M. Akpınar, Ferdane Sapmaz, Merve Nurevşan Eroğlu, Evrim Kahramanoğlu Aksoy, G. Şimşek, Metin Uzman, Yasar Nazligul
{"title":"Linitis Plastikadan Ne Zaman Şüphe Edilmeli? Ne Kadar Şüphe Edilmeli?","authors":"M. Akpınar, Ferdane Sapmaz, Merve Nurevşan Eroğlu, Evrim Kahramanoğlu Aksoy, G. Şimşek, Metin Uzman, Yasar Nazligul","doi":"10.17940/endoskopi.631845","DOIUrl":"https://doi.org/10.17940/endoskopi.631845","url":null,"abstract":"Background and Aims: Linitis plastica is known as diffuse infiltrative gastric carcinoma and has the worst prognosis. Because it does not have a specific endoscopic appearance, diagnosing this condition is difficult. Even if it is suspected in endoscopy, its pathology is also challenging to comprehend. Here we presented our patients with linitis plastica and their endoscopic appearances. Materials and Methods: This is a retrospective study conducted in Kecioren Training and Research Hospital between 2009 and 2019. Individuals with an initial endoscopic diagnosis of linitis plastica were enrolled. Results: Overall, 28 patients were suspected for linitis plastica; but only 5 had pathologic diagnosis. These 5 patients had similar endoscopic characteristics, such as gastric expansion limitation, hypertrophic gastric folds, erosions, and mucosal ulcers. Conclusion: There is no specific endoscopic appearance of linitis plastica; however, clinical suspicion must be high in individuals who have gastric expansion limitation and hypertrophic gastric folds. It must not be surprising if the first endoscopic biopsy result is negative for adenocarcinoma in these patients.","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133555796","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 Gastrostomide Hipergranülasyon Dokusu Bakımına Farklı Bir Bakış: Olgu Sunumu ve Literatürün Gözden Geçirilmesi","authors":"Güldan Kahveci, Selma Dağci, Roni Atalay","doi":"10.17940/endoskopi.591877","DOIUrl":"https://doi.org/10.17940/endoskopi.591877","url":null,"abstract":"Percutaneous endoscopic gastrostomy is the procedure of inserting the tube into the stomach by endoscopically entering the abdominal wall if the feeding period lasts longer than 4-6 weeks in patients who cannot be fed orally for various reasons. It is often preferred because it can be performed at the bedside and is cost-effective. Minor and major complications may occur after percutaneous endoscopic gastrostomy tube placement. Hyperganulation tissue, which is one of the minor complications, can cause infection if left untreated and necrotizing fasciitis if infection is left untreated and may rarely result in death. Prevention of complications is of paramount importance in order not to interrupt the feeding of the patients. In this case report, complications of percutaneous endoscopic gastrostomy tube were reported, possible causes were discussed, hypergranulation tissue care, which is one of the minor complications, was treated with 10% povidone iodine solution (batikon, betadine) and a literature was reviewed.","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"1 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120859024","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":"Özofagusun fungal enfeksiyonları; tek merkez deneyimi","authors":"Enver Akbaş","doi":"10.17940/ENDOSKOPI.570941","DOIUrl":"https://doi.org/10.17940/ENDOSKOPI.570941","url":null,"abstract":"","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129563766","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}
M. Bayram, Kader Irak, Özgür Yıldırım, Hüseyin Alkim
{"title":"Foley kateterin standart perkütan endoskopik gastrostomi yerine kullanımı; tek merkez deneyimi","authors":"M. Bayram, Kader Irak, Özgür Yıldırım, Hüseyin Alkim","doi":"10.17940/ENDOSKOPI.568576","DOIUrl":"https://doi.org/10.17940/ENDOSKOPI.568576","url":null,"abstract":"","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131421536","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":"Çocukluk çağında çölyak hastalığı ve Helicobacter pylori gastritinin görülme sıklığı ile aralarındaki ilişki","authors":"Ferah Tuncel, F. Bozkurt, A. Gülseren, Yusuf Usta","doi":"10.17940/ENDOSKOPI.567195","DOIUrl":"https://doi.org/10.17940/ENDOSKOPI.567195","url":null,"abstract":"Çölyak hastalığı ince bağırsağı etkileyen, glutenle tetiklenen otoimmün bir hastalıktır. Çölyak hastalığının patogenezi iyi tanımlanmış olsa da, bu hastalığın yaygınlığı ince bağırsakta otoimmüniteyi tetikleyebilecek bir takım çevresel risk faktörlerinden etkilenmektedir. Hem Helicobacter pylori enfeksiyonunda hem de çölyak hastalığında sistemik bir humoral bağışıklık yanıtı ve lokal immün inflamatuar reaksiyon söz konusudur. Mikrobiyal maruziyetin çölyak hastalık riskini etkileyebileceği, kronik gastrik enfeksiyonların sistemik immün yanıtları etkileyerek ince bağırsakta otoimmüniteyi tetikleyebileceği ileri sürülmektedir. Amacımız merkezimizde incelenen çocukluk çağına ait biyopsilerde Çölyak hastalığı ve Helicobakter pylori gastiritinin görülme sıklığının araştırılması, olası ilişkinin belirlenmesidir.","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132203654","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":"İlaca bağlı özofajit: İnsidans, klinik ve endokospik bulgular ve yönetimi","authors":"Ahmet Uyanıkoğlu","doi":"10.17940/ENDOSKOPI.566273","DOIUrl":"https://doi.org/10.17940/ENDOSKOPI.566273","url":null,"abstract":"","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128618414","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}
