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Akkurt Kocaeli A, Cander S, Gül ÖÖ, Sisman P, Ersoy C, Erturk E. Correction: Serological Screening for Celiac Disease and Gastrointestinal Absorption Disorders in Patients with Autoimmune Endocrine Diseases. Horm Metab Res 2023; 55:e7. [PMID: 38452803 DOI: 10.1055/a-2275-3729] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/09/2024]
Affiliation(s)
| | - Soner Cander
- Endocrinology, Uludag University Faculty of Medicine, Bursa, Turkey
| | - Özen Öz Gül
- Endocrinology, Uludag University Faculty of Medicine, Bursa, Turkey
| | - Pınar Sisman
- Endocrinology, Medicana Health Group, Bursa, Turkey
| | - Canan Ersoy
- Endocrinology, Uludag University Faculty of Medicine, Bursa, Turkey
| | - Erdınc Erturk
- Endocrinology, Uludag University Faculty of Medicine, Bursa, Turkey
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Akkurt Kocaeli A, Cander S, Gül ÖÖ, Sisman P, Ersoy C, Erturk E. Serological Screening for Celiac Disease and Gastrointestinal Absorption Disorders in Patients with Autoimmune Endocrine Diseases. Horm Metab Res 2023; 55:781-787. [PMID: 37591257 DOI: 10.1055/a-2156-2773] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/19/2023]
Abstract
Celiac disease (CD) accompanying autoimmune endocrine diseases (AED) is generally asymptomatic. This study aimed to evaluate the frequency of clinically overt or silent CD in patients diagnosed with autoimmune endocrinopathy and the clinical effects of silent CD in these endocrinopathies. The study included 166 patients with known or newly diagnosed mono-/polyglandular AED and 90 age- and gender-matched healthy controls. The patients were classified into four groups: type 1 diabetes mellitus (DM) (n=44), Hashimoto's thyroiditis (HT) (n=68), Addison's disease (AD) (n=17), and autoimmune polyglandular syndrome (APS) (n=37). All subjects were serologically screened for tissue transglutaminase antibody (tTG) IgA and IgG. In addition, to evaluate the possible systemic consequences of CD, serum parathormone (PTH), 25-hydroxicholecalsiferol (25-OH-Vit D), vitamin B12, folic acid, iron, iron-binding capacity (IBC), and ferritin levels were measured. In the total series, 193 (75.4%) individuals were females, and 63 (24.6%) were males. TTG IgA antibody positivity was found in 23 among 166 patients, while no positivity was encountered in the healthy control group. The highest rates of positive tTg IgA frequency were detected in AD, with 29.4% (5/17). Serum 25-OH-Vit D, vitamin B12, folic acid, iron, and ferritin levels were significantly lower in AEDs compared to controls (p<0.001), and the lowest these parameters were detected in patients with AD. The serologic CD prevalence is higher in autoimmune mono-/and polyglandular endocrine diseases than in the control group. The data support recommends regular screening for CD in all patients with AEDs.
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Affiliation(s)
| | - Soner Cander
- Endocrinology, Uludag University Faculty of Medicine, Bursa, Turkey
| | - Özen Öz Gül
- Endocrinology, Uludag University Faculty of Medicine, Bursa, Turkey
| | - Pınar Sisman
- Endocrinology, Medicana Health Group, Bursa, Turkey
| | - Canan Ersoy
- Endocrinology, Uludag University Faculty of Medicine, Bursa, Turkey
| | - Erdınc Erturk
- Endocrinology, Uludag University Faculty of Medicine, Bursa, Turkey
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Aydoğan Ünsal Y, Öz Gül Ö, Ateş C, Aydemir E, Cander S, Ersoy C, Özpar R, Hakyemez B, Ertürk E. Central venous sampling and magnetic resonance imaging in the diagnosis of ACTH-dependent Cushing's syndrome. Neuroradiol J 2022:19714009221126016. [PMID: 36074996 DOI: 10.1177/19714009221126016] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES Central venous sampling (CVS) with corticotropin-releasing hormone (CRH) stimulation is a crucial technique in evaluating adrenocorticotropic hormone (ACTH)-dependent Cushing's syndrome (CS). We evaluated central venous sampling (CVS) and magnetic resonance imaging (MRI) findings in predicting the localization and lateralization of pituitary microadenomas. METHODS We analyzed 29 patients with CS who underwent CVS with CRH stimulation and examined with MRI retrospectively. Catheterization to central sinuses was successfully performed in 26 patients. Three patients with variant anatomy or inability to cannulate were diagnosed with CD after examination of pathology. RESULTS After CVS, among 26 patients, 23 patients were determined to have CD (88.4%) and 2 (7.7%) patients were diagnosed with ectopic ACTH syndrome. One patient was diagnosed with CD postoperatively. While the sensitivity of the CVS was 95.6%, sensitivity of the preoperative pituitary MRI was lower (69.5%). Also, the negative predictive value ratio was higher in CVS than in MRI (66% versus 22%). Diagnostic accuracy in the lateralization of the tumor was high as in CVS as in MRI (76.4% versus 73.9%). CONCLUSION Central venous sampling with higher sensitivity in the localization of pituitary microadenoma, also has approximately similar diagnostic accuracy in lateralizing the tumor with MRI.
