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Yaras S, Demir M, Barutcu S, Yildirim AE, Gurel S, Ucbilek E, Kurtulmus IA, Kayhan MA, Vatansever S, Adanir H, Danis N, Duman S, Turan I, Ari D, Kose S, Alkim H, Harputluoglu MM, Dilber F, Akyildiz M, Cosar AM, Durak S, Sirin G, Kefeli A, Gokcan H, Avcioglu U, Ayyildiz T, Sezgin O, Akarsu M, Dincer D, Guzelbulut F, Gunsar F, Akarca US, Idilman R. The efficacy and tolerability of glecaprevir/pibrentasvir treatment in a real-world chronic hepatitis C patients cohort. Hepatol Forum 2023; 4:92-96. [PMID: 37822314 PMCID: PMC10564251 DOI: 10.14744/hf.2023.2023.0001] [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] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 06/02/2023] [Accepted: 06/13/2023] [Indexed: 10/13/2023]
Abstract
Background and Aim The aims of the present study were to evaluate the real-life efficacy and tolerability of glecaprevir (GLE)/pibrentasvir (PIB) in the treatment of patients with chronic hepatitis C (CHC). Materials and Methods Between May 2019 and May 2022, 686 patients with CHC, treated with GLE/PIB combination from 21 participating centers in Turkiye, were enrolled in the study. Results All patients were Caucasian, and their median age was 56 years. At the start of GLE/PIB treatment, the median serum Hepatitis C virus RNA and serum alanine amino transaminase (ALT) levels were 6.74 log10 IU/mL and 47 U/L, respectively. Fifty-three percent of the patients were infected with genotype 1b, followed by genotype 3 (17%). Diabetes was the more common concomitant disease. The sustained virological response (SVR12) was 91.4% with intent-to-treat analysis and 98.5% with per protocol analysis. The SVR12 rates were statistically significant differences between the patients who were i.v. drug users and non-user (88.0% vs. 98.8%, p=0.025). From the baseline to SVR12, the serum ALT levels and Model for End-Stage Liver Disease score were significantly improved (p<0.001 and p=0.014, respectively). No severe adverse effect was observed. Conclusion GLE/PIB is an effective and tolerable treatment in patients with CHC.
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Affiliation(s)
- Serkan Yaras
- Department of Gastroenterology, Mersin University, School of Medicine, Mersin, Turkiye
| | - Mehmet Demir
- Department of Gastroenterology, Mustafa Kemal University, School of Medicine, Hatay, Turkiye
| | - Sezgin Barutcu
- Department of Medical Sciences, Gaziantep University, School of Medicine, Gaziantep, Turkiye
| | | | - Selim Gurel
- Department of Internal Medicine, Uludag University, School of Medicine, Bursa, Turkiye
| | - Enver Ucbilek
- Department of Gastroenterology, Mersin University, School of Medicine, Mersin, Turkiye
| | | | - Meral Akdogan Kayhan
- Division of Gastroenterology, Department of Internal Medicine, Faculty of Health Sciences, Ankara City Hospital, Ankara, Turkiye
| | - Sezgin Vatansever
- Department of Gastroenterology, Katip Celebi University, Ataturk Training and Research Hospital, Izmir, Turkiye
| | - Haydar Adanir
- Department of Internal Medicine, Akdeniz University, School of Medicine, Antalya, Turkiye
| | - Nilay Danis
- Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins University, Baltimore, USA
| | - Serkan Duman
- Department of Gastroenterology, Toros State Hospital, Mersin, Turkiye
| | - Ilker Turan
- Department of Gastroenterology, Ege University, School of Medicine, Izmir, Turkiye
| | - Derya Ari
- Division of Gastroenterology, Department of Internal Medicine, Faculty of Health Sciences, Ankara City Hospital, Ankara, Turkiye
| | - Sukran Kose
- Department of Infectious Diseases and Clinical Microbiology, Dokuz Eylul University, School of Medicine, Izmir, Turkiye
| | - Huseyin Alkim
- Department of Gastroenterology, Sisli Etfal Training and Research Hospital, Istanbul, Turkiye
