Ulusal cerrahi dergisi最新文献_第2页

Acute pancreatitis: It can be the first sign of silent gallstones. 急性胰腺炎：它可能是无症状胆结石的第一个症状

Ulusal cerrahi dergisi Pub Date : 2023-06-19 eCollection Date: 2023-06-01 DOI: 10.47717/turkjsurg.2023.5787

Gülden Cancan, Kaya Sarıbeyoğlu, Salih Pekmezci

{"title":"Acute pancreatitis: It can be the first sign of silent gallstones.","authors":"Gülden Cancan, Kaya Sarıbeyoğlu, Salih Pekmezci","doi":"10.47717/turkjsurg.2023.5787","DOIUrl":"10.47717/turkjsurg.2023.5787","url":null,"abstract":"Objectives: The management of asymptomatic cholelithiasis is controversial. Silent gallstones are generally assumed to cause complications after at least one episode of biliary colic. The ratio of those silent stones that had initially caused, -or were diagnosed as the etiological agent of- acute pancreatitis has not been reported in the literature yet. Our study was designed to investigate the ratio of asymptomatic cholelithiasis in acute biliary pancreatitis cases.Material and methods: One hundred and seventy-one patients of 305 cases, who were followed up with the diagnosis of acute biliary pancreatitis, were identified retrospectively. Demographic specifications, laboratory findings and clinical progressions of the patients were inspected. Clinical histories were detailed by phone calls. Gallstones were radiologically detected in 85 out of 171 cases. Those patients were divided as symptomatic and asymptomatic. Clinical findings and follow-ups were evaluated by \"Chi-square\" test.Results: In the study group, 80% of the patients were asymptomatic (n= 68) and 16.47% of the patients (n= 14) had complicated pancreatitis. Regarding the severity of the clinical course, being symptomatic or not was not identified as a significant factor (p= 0.108). In regard of creating symptoms, the size of the stone was not significant (p= 0.561) and obtained no prediction about the clinical severity of the pancreatitis (p= 0.728).Conclusion: Asymptomatic cholelithiasis patients had a major percentage in acute biliary pancreatitis cases. The \"wait and see\" approach should be re-evaluated for silent gallstones in prospective trials.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":" ","pages":"162-168"},"PeriodicalIF":0.0,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681110/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49441124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Esophageal perforation: diagnosis, management and decision-making - a retrospective tertiary centre study. 食管穿孔：诊断、管理和决策——一项三级中心的回顾性研究。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.47717/turkjsurg.2021.5289

N. El-Sourani

{"title":"Esophageal perforation: diagnosis, management and decision-making - a retrospective tertiary centre study.","authors":"N. El-Sourani","doi":"10.47717/turkjsurg.2021.5289","DOIUrl":"https://doi.org/10.47717/turkjsurg.2021.5289","url":null,"abstract":"Objectives\u0000Perforation of the esophagus is an extremely rare but life-threatening emergency associated with a high morbidity and mortality. Therefore, time-management is of utmost importance and it is crucial to have an algorithm for diagnostic methods and the subsequent decision-making process.\u0000\u0000\u0000Material and Methods\u0000All patients who were diagnosed with an esophageal perforation between 2010 and 2020 at our university hospital were ret- rospectively analysed. In addition to patient demographics, the diagnostic method, treatment strategy, defect size and location, etiology and mortality were recorded.\u0000\u0000\u0000Results\u0000A total of 27 patients were identified with an esophageal perforation. All patients were diagnosed through a computed tomography initiat- ing the treatment algorithm 18 patients underwent conservative/endoscopic treatment, while 9 patients received primary surgery for event-related complications. The overall mortality rate was 25.9%, 11.1% within the endoscopic group and 55% within the surgical group.\u0000\u0000\u0000Conclusion\u0000A timely diagnosis in cases of an esophageal perforation is of utmost importance. Therefore, every patient should undergo an emergency computed tomography (CT) with oral and intravenous contrast followed by an upper endoscopy if event-related complications are ruled out in the CT.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"37 4 1","pages":"342-346"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49548787","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

Impact of curative parathyroidectomy on left ventricular functions assessed with 2D ECHO and MUGA study. 用二维超声和MUGA评价根治性甲状旁腺切除术对左心室功能的影响。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.47717/turkjsurg.2021.5167

