Medical Journal of Bakırkoy最新文献

Carpal Tunnel Release with a Minimally Invasive Surgical Approach at the Proximal of the Distal Wrist Crease: The Evaluation of the Efficacy of the Technique with Clinical and Magnetic Resonance Imaging 腕沟远端近端微创手术解除腕管:临床和磁共振成像技术的疗效评价

Medical Journal of Bakırkoy Pub Date : 2019-10-10 DOI: 10.4274/btdmjb.galenos.2019.20190308065947

A. Yılmaz

引用次数: 0

Endoscopy Assisted Laparoscopic Resection for Gastric Submucosal Tumors Located Within 5cm From The Esophagogastric Junction; Combined Surgery at Difficult Localization 内镜辅助腹腔镜下食管胃交界5cm内胃粘膜下肿瘤切除术定位困难的联合手术

Medical Journal of Bakırkoy Pub Date : 1900-01-01 DOI: 10.5222/bmj.2020.97759

Erol Pişkin, O. Aydın, Y. M. Ozgun, M. Çolakoğlu, V. Oter, T. Dalğıç, E. Bostancı

{"title":"Endoscopy Assisted Laparoscopic Resection for Gastric Submucosal Tumors Located Within 5cm From The Esophagogastric Junction; Combined Surgery at Difficult Localization","authors":"Erol Pişkin, O. Aydın, Y. M. Ozgun, M. Çolakoğlu, V. Oter, T. Dalğıç, E. Bostancı","doi":"10.5222/bmj.2020.97759","DOIUrl":"https://doi.org/10.5222/bmj.2020.97759","url":null,"abstract":"Objective: Removal of the lesion with safe surgical margins is often sufficient including GISTs. Endoscopic resections can become challenging or impossible even if the tumor was located near esophagogastric junction. Performing gastrectomy for these mostly benign lesions will also be a rather brutal treatment method in most cases.Therefore, alternative minimal invasive resection techniques and their reliability should be evaluated. The aim of this study is to evaluate the efficacy and safety of endoscopy-assisted laparoscopic transgastric resection method in proximally located submucosal tumors. Materials and methods: Transgastric combined endoscopic and laparoscopic surgery (CELS) with intragastric port was performed in one patient and Transgastric CELS with gastrotomy was performed in six patients who had tumor located near esophagogastric junction at XXX Hospital between February 2019 and February 2020. Results: The patients were included 3 men and 4 women with and average age of 45.8 years (range 25-70). In five of the cases, four ports and nathanson retractor were used for liver retraction. While three ports were used in one patient, the stomach was suspended with traction suture. In one patient, 5 ports were used. The average operation time was 88 minutes (range 59-140 min). While gastrostomy line was closed with linear stapler in two patients, laparoscopic hand sewing method was used in the remaining patients. No patient had intraoperative complications. Conclusion: We strongly suggest that the laparoscopic transgastric resection approach for submucosal tumors close to the gastroesophageal junction, is a feasible and safe method, when used in combination with endoscopy.","PeriodicalId":321125,"journal":{"name":"Medical Journal of Bakırkoy","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121389952","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}

引用次数: 0

Early Weight Loss Percentile Charts in Exclusively Breastfed Infants According to Mode of Delivery 根据分娩方式的纯母乳喂养婴儿早期体重下降百分位数图