| | | | - Feyza Dilber
- Department of Gastroenterology, Marmara University, School of Medicine, Istanbul, Turkiye
| | - Murat Akyildiz
- Department of Gastroenterology, Koc University, School of Medicine, Istanbul, Turkiye
| | - Arif Mansur Cosar
- Department of Gastroenterology, Karadeniz Technical University, School of Medicine, Trabzon, Turkiye
| | - Serdar Durak
- Department of Gastroenterology, Karadeniz Technical University, School of Medicine, Trabzon, Turkiye
| | - Goktug Sirin
- Department of Gastroenterology, Kocaeli University, School of Medicine, Kocaeli, Turkiye
| | - Ayse Kefeli
- Department of Gastroenterology, Tokat Gaziosmanpasa University, School of Medicine, Tokat, Turkiye
| | - Hale Gokcan
- Department of Gastroenterology, Ankara University, School of Medicine, Ankara, Turkiye
| | - Ufuk Avcioglu
- Department of Gastroenterology, Ondokuz Mayis University, School of Medicine, Samsun, Turkiye
| | - Talat Ayyildiz
- Department of Gastroenterology, Ondokuz Mayis University, School of Medicine, Samsun, Turkiye
| | - Orhan Sezgin
- Department of Gastroenterology, Mersin University, School of Medicine, Mersin, Turkiye
| | - Mesut Akarsu
- Department of Gastroenterology, Dokuz Eylul, School of Medicine, Izmir, Turkiye
| | - Dinc Dincer
- Department of Gastroenterology, Akdeniz University, School of Medicine, Antalya, Turkiye
| | - Fatih Guzelbulut
- Departments of Gastroenterology and Pathology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkiye
| | - Fulya Gunsar
- Department of Gastroenterology, Ege University, School of Medicine, Izmir, Turkiye
| | - Ulus Salih Akarca
- Department of Gastroenterology, Ege University, School of Medicine, Izmir, Turkiye
| | - Ramazan Idilman
- Department of Gastroenterology, Ankara University, School of Medicine, Ankara, Turkiye
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Kefeli A, Tutkaoğlu S, Coşkun US. Risk of hepatitis B virus reactivation during immunosuppressive treatment. Eur Rev Med Pharmacol Sci 2023; 27:2823-2831. [PMID: 37070882 DOI: 10.26355/eurrev_202304_31913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
Abstract
OBJECTIVE In this study, we aimed to rate Hepatitis B Virus (HBV) reactivation, risk factors for reactivation and compare the efficacy of prophylactic antiviral therapy in patients who initiated immunosuppressive therapy. PATIENTS AND METHODS A total of 177 patients with Chronic Hepatitis B or resolved HBV infection who had received immunosuppressive treatment were analyzed in this retrospective study. Demographic features, relevant liver tests, prophylactic treatment type, duration of treatment, transaminase levels and HBV serology and clinical conditions were recorded from all patients who received prophylactic treatment. RESULTS Eleven reactivation occurred in all groups. The mean age of patients who developed reactivation was statistically significantly lower (p=0.049). Three (27.3%) of the patients were male and 8 (72.7%) were female (p=0.66). Eight (36.36%) of 22 HB surface antigen (HBsAg) positive patients developed reactivation, 3 (155%) of 155 HBsAg negative patients developed reactivation. HBsAg positivity was determined as a risk factor for reactivation (p<0.001). There was no significant difference neither in reactivation, nor in the type of antiviral treatment (p=0.2) according to anti-HBs serology (p=0.366). CONCLUSIONS As a result, early age, baseline HBsAg positivity, moderate risk group, baseline HBV DNA positivity were associated with reactivation. Gender, immunosuppressive therapy type, preemptive antiviral therapy type, and anti-HBs titers were not associated with reactivation.
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Affiliation(s)
- A Kefeli
- Department of Gastroenterology, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat Gaziosmanpasa, Tokat, Turkey.