K. Abuji, D. Dahiya, A. Sood, Madan Parmar, S. Bhadada, R. Vijayvergiya, A. Behera

{"title":"Impact of curative parathyroidectomy on left ventricular functions assessed with 2D ECHO and MUGA study.","authors":"K. Abuji, D. Dahiya, A. Sood, Madan Parmar, S. Bhadada, R. Vijayvergiya, A. Behera","doi":"10.47717/turkjsurg.2021.5167","DOIUrl":"https://doi.org/10.47717/turkjsurg.2021.5167","url":null,"abstract":"Objectives\u0000Primary hyperparathyroidism (PHPT) is associated with increased cardiovascular morbidity and mortality with inconsistent results on the reversibility of cardiovascular changes after parathyroidectomy (PTx). The present study was undertaken to evaluate both structural and functional cardiac changes and their reversal after PTx in patients with PHPT.\u0000\u0000\u0000Material and Methods\u0000Thirty patients of symptomatic PHPT without cardiovascular risk factors were evaluated prospectively by means of 2D echocar- diography (ECHO) and Multigated Acquisition (MUGA) study before surgery and six months after curative parahyroidectomy.\u0000\u0000\u0000Results\u0000Nine of 30 patients had hypertension which improved in two after PTx (p 0.20). Two patients had left ventricle hypertrophy on 2D ECHO pre- operatively which improved after PTx (p <0.001). Left ventricular ejection fraction (LVEF) did not show significant change before and after PTx on 2D ECHO. Nine out of 30 patients had hypertension which improved in two after PTx (p 0.20). Two patients with left ventricle hypertrophy on 2D ECHO preoperatively improved after PTx (p <0.001). Left ventricular ejection fraction (EF) did not depict significant change before and after PTx on 2D ECHO. Whereas, four out of six patients with preoperative EF <50% representing systolic dysfunction on MUGA study showed improvement after PTx. On 2D ECHO, eight patients depicted diastolic dysfunction which improved in six patients after curative surgery (p= 0.07). However, on MUGA study, 13 pa- tients presented with tTPF >180 ms indicating diastolic dysfunction, of which ten showed improvement after PTx (p= 0.007).\u0000\u0000\u0000Conclusion\u0000The present study analyzed preoperative and postoperative cardiac function using both 2D ECHO and MUGA study. MUGA study provided a more objective assessment of the cardiac function by determining left ventricular ejection fraction and diastolic dysfunction.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"37 4 1","pages":"336-341"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47588519","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

Is appendectomy always the adequate treatment? Clinical manifestations of isolated actinomycosis in appendix. 阑尾切除术总是合适的治疗方法吗?孤立性阑尾放线菌病的临床表现。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.47717/turkjsurg.2021.4015

Veysi Hakan Yardimci, Aytul Hande Yardimci

引用次数: 1

Letter to: Serial estimation of serum C-reactive protein and procalcitonin for early detection of anastomotic leak after elective intestinal surgeries: A prospective cohort study. 致:择期肠手术后早期检测血清c反应蛋白和降钙素原的序列评估:一项前瞻性队列研究。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.47717/turkjsurg.2021.5340

F. Hayati, Syed Sharizman Syed Abdul Rahim, Andee Dzulkarnaen Zakaria

引用次数: 0

Letter to: Endometriosis of the rectosigmoid colon mimicking gastrointestinal stromal tumor. 致:类似胃肠道间质瘤的直肠乙状结肠子宫内膜异位症。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.47717/turkjsurg.2021.5297

Dg Marshitah pg Baharuddin, F. Hayati, N. Azizan, Andee Dzulkarmaen Zakaria

引用次数: 0

Limited upper midline incision for major hepatectomy in adults: safety and feasibility. 成人大肝切除术的有限上中线切口：安全性和可行性。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.1016/j.hpb.2021.08.439

A. Mahamid, Y. Fenig, S. Amodeo, Lucas Facciuto, Dagny Vonahrens, Omri Sulimani, T. Schiano, M. Facciuto

引用次数: 1

Rhabdomyolysis as a rare complication of bariatric surgery. 横纹肌溶解是减肥手术中一种罕见的并发症。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.47717/turkjsurg.2021.3990

