastroenterology, Ankara, Turkey
| | - V Gökbulut
- Turkey Yuksek Ihtisas Training and Research Hospital, Department of Gastroenterology, Ankara, Turkey
| | - O Coşkun
- Turkey Yuksek Ihtisas Training and Research Hospital, Department of Gastroenterology, Ankara, Turkey
| | - Ö Erel
- Ankara Yildirim Beyazit University, Department of Biochemistry, Ankara, Turkey
| | - M Alışık
- Ankara Yildirim Beyazit University, Department of Biochemistry, Ankara, Turkey
| | - K Güçlü
- Ahi Evran University, Department of Biochemistry, Kirsehir, Turkey
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Gökbulut V, Kaplan M, Kaçar S, Kayhan MA, Coşkun O, Kayaçetin E. Bezoar in upper gastrointestinal endoscopy: A single center experience. Turk J Gastroenterol 2020; 31:85-90. [PMID: 32141815 PMCID: PMC7062142 DOI: 10.5152/tjg.2020.18890] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/01/2019] [Accepted: 03/22/2019] [Indexed: 12/29/2022]
Abstract
BACKGROUND/AIMS We aimed to investigate the association of bezoar with endoscopic findings, risk factors for bezoar occurrence, and the success of endoscopic treatment in a tertiary center. MATERIALS AND METHODS This retrospective study was conducted between January 2012 and December 2015. Overall, 8200 endoscopy records were examined and 66 patients with bezoar were included in the study. RESULTS We enrolled 29 (44%) female and 37 (56%) male patients in this study. The mean age of the patients was 63±9.4 years. The most frequent risk factors were history of gastrointestinal surgery (23%), diabetes mellitus (17%), trichophagia (9%), and anxiety disorder (6%). Gastric ulcer, duodenal ulcer, erosive gastritis, and reflux esophagitis were present in 27%, 11%, 20%, and 23% of the patients, respectively. While bezoars were most commonly observed in the stomach (70%), the majority of them were phytobezoars (91%). The mean number of interventions for each patient was 1.5 (range, 1-6). Endoscopy was successful in removing bezoars in 86.5% of the patients. Among those referred to surgery, seven patients underwent gastrostomy (10.5%); one (1.5%) patient underwent gastroenterostomy because of concomitant pyloric stenosis; and one (1.5%) patient underwent fistula repair surgery due to the development of duodenal fistula caused by bezoar. CONCLUSION The findings of this study indicated that bezoars are more common among subjects with history of gastrointestinal surgery, diabetes mellitus, or psychiatric disorders; bezoars are closely related to peptic ulcer and reflux esophagitis; and they can be successfully treated with endoscopy.
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Affiliation(s)
- Volkan Gökbulut
- Department of Gastroenterology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Mustafa Kaplan
- Department of Gastroenterology, Ahi Evran University Training and Research Hospital, Kırşehir, Turkey
| | - Sabite Kaçar
- Department of Gastroenterology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Meral Akdoğan Kayhan
- Department of Gastroenterology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Orhan Coşkun
- Department of Gastroenterology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
| | - Ertuğrul Kayaçetin
- Department of Gastroenterology, Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
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Abstract
OBJECTIVE Asthma is the most common chronic inflammatory disease of childhood, but there are no useful and easily accessible laboratory tests routinely used in the diagnosis and follow-up of this disease in children. Therefore, this study aimed to investigate the roles of white blood cell (WBC) count, platelet count, mean platelet volume (MPV), and eosinophil percentage as full blood count inflammatory markers in evaluating the control level and follow-up of asthma in the pediatric age group. METHODS A retrospective review of patient records and files of 3,580 patients diagnosed with asthma at the University of Health Sciences in Ankara, Turkey was performed. Patients who met inclusion/exclusion criteria were divided into two groups based on the asthma control level: controlled and uncontrolled. Laboratory data were compared according to the asthma control levels, drug use status, and atopy status of the patients. RESULTS A total of 348 patients between 4 and 18 years of age, who were followed-up with the diagnosis of asthma, were included in this study. A significant difference was found between the controlled and uncontrolled groups of asthma patients in terms of the eosinophil percentage (mean ± SD, respectively; 3.493 ± 2.24; 4.992 ± 3.43; p = .003). When patients were grouped according to their asthma control levels and atopy status, only the eosinophil percentages were different in the logistic regression analysis (odds ratio = 1.276, 95% confidence interval = 1.113-1.462). CONCLUSION Our study showed that the percentage of eosinophils can be used as an asthma control parameter, but additional prospective studies would be desirable to confirm our results.