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Celikyay F, Yuksekkaya R, Yuksekkaya M, Kefeli A. Color Doppler Ultrasound Assessment of Clinical Activity in Inflammatory Bowel Disease. Curr Med Imaging 2020; 17:741-750. [PMID: 33371856 DOI: 10.2174/0929867328666201228124621] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 10/03/2020] [Accepted: 10/14/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND Ulcerative colitis (UC) and Crohn's disease (CD) are two varieties of inflammatory bowel disease (IBD). Clinicians need a monitoring technique in the IBD. The disease activity can be assessed with endoscopy, activity indexes, and imaging techniques. Color Doppler US (CDUS) is also a non-invasive, radiation, and contrast material free examination which shows the intramural blood flow. OBJECTIVE To evaluate the usefulness of B-mode, CDUS, and a newly developed software Color Quantification (CQ) to determine the activity of the IBD. METHODS The disease activity was assessed by clinical activity indexes. Caecum, terminal ileum, ascending colon, transverse colon, and descending colon were evaluated by B-mode, CDUS, and the CQ. Bowel wall thickness (BWT), loss of bowel stratification, loss of haustration, and the presence of enlarged lymph nodes, mesenteric masses, abscesses, fistula, visual vascular signal patterns of the bowel as "hypo and hyper-flow" and the CQ values were investigated. BWT was compared with laboratory results and clinical activities. Vascular signal patterns and the CQ values were compared with BWT and clinical activity. The diagnostic performances of the CQ were investigated. RESULTS Fifty-two patients with IBD were evaluated. Patients with increased BWT at the transverse colon had an increased frequency of "hyper-flow" pattern. Clinically active patients had an increased incidence of "hyper-flow" pattern at the terminal ileum, ascending colon, and whole segments. They had increased CQ values at the terminal ileum, ascending colon, and descending colon, and whole segments. A cut-off value for the CQ (24.7%) was obtained at the terminal ileum. In the diagnostic performances of CQ, we observed utilities significantly at the ascending colon, descending colon, terminal ileum, and whole segments. There was a positive correlation between the CQ values and BWT at the caecum, ascending colon, transverse colon, and descending colon. CONCLUSION Increased visual vascular signal scores and CQ values might be useful for monitoring the disease activity in patients with IBD.
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Affiliation(s)
- F Celikyay
- Department of Radiology, Gaziosmanpasa University School of Medicine, Gaziosmanpasa University, Tokat, Turkey
| | - R Yuksekkaya
- Department of Radiology, Gaziosmanpasa University School of Medicine, Gaziosmanpasa University, Tokat, Turkey
| | - M Yuksekkaya
- Department of Biomedical Engineering, Faculty of Engineering, Baskent University, Ankara, Turkey
| | - A Kefeli
- Department of Gastroentereology, Gaziosmanpasa University School of Medicine, Gaziosmanpasa University, Tokat, Turkey
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Akgul G, Ozgur Yeniova A, Ozsoy Z, Yenidogan E, Kefeli A, Dasıran MF, Daldal E, Akbas A, Okan İ. Effect and Tolerability of Same-Day Repeat Colonoscopy. J INVEST SURG 2018; 33:459-465. [PMID: 30380338 DOI: 10.1080/08941939.2018.1513611] [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: 10/28/2022]
Abstract
Purpose/Aim of the study: The main purpose of the colonoscopy is screening for colorectal cancers and diagnosis of colorectal disease The cost-effectiveness of colonoscopy directly depend on the adequate bowel preparation. Inadequate colonoscopy is recommended to be re-scheduled within 1 year. Re-scheduling is an economic and patient burden. Thus instead of re-scheduling, another strategy may be attempted. The purpose of this study was to examine the usefulness and effect of the same day repeat colonoscopy after administration of an additional laxative dose. Materials and Methods: Patients with inadequate colonoscopy were enrolled in the study. The patients eligible for the enrollment were instructed to consume an additional laxative and scheduled in afternoon. The demographic data of the patient, the details of the index and repeat procedures were obtained by a questionnaire. Results: A total of 60 patients were enrolled in the study. The rate of adequate colonoscopy was 80%. Cecum intubation rate was 83.3%. There were no complications due to colonoscopy itself and additional laxatives. The polyp detection rate was 26.6%. The withdrawal time was 6.7 ± 1.34 min. Conclusion: The results of the present study showed that same day repeat colonoscopy with additional laxative dose can be a safe and effective method for repeat procedure of an inadequate colonoscopy. The patients tolerated and were satisfied with the same day protocol. Quality indicators of colonoscopy such as adenoma detection rate and cecum intubation rate were achieved. Same day bowel cleansing method may be considered as an alternative way rather than re-scheduling inadequate colonoscopy for a later time.