S. Usta, K. Karabulut

{"title":"Rhabdomyolysis as a rare complication of bariatric surgery.","authors":"S. Usta, K. Karabulut","doi":"10.47717/turkjsurg.2021.3990","DOIUrl":"https://doi.org/10.47717/turkjsurg.2021.3990","url":null,"abstract":"Rhabdomyolysis after bariatric surgery is a quite rare occurrence with low recognition. Due to the breakdown of striated muscle fibers, creatine kinase and myoglobin are released into systemic circulation with variable effects on renal filtering functions. Herein, it was aimed to present a patient who de- veloped rhabdomyolysis following revision bariatric surgery. This 34-year-old male patient was admitted for bariatric surgery. He had had a gastric band surgery approximately six years ago, with regain of weight starting one year after surgery gradually reaching the previous weight level. Consequently, the gastric band had been removed with open surgery three years ago. The patient had a body mass index of 69 kg/m2 as well as an incisional hernia due to previous surgery. Although initially laparoscopic sleeve gastrectomy was planned, a switch to open surgery was made due to the presence of diffuse intra-abdominal adhesions and giant incisional hernia precluding laparoscopic intervention. The total duration of surgery was 420 minutes. Postoperative laboratory work-up showed elevated blood creatine kinase (25837 U/L). Upon the failure of fluid replacement and diuretics, hemodialy- sis was initiated at postoperative day 1. Despite daily sessions of hemodialysis, acidosis did not improve, his general status worsened and the patient died on postoperative day 14. Rhabdomyolysis is a severe and potentially life-threatening complication of bariatric surgery. Its severity may vary from asymptomatic elevations of creatine kinase to death. Postoperative creatine kinase levels should be routinely checked in high-risk patients as a practical and inexpensive laboratory modality for early diagnosis.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"37 4 1","pages":"400-402"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43770474","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: 2

Medical Research and Publishing During The Pandemic: Uncertainty and Responsibility. 大流行期间的医学研究和出版:不确定性和责任。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.47717/turkjsurg.2021.99242301

K. Sarıbeyoğlu

引用次数: 0

The effect of the use of the Gail model on breast cancer diagnosis in BIRADs 4a cases. Gail模型对BIRADs 4a病例乳腺癌诊断的影响。

Ulusal cerrahi dergisi Pub Date : 2021-12-01 DOI: 10.47717/turkjsurg.2021.5436

E. Karakaya, Murathan Erkent, Hale Turnaoğlu, Tuğçe Şirinoğlu, A. Akdur, Lara Kavasoğlu

{"title":"The effect of the use of the Gail model on breast cancer diagnosis in BIRADs 4a cases.","authors":"E. Karakaya, Murathan Erkent, Hale Turnaoğlu, Tuğçe Şirinoğlu, A. Akdur, Lara Kavasoğlu","doi":"10.47717/turkjsurg.2021.5436","DOIUrl":"https://doi.org/10.47717/turkjsurg.2021.5436","url":null,"abstract":"Objectives\u0000The BI-RADS classification system and the Gail Model are the scoring systems that contribute to the diagnosis of breast cancer. The aim of the study was to determine the contribution of Gail Model to the diagnosis of breast lesions that were radiologically categorized as BI-RADS 4A.\u0000\u0000\u0000Material and Methods\u0000We retrospectively examined the medical records of 320 patients between January 2011 and December 2020 whose lesions had been categorized as BI-RADS 4A. Radiological parameters of breast lesions and clinical parameters according to the Gail Model were collected. The relationship between malignant BI-RADS 4A lesions and radiological and clinical parameters was evaluated. In addition, the effect of the Gail Model on diagnosis in malignant BI-RADS 4A lesions was evaluated.\u0000\u0000\u0000Results\u0000Among radiological features, there were significant differences between lesion size, contour, microcalcification content, echogenicity, and presence of ectasia with respect to the pathological diagnosis (p <0.05). No significant difference was found between the lesions' pathological diagnosis and the patients' Gail score (p> 0.05). An analysis of the features of the Gail model revealed that there was no significant difference between the age of menarche, age at first live birth, presence of a first-degree relative with breast cancer, and a history of breast biopsy and the pathological diagnosis (p> 0.05).\u0000\u0000\u0000Conclusion\u0000As a conclusion Gail Model does not contribute to the diagnosis of BC, especially in patients with BI-RADS 4A lesions.","PeriodicalId":90992,"journal":{"name":"Ulusal cerrahi dergisi","volume":"37 4 1","pages":"394-399"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48176148","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