Muhammed Kaya, Züleyha Akkan Çetinkaya, Gökhan Dindar, U. Polat, Murat Öztürkler, Mesut Sezi̇kli̇
{"title":"Varis dışı üst gastrointestinal sistem kanamaları: Son 25 yılda ne değişti?","authors":"Muhammed Kaya, Züleyha Akkan Çetinkaya, Gökhan Dindar, U. Polat, Murat Öztürkler, Mesut Sezi̇kli̇","doi":"10.17940/ENDOSKOPI.554064","DOIUrl":"https://doi.org/10.17940/ENDOSKOPI.554064","url":null,"abstract":"Giris ve Amac: Calismamizda klinigimizde son 1 yilda varis disi ust gastrointestinal sistem kanamasi tanisiyla ozofagogastroduodenoskopi yapilan vakalarin incelenmesi, 1993 ve 2008 yilindaki verilerle karsilastirilmasi amaclanmistir. Gerec ve Yontem: S.B.U. Derince Egitim ve Arastirma Hastanesi Gastroenteroloji Klinigi’nde son 1 yilda varis disi ust gastrointestinal sistem kanama tanisiyla ozofagogastroduodenoskopi yapilan tum hastalar, retrospektif olarak taranmistir. Tespit edilen toplam 160 hastanin demografik verileri, komorbiditeleri ve ozofagogastroduodenoskopi sonuclari analiz edilmistir. Elde edilen sonuclar ayni bolgede elde edilen 1993 ve 2008 verileri ile karsilastirilmistir. Bulgular: Erkek kadin orani 2:1, ortalama yas 59.8’dir. En sik gastritler, ikinci olarak peptik ulser saptanmistir. Ulserler en sik bulbusta gorulmustur. Bulbus ulserlerinde antruma gore aktif kanama bulgulari daha siktir. 1993 ve 2008 verilerine gore yas ortalamasi ve kadinlarin orani artis gostermektedir. Duodenal ve gastrik ulserler anlamli olcude azalirken gastritlerin orani artmaktadir. Sonuc: Varis disi ust gastrointestinal sistem kanamalari erkeklerde ve ileri yasta daha fazladir. Son 25 yilda artan yasam suresi ve Helicobacter pylori tedavi basarisindaki artisa bagli olarak hastalarin ortalama yaslari artmakta, ulser sikligi azalmaktadir. Guncel tedavi yaklasimlari sayesinde gastrointestinal sistem kanamalarina bagli mortalite oranlari azaltilabilir.","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123093789","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}
Abdullah Şenlikçi, Ufuk Barış Kuzu, F. Dede, K. Yüce
{"title":"İkinci basamak hastanede perkütan endoskopik gastrostomi deneyimlerimiz","authors":"Abdullah Şenlikçi, Ufuk Barış Kuzu, F. Dede, K. Yüce","doi":"10.17940/endoskopi.502900","DOIUrl":"https://doi.org/10.17940/endoskopi.502900","url":null,"abstract":"Giris ve Amac: Perkutan endoskopik gastrostomi, herhangi bir nedenle oral yoldan beslenemeyen ve gastrointestinal sistemi saglam olan hastalarda enteral beslenmenin saglandigi en guvenli gastrostomi cesididir. Bu calismadaki amacimiz 2. basamak hastanemizdeki perkutan endoskopik gastrostomi takilma endikasyonlarini, islem sonrasi erken ve gec donem komplikasyonlarini ve takipleri ile ilgili verileri sunmaktir. Gerec ve Yontem: Bitlis Devlet Hastanesi endoskopi unitesinde Eylul 2016-Ekim 2017 tarihleri arasinda perkutan endoskopik gastrostomi tupu takilan hastalar retrospektif olarak incelendi. Bulgular: Calismaya 26 olgu dahil edildi. Olgularin yas ortalamasi 64,23 (18-101) idi. Olgularin 13'u erkek ve 13'u kadin idi. Olgularin 11'ine (%42,3) serebrovaskuler hastalik, 5'ine (%19,23) demans, 3'une (%11,53) amyotrofik lateral skleroz, 1'ine (%3,84) noro-Behcet, 1'ine (%3,84) hidrosefali, 1'ine (%3,84) akromegali, 1'ine (%3,84) elektrik yanigi, 1'ine (%3,84) Erb-Duchanne Muskuler distrofisi, 1'ine (%3,84) serebral palsi ve 1'ine (%3,84) epidural kanama nedeniyle perkutan endoskopik gastrostomi yapildi. Olgularin ortalama takip suresi 137,65 (4-388) gundur. 2 (%11,53) olguda erken donem komplikasyon gozlendi. Bir olguda batin ici serbest hava ve bir olguda da ust gastrointestinal sistem kanamasi gozlendi, ek olarak bir hastamizda, uyumsuzluk nedeniyle perkutan endoskopik gastrostomi kanulunu cekerek cikardigi gozlendi. Isleme bagli mortalite gozlenmemistir. 1 aylik mortalite oranimiz %3,8 ve 3 aylik mortalite oranimiz ise %26,9'dur. Sonuc: Perkutan endoskopik gastrostomi enteral beslenme amaciyla yapilan gastrostominin en guvenilir yoludur. 2. basamak hastanelerde de guvenle uygulanabilir.","PeriodicalId":185330,"journal":{"name":"Endoskopi Gastrointestinal","volume":"279 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132056276","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}