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Affiliation(s)
- Giray Akgul
- Department of General Surgery, Faculty of Medicine, Mersin University, Mersin, Turkey
| | - Abdullah Ozgur Yeniova
- Department of Internal Medicine and Gastroenterology, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey
| | - Zeki Ozsoy
- Department of General Surgery, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey
| | - Erdinc Yenidogan
- Department of General Surgery, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey
| | - Ayse Kefeli
- Department of Internal Medicine and Gastroenterology, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey
| | - Mehmet Fatih Dasıran
- Department of General Surgery, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey
| | - Emin Daldal
- Department of General Surgery, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey
| | - Ahmet Akbas
- Department of General Surgery, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey
| | - İsmail Okan
- Department of General Surgery, Faculty of Medicine, Gaziosmanpaşa University, Tokat, Turkey
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Yeniova AO, Uzman M, Kefeli A, Basyigit S, Ata N, Dal K, Guresci S, Nazligul Y. Serum 8 Hydroxydeoxyguanosine and Cytotoxin Associated Gene A as Markers for Helicobacter pylori Infection. Asian Pac J Cancer Prev 2016. [PMID: 26225653 DOI: 10.7314/apjcp.2015.16.13.5199] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND Helicobacter pylori (H.pylori) is associated with chronic gastritis, peptic ulcers, gastric adenocarcinomas and mucosa associated tissue lymphomas. Cytotoxin associated gene A (CagA) is one of the virulence factors of H.pylori. It is hypothesized that reactive oxygen species (ROS) play roles in H.pylori associated disease especially in development of gastric adenocarcinoma. Individuals infected with H.pylori bearing CagA produce more ROS than others. 8-hydroxydeoxyguanosine (8OHdG) is an in vitro marker of DNA damage and oxidative stress. The aim of this study was to investigate the relationship between 8OHdG level, H.pylori infection and CagA and alterations of serum 8OHdG level after H.pylori eradication. MATERIALS AND METHODS Patients admitted with dyspeptic complaints and upper gastrointestinal endoscopy were assessed. H.pylori was determined from histopathology of specimens. Serum 8OHdG levels of three groups (H.pylori negative, H. pylori positive CagA negative and H.pylori positive CagA positive) were compared. Patients with H.pylori infection received eradication therapy. Serum 8OHdG levels pretreatment and posttreatment were also compared. RESULTS In total, 129 patients (M/F, 57/72) were enrolled in the study. Serum 8OHdG level of H.pylori negative, H. pylori positive CagA negative and H.pylori positive CagA positive groups were significantly different (5.77±1.35 ng/ml, 5.43±1.14 ng/ml and 7.57±1.25 ng/ml respectively, p=0.05). Furthermore, eradication therapy reduced serum 8OHdG level (6.10±1.54 ng/ml vs 5.55±1.23 ng/ml, p=0.05). CONCLUSIONS Individuals infected with H.pylori bearing CagA strains have the highest serum 8OHdG level and eradication therapy decreases the serum 8OHdG level. To the best of our knowledge this is the first study that evaluated the effect of CagA virulence factor on serum 8OHdG level and the effect of eradication therapy on serum 8OHdG levels together. Eradication of CagA bearing H.pylori may prevent gastric adenocarcinoma by decreasing ROS. 8OHdG level may thus be a good marker for prevention from gastric adenocarcinoma.
