Ferit Çelik, Ali Şenkaya, N. Ünal, Seymur Aslanov, A. Özütemiz
{"title":"Yetişkin Hastalarda Üst Gastrointestinal Sistemde Yabancı Cisimlerin Yönetimi: Retrospektif Tek Merkez Deneyimi","authors":"Ferit Çelik, Ali Şenkaya, N. Ünal, Seymur Aslanov, A. Özütemiz","doi":"10.17940/endoskopi.830146","DOIUrl":"https://doi.org/10.17940/endoskopi.830146","url":null,"abstract":"Giris ve Amac: Gastrointestinal sistemde yabanci cisimler dunyada ve ulkemizde ciddi mortalite ve morbidite nedenidir. Genellikle endoskopi ile cogu vakada tedavi saglanir. Bu calismada amac ust gastrointestinal sistemde yabanci cisimlerin klinik, epidemiyolojik karakteristiklerinin tanimlanmasi, yerlesim ozelliklerinin belirlenmesi, yapilan endoskopik tedaviler ve sonuclarinin incelenmesidir. Gerec ve Yontem: Calisma Ocak 2016-Aralik 2019 tarihleri arasinda Gastroenteroloji Bilim Dalinda ust gastrointestinal sistemde yabanci cisim nedeniyle endoskopi yapilan hastalari icermektedir. Yabanci cismin ozelligi, lokalizasyonu, komplikasyon varligi ve tedavi sekline hastalara ait ozofagogastroduodenoskopi raporlarindan ulasilmistir. Hastane elektronik veritabani kullanilarak hastalarin; yas, cinsiyet, mental durumu, endoskopinin yapilma zamani, semptomlari, mortalite durumu ile ilgili bilgilere ulasilmistir. Bulgular: Calismadaki 43 hastanin 16’si kadin (%37.2), yas ortalamasi 52.2 yil (22-86) idi. Hastalarin 16'sinda disfaji (%45.7) en sik semptom olarak saptanmistir. Yabanci cisimler en sik olarak; 29 hastada ozofagusta (%67.4) ve 8 hastada (%18.6) midede saptanmistir. Endoskopi sirasinda saptanan yabanci cisimlerin 28’i gida (%65.1), 6'si metal (%14) ve 9'u diger (%20.9) yapida gorulmustur. En sik tercih edilen endoskopik tedavi hastalarin 21’inde fare disli forseps (%48.8) ile yabanci cisim cikarilmasidir. Hastalarin 13’unde komplikasyon gelismis olup (%30.2), en sik komplikasyon olarak laserasyon saptanmistir. Sonuc: Gastrointestinal sistemdeki yabanci cisimler genellikle cerrahi mudahale gerek¬tirmeyip, erken endoskopik mudahale, yutulan yabanci cismin tani ve tedavisinde en sik kullanilan, guvenli ve etkili yontemdir.","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115254867","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}
Ali Şenkaya, Ferit Çelik, N. Ünal, Seymur Aslanov, M. Sezak, B. Doğanavşargil, A. Özütemiz
{"title":"İnlet Patch Olgularının Retrospektif Tek Merkez Değerlendirilmesi","authors":"Ali Şenkaya, Ferit Çelik, N. Ünal, Seymur Aslanov, M. Sezak, B. Doğanavşargil, A. Özütemiz","doi":"10.17940/endoskopi.830763","DOIUrl":"https://doi.org/10.17940/endoskopi.830763","url":null,"abstract":"Background and Aims: An inlet patch is an island of heterotopic gastric mucosa located in the upper or immediate distal part of the esophageal sphincter. The aim of this study was to evaluate the frequency, demograph- ics, and clinical and endoscopic features of cases diagnosed with inlet patch in our clinic. Material and Methods: This retrospective study included 245 patients who underwent esophagogastroduodenoscopy for any reason in the department of gastroenterology between January 2015 and March 2020. The patients were evaluated on the basis of age, gender, reason for endoscopy, size and number of inlet patch lesions, presence of Barrett’s esophagus, esophagitis and hiatus hernia, and pathology results, if available. Results: Inlet patch was found in 245 of the endoscopies performed for any rea- son. Of the 245 patients, 124 (50.6%) were women, and the mean age was 48.64±14.54 (19-81) years. The mean size of inlet patch was 13.32±8.85 (3-40) mm. Dyspepsia was found to be the most common reason for endoscopy in 91 (37.1%) patients. Endoscopy revealed esophagitis in 39 (15.9%), hiatus hernias in 20 (8.2%), and Barrett’s esophagus in 6 (2.4%) patients among those detected to have inlet patch. A biopsy was taken from 125 (51%) patients, and the result was consistent with the reported pathology in 98 (78.4%) patients. A statistically significant difference was found be- tween the inlet patch size and the reason for endoscopy, presence of Barrett’s esophagus, and presence of hiatus hernia (p=0.03, 0.004, and 0.016, re- spectively). Conclusion: Inlet patch was detected