Medical Journal of Bakırkoy Pub Date : 1900-01-01 DOI: 10.5222/bmj.2020.94830

Bahar Kural, Tijen Eren, E. Gökçay

{"title":"Early Weight Loss Percentile Charts in Exclusively Breastfed Infants According to Mode of Delivery","authors":"Bahar Kural, Tijen Eren, E. Gökçay","doi":"10.5222/bmj.2020.94830","DOIUrl":"https://doi.org/10.5222/bmj.2020.94830","url":null,"abstract":"Objective: Early weight loss percentile charts can be used to determine the expected weight loss of newborns. Mode of delivery has a marked effect on weight loss in the immediate postpartum period. The aim in the present study was to construct weight loss percentile charts according to mode of delivery in exclusively breastfed, healthy term infants during hospital stay. Method: Weight loss in a large Turkish cohort of infants, born between January 1, 2011 and December 31, 2014, was evaluated retrospectively. Data on healthy, term and exclusively breastfed neonates during the immediate postpartum hospital stay were collected. Weight change percentile charts were plotted according to mode of delivery. Results: The study encompassed 3247 exclusively breastfed neonates. Of infants 48.1% were girls. Mean gestational age was 38.94±0.84 (range 37-41) weeks and birth weight of infants was 3381.1±380.9 (range 2150-5190) grams. The rate of caesarean delivery was 69.3%. The time of hospital stay of infants born by caesarean delivery was significantly longer than infants born vaginally. The frequency of weight measurements of infants showed a statistically significant difference according to the type of delivery. Weight loss as a percentage of birthweight for infants born by caesarean delivery were significantly greater at 24, 48, 72 and 84 hours after birth compared to those born via vaginal delivery. Conclusion: Plotted percentile charts according to mode of delivery will enable prediction of early weight loss immediately post-partum. In addition, these percentile charts will help to reassure mothers and encourage breastfeeding exclusivity.","PeriodicalId":321125,"journal":{"name":"Medical Journal of Bakırkoy","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128407711","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}

引用次数: 1

Review of the Clinicopathological Features and Prognosis of the Rare Histological Types of Gastric Cancer 罕见组织学类型胃癌的临床病理特征及预后研究进展

Medical Journal of Bakırkoy Pub Date : 1900-01-01 DOI: 10.5222/bmj.2020.15870

T. Talih, U. Topal, E. Sözüer, Fatih Dal, Muhammet Akyüz, Şadi Yenel İsaoğulları, K. Deniz, H. Akyıldız

引用次数: 0

The predictive factors for prolonged seizures and status epilepticus: a single center study 延长癫痫发作和癫痫持续状态的预测因素:一项单中心研究

Medical Journal of Bakırkoy Pub Date : 1900-01-01 DOI: 10.5222/BMJ.2021.16362

M. Ayanoğlu, E. Ongun

{"title":"The predictive factors for prolonged seizures and status epilepticus: a single center study","authors":"M. Ayanoğlu, E. Ongun","doi":"10.5222/BMJ.2021.16362","DOIUrl":"https://doi.org/10.5222/BMJ.2021.16362","url":null,"abstract":"Objectives: To analyze the clinical features of prolonged seizures and status epilepticus and perform risk analysis on super refractory status epilepticus (SRSE) in pediatric intensive care unit (PICU) admissions. Method: Demographic features, underlying etiologies, treatment modalities, electroencephalographic and neuroimaging outcome of intensive care unit admissions between 2015 and 2019 were analyzed. Results: Seventy-one children were enrolled. The common etiology for prolonged seizure was fever in 45.1% of the children (central nervous system infection: 16.9%, infection other than central nervous system: 28.2%), withdrawal of the antiepileptic medication in 40.9%, intoxications in 12.7% of the children and intracranial hemorrhage due to arteriovenous malformation in one (1.4%) patient. Initial diagnostics exhibited 23.9% of hypoglycemia, 18.3% of hypocalcemia, 15.5% of hyponatremia, 35.2% of acidosis, and 25.4% of elevated lactate. Group categorizations were based on fever and new onset of seizure. Approximately 45.1% of the population acquired fever at the onset and consisted of younger children compared to their counterparts (p=0.023). Children with pre-existing epilepsy had frequent history of sibling death, while patients with new-onset of seizure possessed significant lactate elevations, acidosis, and required mechanical ventilation more often (p=0.002, p=0.008, p=0.017). Twelve (16.9%) patients developed SRSE. Low serum sodium and calcium levels were associated with developing SRSE (OR: 10.800, 95%CI: 2.518-46.318; OR: 4.554, 95%CI: 1.159-17.892); however PRISM-3 score has been identified the single independent risk factor in children proceeding to SRSE (OR: 1.174, 95% CI: 1.039-1.327). Three (4.2%) children died of secondary complications. Tracheostomy cannulation was performed in two (16.7%) SRSE patients due to neurological incapability to maintain a patent airway. Conclusion: PRISM-3 score is the independent risk factor of SRSE. Electrolyte abnormalities (hyponatremia and hypocalcemia) are associated with developing SRSE.","PeriodicalId":321125,"journal":{"name":"Medical Journal of Bakırkoy","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125186256","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}