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Sapmaz F, Uzman M, Basyigit S, Ozkan S, Yavuz B, Yeniova A, Kefeli A, Asilturk Z, Nazligül Y. Steatosis Grade is the Most Important Risk Factor for Development of Endothelial Dysfunction in NAFLD. Medicine (Baltimore) 2016; 95:e3280. [PMID: 27057890 PMCID: PMC4998806 DOI: 10.1097/md.0000000000003280] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
It is shown that there are strong associations between nonalcoholic fatty liver disease (NAFLD) and endothelial dysfunction. The aim of our study was to reveal whether steatosis or fibrosis score is more important in the development of endothelial dysfunction in patients with NAFLD in a prospective manner.This cross-sectional study included 266 subjects. These subjects were divided into 2 groups depending on presence of hepatosteatosis sonographically. Patients with hepatosteatosis were also divided into 3 subgroups depending on degree of steatosis: grade 1, 2, and 3. In all patients, Aspartate aminotransferase-to-Platelet Ratio Index and Fibrosis-4 (FIB4) scores were calculated. In addition, flow-mediated dilatation (FMD) measurements were recorded.There was NAFLD in 176 (66.2%) of 266 patients included. There were no significant differences in sex and age distributions between patients with NAFLD (group 1) and controls without NAFLD (group 2) (P = 0.05). Mean Aspartate aminotransferase-to-Platelet Ratio Index score was significantly higher in group 1 compared with the control group (P = 0.001), whereas no significant difference was detected regarding FIB4 scores between groups (P = 0.4). Mean FMD value was found to be significantly lower in group 1 (P = 0.008). Patients with grade 3 hepatosteatosis had significantly lower FMD values than those with grade 1 steatosis and controls (P = 0.001). In univariate and multivariate analyses in group 1, no significant difference was detected regarding mean FMD measurements (P = 0.03). Again, no significant difference was detected in mean FMD measurement between FIB4 subgroups among patients with NAFLD and the whole study group (P = 0.09).The endothelial dysfunction is associated with steatosis in patients with NAFLD.
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Affiliation(s)
- Ferdane Sapmaz
- From the Keçiören Education and Training Hospital (FS, MU, SB, AY, AK, ZA, YN), Gastroenterology Department; and Keçiören Education and Training Hospital (SO, BY), Cardiology Department, Ankara, Turkey
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Basyigit S, Sapmaz F, Kefeli A. Contribution on the topic of hypovitaminosis D in chronic hepatitis C. Ann Hepatol 2016; 15:137-8. [PMID: 26626652 DOI: 10.5604/16652681.1184295] [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: 02/04/2023]
Affiliation(s)
- Sebahat Basyigit
- Department of Gastroenterology, Artvin State Hospital, Artvin, Turkey
| | - Ferdane Sapmaz
- Department of Gastroenterology, Kecioren Research and Training Hospital, Ankara, Turkey
| | - Ayse Kefeli
- Department of Gastroenterology, Siirt State Hospital, Siirt, Turkey
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Kefeli A, Aktürk A, Yeniova AO, Basyigit S. Ciprofloxacin induced pancreatitis : Has this condition been overlooked? Acta Gastroenterol Belg 2016; 79:65-66. [PMID: 26852770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
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Kefeli A, Basyigit S, Yeniova AO, Kefeli TT, Aslan M, Tanas O. Comparison of three different regimens against Helicobacter pylori as a first-line treatment: A randomized clinical trial. Bosn J Basic Med Sci 2016; 16:52-7. [PMID: 26773183 PMCID: PMC4765940 DOI: 10.17305/bjbms.2016.660] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Revised: 10/20/2015] [Accepted: 10/21/2015] [Indexed: 02/07/2023] Open
Abstract
Treatments with bismuth-containing quadruple therapy (QT), sequential therapy (ST), or concomitant therapy (CT) have been proposed as empirical first-line regimens for Helicobacter pylori. We compared the efficacy and tolerability of 10 days bismuth-containing quadruple QT, 10 days ST, and 10 days CT with as first-line treatments for H. pylori in a randomized crossover study. The subjects were randomly divided into three groups. The first 130 patients were treated with rabeprazole, bismuth potassium citrate, metronidazole, and tetracycline for 10 days. The second 130 patients in the sequential group were treated with rabeprazole and amoxicillin for 5 days, and then rabeprazole, clarithromycin, and metronidazole for an additional 5 days. The last 130 patients in the concomitant group were treated with rabeprazole, amoxicillin, clarithromycin, and metronidazole for 10 days. H. pylori eradication was confirmed by urea breath test at 6 weeks. The primary outcome was eradication rates of first-line treatment by intention to treat and per protocol (PP) analyzes. There was no difference between the average ages and the male/female ratio of the groups. The PP analysis was performed on 121, 119, and 118 patients in the QT, ST, and CT groups, respectively. In the PP analysis, the successful eradication 94.2% (114/121), 95.0% (113/119), and 95.8% (113/118) the QT, ST, and CT groups, respectively. There was no significant difference among the three groups (p = 0.86). 10 days QT, ST, and CT are highly effective as empirical first-line therapies for H. pylori in the region with high clarithromycin resistance.