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Affiliation(s)
- Orhan Coşkun
- Department of Child Health and Diseases, Health Sciences University, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey
| | - Nazli Ercan
- Department of Child Health and Diseases, Pediatric Immunology and Allergy, Health Sciences University, Gülhane Education and Research Hospital, Ankara, Turkey
| | - Ilknur Bostanci
- Department of Pediatric Immunology and Allergy, Health Sciences University, Dr. Sami Ulus Maternity and Children Research and Training Hospital, Ankara, Turkey
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Akpınar MY, Saygılı F, Öztaş E, Coşkun O, Ödemiş B. Deforme biliyer metal stente bağlı gelişen gastrointestinal sistem kanaması. Ege Tıp Dergisi 2018. [DOI: 10.19161/etd.414399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Yeşil B, Kaplan M, Coşkun O, Gökbulut V, Bacaksız F, Öztaş E, Kayaçetin E. Teikoplaninin indüklediği nöbet. Ege Tıp Dergisi 2017. [DOI: 10.19161/etd.399650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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13
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Kuzu UB, Ödemiş B, Suna N, Yıldız H, Parlak E, Dişibeyaz S, Torun S, Akpınar MY, Coşkun O, Turhan N, Yüksel M, Kayaçetin E. The Detection of Cholangiocarcinoma in Primary Sclerosing Cholangitis Patients: Single Center Experience. J Gastrointest Cancer 2016; 47:8-14. [PMID: 26537791 DOI: 10.1007/s12029-015-9777-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
PURPOSE Primary sclerosing cholangitis (PSC) is a chronic cholestatic liver disease. Cholangiocarcinoma (CCA) is one of the feared complications of PSC. In our study, we aim to establish the success of brush cytology and CA 19-9 in putting the diagnosis of CCA. METHODS The data of 30 PSC patients was retrospectively screened whom had brush cytology performed due to dominant strictures. The definitive diagnosis was established by histopathological examination or via radiological/clinic follow-up for at least 12 months. RESULTS A total of four patients were excluded from the study. Twenty-six patients diagnosed with PSC, six of which were also diagnosed with CCA, were included in the study. The sensitivity and the specificity of the brush cytology in the diagnosis of CCA in PSC patients were 66.7 and 95%, respectively. CA 19-9 had high correlation with bilirubin level. The optimal level of CA 19-9 in the diagnosis of CCA was determined to be 138.5 U/ml. Superiority of Ramage scoring over CA 19-9 in the diagnosis of CCA in PSC patients was not established (sensitivity and specificity were 50%, 94.7% and 83.3%, 85%, respectively). CONCLUSION Brush cytology has moderate sensitivity in differentiating strictures in PSC patients. CA 19-9 has high sensitivity but bilirubin level can affect the CA 19-9. Therefore, advanced techniques and parameters are needed for detecting CCA in PSC patients.
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Affiliation(s)
- Ufuk Barış Kuzu
- Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey.