in 1.24% of endoscopies performed. Since ours is tertiary healthcare providing center, we consider that this result reflects the inlet patch prevalence of the Ege region in Turkey. The cervical esophagus should be carefully examined for the possibility of inlet patch in patients with functional dyspepsia, dysphagia, chronic cough with an unknown cause, and globus. Endoscopy should be repeated using narrow-band imaging technique after fully sedating the patients even if endoscopy has been performed before.","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128810658","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}
Ibrahim Hakki Koker, Hilal Köker, Gülbin Ünsal, Ahmet Tezel, Hasan Umit, A. Soylu
{"title":"Sigara kullanımının ülseratif kolitte total rektum duvar kalınlığı üzerine etkisi olabilir mi?","authors":"Ibrahim Hakki Koker, Hilal Köker, Gülbin Ünsal, Ahmet Tezel, Hasan Umit, A. Soylu","doi":"10.17940/endoskopi.832000","DOIUrl":"https://doi.org/10.17940/endoskopi.832000","url":null,"abstract":"","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133784148","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}
Nuretdin Suna, Diğdem Özer Etik, Nomingerel Tseveldorj, Fatih Hilmioğlu
{"title":"Malign biliyer darlıkta endoskopik ultrasonografi eşliğinde biliyer drenaj: Olgu sunumu","authors":"Nuretdin Suna, Diğdem Özer Etik, Nomingerel Tseveldorj, Fatih Hilmioğlu","doi":"10.17940/endoskopi.752124","DOIUrl":"https://doi.org/10.17940/endoskopi.752124","url":null,"abstract":"Endoscopic retrograde cholangiopancreatography is the most preferable choice for pancreatobiliary drainage. Unfortunately, the endoscopic retrograde cholangiopancreatography procedure is difficult and even impossible for patients with duodenal luminal obstruction or surgically altered anatomy. If endoscopic retrograde cholangiopancreatography could not be performed, in such case, percutaneous transhepatic biliary drainage is the most commonly used method despite having many serious adverse events. Because of the adverse events, other less invasive methods for biliary drainage are needed. In the past two decades, in some expert centers, endoscopic ultrasound-guided biliary drainage, which has less adverse events, has replaced percutaneous transhepatic biliary drainage as the alternative drainage method. In this case report, we presented a patient with a pancreatic head tumor that had invaded the duodenal wall and papilla who underwent endoscopic ultrasound-guided biliary drainage after a failed endoscopic retrograde cholangiopancreatography.","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133424771","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":"Perkütan Endoskopik Gastrostomi Tüpünün Nadir Komplikasyonu: Nekrotizan Fasiit","authors":"Güldan Kahveci, Selma Dağci, Roni Atalay","doi":"10.17940/endoskopi.723325","DOIUrl":"https://doi.org/10.17940/endoskopi.723325","url":null,"abstract":"Perkutan endoskopik gastrostomi cesitli nedenlerden dolayi uzun sure agizdan beslenemeyen hastalara, gastrointestinal sistem fonksiyonel ise sedasyon altinda beslenme tupunun perkutan olarak mideye yerlestirilmesi islemidir. Perkutan endoskopik gastrostomi minor ve major komplikasyonlara neden olabilir. Nekrotizan fasiit, yuzeyel fasia ve deri alti dokuyu tutan yumusak doku enfeksiyonu olmakla birlikte, nadir gorulen ancak olumle sonuclanabilen major komplikasyonlardan biridir. Hasta/bakim vericinin uygun egitimi ve hastaneden taburcu olduktan sonra bakimin surekliligi perkutan endoskopik gastrostomi tupunun uzun sureli kullanimi icin onemlidir. Komplikasyonlarin cogu, bakimin kalitesine baglidir ve uygun onlemler alinirsa etkili bir sekilde onlenebilir. Bu makalede perkutan endoskopik gastrostominin nadir ve mortal seyredebilen major komplikasyonu olan nekrotizan fasiitli olgu sunulmustur. Bu olgu sunumu vesilesi ile perkutan endoskopik gastrostominin mortal seyredebilen major komplikasyonlarinin hemsireler tarafindan alinacak onleyici tedbirler ile maliyet etkin bir sekilde onlenebilecegi literatur isiginda vurgulanmasi amaclanmistir.","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134412596","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}