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Affiliation(s)
- Ayse Kefeli
- Siirt State Hospital, Department of Gastroenterology.
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Basyigit S, Kefeli A, Sapmaz F, Yeniova AO, Asilturk Z, Hokkaomeroglu M, Uzman M, Nazligul Y. The impact of bismuth addition to sequential treatment on Helicobacter pylori eradication: A pilot study. Bosn J Basic Med Sci 2015; 15:50-4. [PMID: 26614852 DOI: 10.17305/bjbms.2015.573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2015] [Revised: 07/14/2015] [Accepted: 07/15/2015] [Indexed: 11/16/2022] Open
Abstract
The success of the current anti-Helicobacter pylori (H. pylori) treatment protocols is reported to decrease by years, and research is needed to strengthen the H. pylori eradication treatment. Sequential treatment (ST), one of the treatment modalities for H. pylori eradication, includes amoxicillin 1 gr b.i.d and proton pump inhibitor b.i.d for first 5 days and then includes clarithromycin 500 mg b.i.d, metronidazole 500 mg b.i.d and a proton pump inhibitor b.i.d for remaining 5 days. In this study, we investigated efficacy and tolerability of bismuth addition in to ST. We included patients that underwent upper gastrointestinal endoscopy in which H. pylori infection was diagnosed by histological examination of antral and corporal gastric mucosa biopsy. Participants were randomly administered ST or bismuth containing ST (BST) protocols for the first-line H. pylori eradication therapy. Participants have been tested by urea breath test for eradication success 6 weeks after the completion of treatment. One hundred and fifty patients (93 female, 57 male) were enrolled. There were no significant differences in eradication rates for both intention to treat population (70.2%, 95% confidence interval [CI]: 66.3-74.1% vs. 71.8%, 95% CI: 61.8-81.7%, for ST and BST, respectively, p>0.05) and per protocol population (74.6%, 95% CI: 63.2-85.8% vs. 73.7%, 95% CI: 63.9-83.5% for ST and BST, respectively, p>0.05). Despite the undeniable effect of bismuth, there may be several possible reasons of unsatisfactory eradication success. Drug administration time, coadministration of other drugs, possible H. pylori resistance to bismuth may affect the eradication success. The addition of bismuth subcitrate to ST regimen does not provide significant increase in eradication rates.
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Affiliation(s)
- Sebahat Basyigit
- Kecioren Research and Training Hospital, Department of Gastroenterology, Ankara, Turkey.
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Basyigit S, Uzman M, Kefeli A, Sapmaz FP, Yeniova AO, Nazligul Y, Asiltürk Z. Absence of non-alcoholic fatty liver disease in the presence of insulin resistance is a strong predictor for colorectal carcinoma. Int J Clin Exp Med 2015; 8:18601-18610. [PMID: 26770473 PMCID: PMC4694373] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2015] [Accepted: 10/03/2015] [Indexed: 06/05/2023]
Abstract
BACKGROUND Colorectal carcinoma (CRC) and non-alcoholic fatty liver disease (NAFLD) share common risk factors. Insulin resistance (IR) has an important role in both diseases. It has been speculated that the prevalence of colorectal neoplasms might be increased in patients with NAFLD. However, It is unclear whether NAFLD is an actual risk factor or any association is incidental coexistance due to the role of IR in both disease. We aimed to assess the risk for CRC in patients with NAFLD in relation to IR. METHOD This study was designed prospectively and cross-sectionally. We determined NAFLD by ultrasonography and measured IR by the homeostatic model of assessment-insulin resistance model. RESULTS The prevalences of CRC and adenoma were shown to be significantly higher in patients with IR (respectively; P: 0.005, P: 0.008). But prevalence of CRC was found to be significantly lower in subjects with NAFLD (P: 0.001). On multivariate logistic regression analysis, the risks of colorectal adenoma and carcinoma were significantly associated with the presence of IR (respectively; OR: 2.338, 95% CI: 1.080-4.993, P: 0.003 and : 5.023, 95% CI: 1.789-9.789, P: 0.001). The risk for CRC was significantly associated with the absence of NAFLD (OR: 7.380, 95% CI: 3.069-7.961, P: 0.010). The absence of NAFLD in the presence of IR was associated with significantly high risk for CRC (OR: 5.218, 95% CI: 1.538-7.448, P: 0.017). CONCLUSION The risk of CRC can increased in subjects with IR but without NAFLD. The absence of NAFLD in the presence of IR may predict the CRC.