引用次数: 1

COVID-19 in children: A single center experience from Istanbul, Turkey 儿童中的COVID-19:来自土耳其伊斯坦布尔单一中心的经验

Medical Journal of Bakırkoy Pub Date : 1900-01-01 DOI: 10.5222/BMJ.2021.60490

G. E. Besli, S. Demir, S. Girit, T. Arman, M. Duyu, S. Arslanoğlu

{"title":"COVID-19 in children: A single center experience from Istanbul, Turkey","authors":"G. E. Besli, S. Demir, S. Girit, T. Arman, M. Duyu, S. Arslanoğlu","doi":"10.5222/BMJ.2021.60490","DOIUrl":"https://doi.org/10.5222/BMJ.2021.60490","url":null,"abstract":"Objective: We aimed to evaluate the demographic, epidemiological, and clinical characteristics of children with coronavirus disease‐2019 (COVID-19), and to determine variations of the clinical presentation of the disease by age. Method: A total of 104 confirmed COVID-19 patients aged between 0-18 years were retrospectively analyzed. The study period was between March 15, 2020 and July 1, 2020. A confirmed COVID-19 was defined as a child who has positive real-time reverse transcription-polymerase chain reaction (rRT-PCR). The patients were analyzed in terms of demographic, epidemiological, clinical, laboratory and imaging features, and clinical outcomes. Results: The median age (inter-quartile range) of the patients was 11.8 (8.4) years, and 53 (51%) were male. Ninety-eight (94%) of the patients had an epidemiological risk factor. The most frequent symptoms were cough (62%), fever (42%), and fatigue (33%). Seven patients (7%) were asymptomatic, 84 (81%) were mild, 9 (9%) were moderate, and 4 (4%) were in severe or critical condition. Ninety-eight (94%) of the patients underwent a chest x-ray, and 12% had pneumonia. The patients younger than 5 years were more likely to have fever (p = 0.019), rhinorrhea (p = 0.041), and diarrhea (p = 0.035). Muscle/join pain (26%), loss of smell/taste (20%), and headache (19%) were striking extra-pulmonary symptoms in older patients. Only 8% of the patients were hospitalized, and 4% were admitted to the intensive care unit. No death occurred. Conclusion: The most of the pediatric COVID-19 cases have mild symptoms without pneumonia. They may not present with fever or cough which are considered characteristic symptoms of the disease and the frequency of signs and symptoms may vary by age. Children younger than 5 years old are more likely to have fever, rhinorrhea, and diarrhea. School-age children and adolescents may present with extra-pulmonary symptoms such as muscle/join pain, smell/taste loss, and headache.","PeriodicalId":321125,"journal":{"name":"Medical Journal of Bakırkoy","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134563674","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}

引用次数: 1

Vitamin B12 Status in Children with Helicobacter pylori Gastritis 幽门螺杆菌胃炎患儿维生素B12状况

Medical Journal of Bakırkoy Pub Date : 1900-01-01 DOI: 10.5222/bmj.2020.03522

H. Civan

引用次数: 3

Hydroxychloroquine Use on Healthcare Workers Exposed to COVID-19 -A Pandemic Hospital Experience 羟氯喹在暴露于COVID-19的医护人员中的使用——大流行医院经验