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Affiliation(s)
- Yasemin Aydoğan Ünsal
- 587224Republic of Turkey Ministry of Health Ankara Provincial Health Directorate, Yıldırım Beyazıt University Yenimahalle Training and Research Hospital, Batıkent/Yenimahalle, Turkey
| | - Özen Öz Gül
- Department of Endocrinology and Diseases of Metabolism, 64048Bursa Uludag University Faculty of Medicine, Bursa, Turkey
| | - Coşkun Ateş
- Department of Endocrinology and Diseases of Metabolism, 64048Bursa Uludag University Faculty of Medicine, Bursa, Turkey
| | - Ensar Aydemir
- Department of Endocrinology and Diseases of Metabolism, 64048Bursa Uludag University Faculty of Medicine, Bursa, Turkey
| | - Soner Cander
- Department of Endocrinology and Diseases of Metabolism, 64048Bursa Uludag University Faculty of Medicine, Bursa, Turkey
| | - Canan Ersoy
- Department of Endocrinology and Diseases of Metabolism, 64048Bursa Uludag University Faculty of Medicine, Bursa, Turkey
| | - Rifat Özpar
- Department of Radiology, 64048Bursa Uludag University Faculty of Medicine, Bursa, Turkey
| | - Bahattin Hakyemez
- Department of Radiology, 64048Bursa Uludag University Faculty of Medicine, Bursa, Turkey
| | - Erdinç Ertürk
- Department of Endocrinology and Diseases of Metabolism, 64048Bursa Uludag University Faculty of Medicine, Bursa, Turkey
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Elbasan O, Şişman P, Öz Gül Ö, Cander S, Ersoy C. An Uncommon Reason of Osteoporosis: Spondyloepiphyseal Dysplasia Congenita. Tod 2018. [DOI: 10.4274/tod.37167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Şişman P, Şahin AB, Peynirci H, Cander S, Gül ÖÖ, Ertürk E, Ersoy C. Adrenocortical carcinoma: Single center experience. Turk J Urol 2017; 43:462-469. [PMID: 29201509 DOI: 10.5152/tud.2017.81598] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [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: 03/02/2017] [Accepted: 06/02/2017] [Indexed: 11/22/2022]
Abstract
Objective Adrenocortical carcinoma is an aggressive endocrine malignancy with an annual incidence of 0.5-2 cases per million. The most important factors that determine prognosis are tumor stage at the time of diagnosis and the success of surgery. However, advanced age, large tumor size, hormone secretion, high Ki-67 index (>10%), tumor necrosis and high mitotic activity are other factors associated with poor prognosis. In the present study, we aimed to evaluate the contribution of the patient and treatment- related factors to the prognosis in adrenocortical carcinoma. Material and methods We included 15 adrenocortical carcinoma patients who were followed in our center between 2005 and 2015. The effects of age, gender, tumor size, type of operation, postoperative resection status and adjuvant treatment on disease-free survival and overall survival were analyzed. Results Disease-free survival was 23.32±3.69 months and overall survival was 36.60±10.78 months. Gender, tumor size, tumor stage, type of operation, hormonal activity, presence of necrosis, recurrence and development of metastasis were not found to be associated with disease-free survival and overall survival (p>0.05). Postoperatively applied adjuvant treatments including mitotane, chemotherapy and radiotherapy did not significantly affect disease-free survival in our study, but statistically significant increase in overall survival was observed in patients getting adjuvant treatments (p=0.006). Conclusion Adrenocortical carcinoma has poor prognosis and short overall survival, and in its clinical course, recurrence and development of metastasis can be commonly observed even after complete resection of the tumor. Therefore, the patients should be evaluated carefully while determining the surgical procedure during the preoperative period, and the operation and post-operative follow-up should be performed in experienced centers. However, due to the positive effects of adjuvant treatments on survival, all patients should be evaluated postoperatively for the necessity of adjuvant treatments, especially mitotane.