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Affiliation(s)
- Sebahat Basyigit
- Department of Gastroenterology, Kecioren Research and Training HospitalAnkara, Turkey
| | - Metin Uzman
- Department of Gastroenterology, Kecioren Research and Training HospitalAnkara, Turkey
| | - Ayse Kefeli
- Department of Gastroenterology, Siirt State HospitalSiirt, Turkey
| | | | - Abdullah Ozgür Yeniova
- Department of Gastroenterology, Gaziosmanpasa Universtiy, Faculty of MedicineTokat, Turkey
| | - Yasar Nazligul
- Department of Gastroenterology, Kecioren Research and Training HospitalAnkara, Turkey
| | - Zeliha Asiltürk
- Department of Internal Medicine, Kecioren Research and Training HospitalAnkara, Turkey
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Basyigit S, Ozkan S, Uzman M, Ertugrul DT, Kefeli A, Aktas B, Yeniova AO, Asilturk Z, Nazligul Y, Simsek H, Simsek G, Ayturk M, Yavuz B. Should screening for colorectal neoplasm be recommended in patients at high risk for coronary heart disease: a cross-sectional study. Medicine (Baltimore) 2015; 94:e793. [PMID: 25997050 PMCID: PMC4602862 DOI: 10.1097/md.0000000000000793] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
Colorectal neoplasm (CRN) and coronary heart disease (CHD) share common risk factors. We aimed to assess the risk for CRN in patients who are at high risk for developing CHD determined by measurements, which are independent from the risk factors for CRN.This study was conducted on individuals who underwent total colonoscopic examination and were without history of CHD. Two-hundred thirty-five subjects (82 with CRN and 153 with normal colonoscopic findings) participated in the study. Colorectal carcinoma (CRC) was defined as the presence of adenocarcinoma. We measured carotid intima media thickness (CIMT), flow-mediated dilation (FMD), and calculated Framingham risk score (FRS) for all participants. An increased CIMT (≥1.0 mm), a decreased FMD (<10%), and a high FRS (>20%) were defined as high risks for developing CHD. The risk and the prevalence of CRN were analyzed in relation to the risk for developing CHD.The ratio of the patients with overall-CRN and CRC was significantly higher in individuals who are at high risk for developing CHD compared with individuals who are at low risk for developing CHD by each 3 risk estimation method (P < 0.05 for all). An increased CIMT, a decreased FMD, and a high FRS score were significantly associated with the high risk for the presence of CRC (odds ratio [OR]: 6.018, OR: 3.699, and OR: 4.120, respectively). An increased CIMT, a decreased FMD, and an intermediate FRS were significantly associated with the risk for the presence of overall-CRN (OR: 3.607, OR: 1.866 and OR: 2.889, respectively).The risk for CRN increases as the risk for developing CHD increases. It can be suggested that screening for CRN can be recommended for individuals who are at high risk for developing CHD.
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Affiliation(s)
- Sebahat Basyigit
- From the Department of Gastroenterology (SB, MU, BA, YN); Department of Cardiology (SO); Department of Endocrinology, Kecioren Research and Training Hospital, Ankara (DTE); Department of Gastroenterology, Siirt State Hospital, Siirt (AK); Department of Gastroenterology, Sinop State Hospital, Sinop (AOY); Department of Internal Medicine (ZA); Department of Pathology (HS, GS); and Kecioren Research and Training Hospital, Department of Gastroenterology, Ankara, 06380, Turkey (MA, BY)
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Kefeli A, Basyigit S, Ozgur Yeniova A, Nazligul Y. Complicated Hydatid Cyst: Ultrasonographic Illusion and Endoscopic Diagnosis. Euroasian J Hepatogastroenterol 2015; 5:65-66. [PMID: 29201693 PMCID: PMC5578527 DOI: 10.5005/jp-journals-10018-1136] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2014] [Accepted: 08/08/2014] [Indexed: 11/25/2022] Open
Abstract
Liver cyst hydatic (LCH) is an important parasitic disease caused by Echinococcus spp. Rupture of the biliary tract is an important and serious complication. It is often diagnosed on a suspicious clinical findings by radiologic imaging procedures. But, complicated hydatid cyst disease can show different radiological images, as they can simulate any disease. Here, we reported a case which diagnosed cholangiocellular carcinoma in primary diagnosis by ultrasonographic evaluation but diagnosed hydatid cyst in endoscopy evaluation. A 30-year-old female patient was admitted to the hospital with 1 year continuous severe abdominal pain aggravated for 1 month.