| | - Bülent Ödemiş
- Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey
| | - Nuretdin Suna
- Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey
| | - Hakan Yıldız
- Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey
| | - Erkan Parlak
- Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey
| | - Selçuk Dişibeyaz
- Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey
| | - Serkan Torun
- Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey
| | - Muhammet Yener Akpınar
- Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey
| | - Orhan Coşkun
- Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey
| | - Nesrin Turhan
- Department of Pathology, Turkiye Yuksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey
| | - Mahmut Yüksel
- Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey
| | - Ertuğrul Kayaçetin
- Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Sıhhiye, Ankara, Turkey
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Coşkun O, Yazici E, Şahiner F, Karakaş A, Kiliç S, Tekin M, Artuk C, Yamanel L, Beşirbellioğlu BA. Cytomegalovirus and Epstein-Barr virus reactivation in the intensive care unit. Med Klin Intensivmed Notfmed 2016; 112:239-245. [PMID: 27435067 DOI: 10.1007/s00063-016-0198-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2016] [Revised: 06/07/2016] [Accepted: 06/12/2016] [Indexed: 11/24/2022]
Abstract
AIM The purpose of this work was to evaluate the reactivation of cytomegalovirus (CMV) and Epstein-Barr virus (EBV) in immunocompetent patients in the intensive care unit (ICU) and to identify risk factors associated with reactivation. MATERIALS AND METHODS In this observational prospective study, 60 adult immunocompetent patients who stayed at least 7 days in an ICU were evaluated. During hospitalization, the viral load was monitored at admission and on day 7 with polymerase chain reaction to detect viral reactivation and weekly thereafter on days 14, 21, and 28 if hospitalization continued. RESULTS The mean age of patients was 63.3 years (±23.4 years) and 34 (56.7 %) of them were male. Mean APACHE II scores for patients was 25 at admission. Of these patients, 28 were hospitalized in the internal ICU and 32 were hospitalized in the anesthesiology ICU. CMV/EBV reactivation was found in 17 individuals (12 for EBV, 3 for CMV, and 2 for both). The median high-sensitive C-reactive protein value in patients with CMV reactivation was significantly higher than in those patients without CMV reactivation (p = 0.037). EBV reactivation was statistically higher in patients with mechanical ventilation compared to patients without mechanical ventilation (p = 0.023). EBV reactivation in patients with fever was found to be statistically higher than in the patients without fever (p = 0.035). CONCLUSION There is a need for extended studies with a larger number of patients from specific groups to better understand the reactivation frequency and identify risk factors. EBV and CMV reactivation should be taken into consideration in critically ill patients with fever, without specific symptoms and unresponsive to the treatment.
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Affiliation(s)
- O Coşkun
- Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, Etlik/Ankara, Turkey
| | - E Yazici
- Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, Etlik/Ankara, Turkey
| | - F Şahiner
- Department of Medical Microbiology, Virology Unit, Gulhane Military Medical Academy, Ankara, Turkey
| | - A Karakaş
- Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, Etlik/Ankara, Turkey.
| | - S Kiliç
- Department of Public Health and Epidemiology, Gulhane Military Medical Academy, Ankara, Turkey
| | - M Tekin
- Department of Anesthesiology and Reanimation, Gulhane Military Medical Academy, Ankara, Turkey
| | - C Artuk
- Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, Etlik/Ankara, Turkey
| | - L Yamanel
- Department of Intensive Care Unit, Gulhane Military Medical Academy, Ankara, Turkey
| | - B A Beşirbellioğlu
- Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, Etlik/Ankara, Turkey
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Yayla Ç, Yüksel M, Gayretli̇ Yayla K, Açi̇kgöz SK, Akboğa MK, Kaplan M, Coşkun O, Akpi̇nar MY, Yali̇nki̇li̇ç ZM, Turak O, Kayaçeti̇n E. PP-138 Assessment of Tp-e interval and Tp-e/QT Ratio in Patients with Celiac Disease. Am J Cardiol 2016. [DOI: 10.1016/j.amjcard.2016.04.237] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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16
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Dişibeyaz S, Öztaş E, Akpınar MY, Kuzu UB, Coşkun O, Kayaçetin E. A rarely seen biliary variation : Right posterior and right anterior hepatic ducts were opening to the cystic duct. Acta Gastroenterol Belg 2016; 79:275-276. [PMID: 27382956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
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Kilic ID, Alihanoglu YI, Alsancak Y, Coşkun O, Emrecan B. Saphenous vein graft aneurysm in a young patient with familial dyslipidemia. Herz 2013; 38:796-7. [PMID: 23338959 DOI: 10.1007/s00059-012-3740-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2012] [Accepted: 12/02/2012] [Indexed: 11/28/2022]
Affiliation(s)
- I D Kilic
- Medical Faculty, Department of Cardiology, Pamukkale University Hospital, Denizli, Turkey,
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