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Affiliation(s)
- Pınar Şişman
- Clinic of Endocrinology and Metabolism, Harakani State Hospital, Kars, Turkey
| | - Ahmet Bilgehan Şahin
- Department of Internal Medicine, Uludağ University School of Medicine, Bursa, Turkey
| | - Hande Peynirci
- Clinic of Endocrinology and Metabolism, Yusuf İslamoğlu State Hospital, Kastamonu, Turkey
| | - Soner Cander
- Department of Endocrinology and Metabolism, Uludağ University School of Medicine, Bursa, Turkey
| | - Özen Öz Gül
- Department of Endocrinology and Metabolism, Uludağ University School of Medicine, Bursa, Turkey
| | - Erdinç Ertürk
- Department of Endocrinology and Metabolism, Uludağ University School of Medicine, Bursa, Turkey
| | - Canan Ersoy
- Department of Endocrinology and Metabolism, Uludağ University School of Medicine, Bursa, Turkey
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Göktaş O, Öz Gül Ö, Ertürk E. Changes in the management of type 2 diabetic patients in family medicine practices in the Bursa region. Prim Care Diabetes 2017; 11:178-183. [PMID: 27852516 DOI: 10.1016/j.pcd.2016.10.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2015] [Revised: 10/01/2016] [Accepted: 10/12/2016] [Indexed: 12/16/2022]
Abstract
AIM The aim of the study was to investigate the treatment and monitoring patterns of type 2 diabetes patients in the Bursa region over the last 5 years since the implementation of family practice in Turkey in 2010. METHODS A total of 216 volunteer family doctors working in family health centers took part in this study. The records of 44,819 diabetic patients who visited these doctors between January 1, 2010 and December 31, 2014 were inspected retrospectively. Apart from the identity of the patients, morphometric data, including the type of medication used for diabetes and the HbA1C, serum creatinine and LDL cholesterol values, were recorded. RESULTS A total of 38.9% (17,416 patients) of the patients in the study were male and 61.1% (27,403 patients) were female. The average age was 59.7 years with a range of 13.2 years. Although the patients' average body mass index (BMI) did not change over the 5years monitoring, average blood pressure (BP), and serum creatinine and LDL cholesterol levels decreased significantly. The hemoglobin A1c levels were significantly lower after 2010 compared to the 2010 data. Upon examining the medication prescribed for the patients, we determined that the use of metformin and insulin increased, whereas the prescription of thiazolidinedione (glitazone) decreased. There was a significant increase in the amount of patient data recorded over the last 5 years. CONCLUSIONS Despite the increased level of data entry in these patients with type 2 diabetes, the surveillance of diabetes parameters according to treatment guidelines remains suboptimal. There continues to be a need to engage family practitioners on ongoing education and practice enhancement programs.
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Affiliation(s)
- Olgun Göktaş
- Department of Family Medicine, Uludağ University Family Health Center, Bursa, Turkey.
| | - Özen Öz Gül
- Department of Internal Medicine Division of Endocrinology and Metabolism Faculty of Medicine, Uludağ University, Bursa, Turkey
| | - Erdinç Ertürk
- Department of Internal Medicine Division of Endocrinology and Metabolism Faculty of Medicine, Uludağ University, Bursa, Turkey
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Şişman P, Peynirci H, Saraydaroğlu Ö, Şahin AB, Gül ÖÖ, Ersoy C. A Case of Adrenal Mass Causing Adrenal Insufficiency: Tuberculosis. tjem 2017. [DOI: 10.4274/tjem.3429] [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: 12/01/2022] Open
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Tuncel E, Kanat M, Algün E, Gül ÖÖ, Emral R. Intensive Insulin Titration with Insulin Glargine in Insulin-Naive Type 2 Diabetic Patients in Turkey: LANTIT Study. tjem 2015. [DOI: 10.4274/tjem.2657] [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: 12/01/2022] Open
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Cander S, Gül ÖÖ, Gül CB, Yavaş S, Ersoy C. Re-Training of Type 2 Diabetic Patients for Better Adherence to Diabetes Care Plan in Oral Anti-Diabetics and Plus Insulin Treatment Groups. tjem 2015. [DOI: 10.4274/tjem.2748] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Tuncel E, Cander S, Gül ÖÖ. Insulin Analogs Applied with Continuous Subcutaneous Insulin Infusion (Pump) in the Treatment of Diabetes. tjem 2015. [DOI: 10.4274/tjem.2635] [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] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Gül ÖÖ, Akkurt A, Cander S, Uğraş N, Yerci Ö, Ertürk E. Clinical Management of Insulinomas: A Single Institution’s Experience. tjem 2014. [DOI: 10.4274/tjem.2613] [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] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Cander S, Gül ÖÖ, Ertürk E, Tuncel E, Ersoy C. Charakter wzrostu gruczolaków przysadki typu prolactinoma zależy od stężenia prolaktyny i płci pacjentów, ale nie od wartości wskaźnika Ki-67. Endokrynologia Polska 2014; 65:210-6. [DOI: 10.5603/ep.2014.0029] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2014] [Accepted: 06/27/2014] [Indexed: 11/25/2022]
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Cander S, Gül ÖÖ, Sıtkı Dizdar O, Aydın T, Ersoy C. The Effect of Basal Analog Insulin on the Glycemic Variability in Type 2 Diabetics. tjem 2014. [DOI: 10.4274/tjem.2540] [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] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Cander S, Ertürk E, Karkucak M, Öz Gül Ö, Görükmez O, Yakut T, Ünal OK, Ersoy C, Tuncel E, İmamoğlu Ş. Corrigendum to “Effect of cyclin D1 (CCND1) gene polymorphism on tumor formation and behavior in patients with prolactinoma” [Gene 509 (2012) 158–163]. Gene 2014. [DOI: 10.1016/j.gene.2014.02.013] [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] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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