Medical Journal of Bakırkoy Pub Date : 1900-01-01 DOI: 10.5222/bmj.2020.50469

Özlem Polat, R. Korkusuz, M. Berber

{"title":"Hydroxychloroquine Use on Healthcare Workers Exposed to COVID-19 -A Pandemic Hospital Experience","authors":"Özlem Polat, R. Korkusuz, M. Berber","doi":"10.5222/bmj.2020.50469","DOIUrl":"https://doi.org/10.5222/bmj.2020.50469","url":null,"abstract":"Objective: As healthcare professionals play a role in combating the COVID-19 outbreak, the risk of disease exposure and illness increases In our study, we aimed to measure the effectiveness of post-contact use in order to protect the healthcare professionals who work very intensively during the outbreak Method: A total of 208 healthcare workers who applied to Employee Health Unit section between the dates 25 March-25 April 2020 with a history of contact with COVID-19 patients were included in the study Employees were evaluated in low, moderate and high risk groups according to the Contact Risk Algorithm included in the Evaluation of Healthcare Workers Guidelines with COVID-19 theme Three-day hydroxychloroquine treatment was initiated to 138 healthcare professionals who were considered as high risk The treatment regimen was arranged as 2x400 mg on the first day and 2x200 mg on the 2nd and 3rd days The COVID-19 positivity rates were analyzed according to the contact risk groups Results: There was a statistically significant difference between occupational groups according to contact risk groups (p<0 01);the rate of contact risk of nurses in the middle, and the doctors in the high risk groups was found to be significantly higher When the COVID-19 positivity rates were analyzed according to the contact risk groups, the COVID-19 positivity rates were 9 4% in the high-, 16 3% in the moderate and 14 3% in the low-risk groups The contact was found to be related to the COVID-19 test, and the positivity rate from contact with the patient was found to be significantly high (p<0 01) Conclusion: Recommendations about hydroxychloroquine for postexposure prophylaxis vary Hydroxychloroquine can be a possible effective agent in postexposure prophylaxis We think that conducting similar studies on larger samples can provide significant benefits to individuals and public health","PeriodicalId":321125,"journal":{"name":"Medical Journal of Bakırkoy","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127807755","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}

引用次数: 3

Risk Factors for 28-Day Mortality Among COVID-19 Patients in an Intensive Care Unit of a Tertiary Care Center in Istanbul 伊斯坦布尔某三级医疗中心重症监护室中COVID-19患者28天死亡率的危险因素

Medical Journal of Bakırkoy Pub Date : 1900-01-01 DOI: 10.5222/BMJ.2021.77200

A. Erol, S. Aşar, M. Sabaz, Beyza Bilgin, Z. Çukurova

{"title":"Risk Factors for 28-Day Mortality Among COVID-19 Patients in an Intensive Care Unit of a Tertiary Care Center in Istanbul","authors":"A. Erol, S. Aşar, M. Sabaz, Beyza Bilgin, Z. Çukurova","doi":"10.5222/BMJ.2021.77200","DOIUrl":"https://doi.org/10.5222/BMJ.2021.77200","url":null,"abstract":"Objective: In late 2019, the Coronavirus disease 2019 (COVID-19) has been pandemic worldwide, starting in Wuhan, China. In this study, we aimed to evaluate the factors associated with 28-day outcomes in patients admitted to the intensive care unit with the diagnosis of COVID-19. Methods: This study has a retrospective cohort design. COVID-19 patients identified according to World Health Organization guidelines are included. Patient data were recorded to a centralized system utilizing ImdSoft-Meta vision/QlinICU Clinical Decision Support Software. Individual datasets about required parameters were obtained from Structured Query Language (SQL) queries. The main laboratory parameters were examined. SOFA, APACHE II, and Charlson Comorbidity Score (CCS) were calculated. In evaluating laboratory parameters and disease risk scores, which are thought to affect 28-day mortality, logistic analysis were performed using the Backward LR model. Results: The study was carried out with 101 patients, 40 (39.6%) of whom were women, and 61 (60.4%) of men, who met the inclusion criteria. The ages of the patients ranged from 21 to 88, and the mean age was 58.45 ± 15.41 years. The mean intensive care hospitalization period was 12.5 ± 10.2 days. The all-cause in-hospital mortality rate was 61.4%. Leukocyte count, CK, NT-proBNP, PCT, CRP, ferritin, neutrophil count and percentage, D-Dimer, LDH, AST values were found to be significantly higher in non-survivors. The lymphocyte count and percentage, and platelet count values were found to be significantly low in non-survivors. The lymphocyte percentage, LDH, and CCS were significant in the 28-day mortality in multivariate analysis (p values are 0.01, 0.003, 0.008, respectively). Conclusions: High lymphocyte values have been found to significantly reduce the risk of death in patients diagnosed with COVID-19. Lymphocyte percentage, LDH, and CCS were evaluated as the most successful parameters in predicting 28-day mortality in the intensive care unit.","PeriodicalId":321125,"journal":{"name":"Medical Journal of Bakırkoy","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134233054","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}

引用次数: 5

Prostatic Artery Embolization in Benign Prostatic Hyperplasia Patients with High Comorbidity 前列腺动脉栓塞治疗高合并症的良性前列腺增生

Medical Journal of Bakırkoy Pub Date : 1900-01-01 DOI: 10.5222/BMJ.2021.41736

Çağlayan Çakır, F. Kilinc, Fatma Aysun Erbahçeci, F. Saçan, L. Oğuzkurt, V. Tuğcu

{"title":"Prostatic Artery Embolization in Benign Prostatic Hyperplasia Patients with High Comorbidity","authors":"Çağlayan Çakır, F. Kilinc, Fatma Aysun Erbahçeci, F. Saçan, L. Oğuzkurt, V. Tuğcu","doi":"10.5222/BMJ.2021.41736","DOIUrl":"https://doi.org/10.5222/BMJ.2021.41736","url":null,"abstract":"Objective: Benign prostatic hyperplasia (BPH) affects patients’ quality of life negatively. We aimed to examine the results of prostate artery embolization (PAE) treatment for BPH in the elderly patients with high comorbidity. Materials and Methods: In the present study, we evaluated the patients with lower urinary tract symptoms (LUTS) due to BPH and applied endovascular embolization treatment, who were admitted to our hospital radiology department, between February 2017 and February 2019. Patients with a high risk for surgical operation with an American Society of Anesthesiologists (ASA) score of 3 or above, International Prostate Symptom Score (IPSS) >20 and MR (Magnetic Resonance) prostate volume (PV)>70 cm3 were included in this study. In addition, maximum flow rate Qmaximum (Qmax), MRI PV and IPSS values were recorded in all patients in our clinic before PAE, and the 12th months after PAE. Results: In our study, 15 patients, who had a history of transurethral resection (TUR), and 57-82 years old (mean 73.8), participated. PAE treatment was administered to the patients who were admitted to our hospital with the diagnosis of BPH in patient high comorbidity, LUTS and high risk for open prostatectomy. In our series, Qmax, IPSS, MRI and digital subtraction angiography (DSA) findings were presented. The findings showed that pre-PAE and post-PAE at 12th month, IPSS value 25,13±1,92 and 11,4±6,51 (p=0,001), Qmax; 7,61±3,19 and 16,51±9,56 (p=0,001), MRPV; 135,47±76,48 and 83,27±43,53 (p=0,001) and also all parameters were statistically significant. Conclusion: PAE is a novel treatment modality which is increasingly being used in patients with BPH, and it is an important and effective treatment option since it is much less invasive compared to open surgery, does not require hospitalization after the procedure.","PeriodicalId":321125,"journal":{"name":"Medical Journal of Bakırkoy","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117236315","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}

引用次数: 0