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Affiliation(s)
- Ayse Kefeli
- Department of Gastroenterology, Siirt State Hospital, Siirt, Turkey
| | - Sebahat Basyigit
- Department of Gastroenterology, Kecioren Research and Training Hospital, Ankara, Turkey
| | | | - Yasar Nazligul
- Department of Gastroenterology, Kecioren Egitim Ve Arastirma Hastanesi, Ankara, Turkey
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Basyigit S, Yilmaz B, Aktas B, Kefeli A. Early detection of Klatskin tumor through the hepaticoduodenostomy. Acta Gastroenterol Belg 2014; 77:438. [PMID: 25682637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Aktas E, Uzman M, Yildirim O, Sahin B, Buyukcam F, Aktas B, Yilmaz B, Yildirim AM, Basyigit S, Yeniova O, Kefeli A, Aribas BK. Assessment of hepatic steatosis on contrast enhanced computed tomography in patients with colorectal cancer. Int J Clin Exp Med 2014; 7:4342-6. [PMID: 25550952 PMCID: PMC4276210] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2014] [Accepted: 10/23/2014] [Indexed: 06/04/2023]
Abstract
AIMS Non-alcoholic fatty liver disease is often seen in patients with colorectal cancer. Insulin resistance and metabolic syndrome are related to increased risk of colorectal cancer. The aim of this study was to quantitatively determine the relationship between non-alcoholic fatty liver disease and colorectal cancer with the examination of routine abdominopelvic computed tomography images taken for staging. METHODS A retrospective evaluation was made of the colonoscopy and histopathology reports of 1630 patients who presented for a scanning or diagnostic colonoscopy examination. Colorectal cancer was determined histopathologically in 129 cases. Colorectal cancer patients with distant metastasis or additional malignancies were excluded from the study. A total of 105 patients met the criteria and were included in the study. A control group was formed of 94 patients with no history of cancer. The liver density on abdominopelvic computed tomography and serum transaminase values were recorded for the patients and compared with those of the control group. RESULTS The groups were similar in respect of age, gender and aspartate aminotransferase levels. Although not statistically significant, the alanine aminotransferase levels of the patient group were high compared to the control group. The liver density on computed tomography was statistically significantly lower in the patient group than in the control group. CONCLUSION The liver density measurement on contrast abdominopelvic computed tomography of colorectal cancer patients was low, which is consistent with non-alcoholic fatty liver disease.
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Affiliation(s)
- Elif Aktas
- Department of Radiology, Abdurrahman Yurtaslan Ankara Oncology Education and Research HospitalTurkey
| | - Metin Uzman
- Department of Gastroenterology, Keçiören Education and Research HospitalTurkey
| | - Okan Yildirim
- Department of Radiology, Keçiören Education and Research HospitalTurkey
| | - Burcu Sahin
- Department of Radiology, Abdurrahman Yurtaslan Ankara Oncology Education and Research HospitalTurkey
| | - Fatih Buyukcam
- Department of Emergency, Yıldırım Beyazıd Dışkapı Education and Research HospitalTurkey
| | - Bora Aktas
- Department of Gastroenterology, Keçiören Education and Research HospitalTurkey
| | - Baris Yilmaz
- Department of Gastroenterology, Osmaniye State HospitalTurkey
| | | | - Sebahat Basyigit
- Department of Gastroenterology, Keçiören Education and Research HospitalTurkey
| | - Ozgur Yeniova
- Department of Gastroenterology, Keçiören Education and Research HospitalTurkey
| | - Ayse Kefeli
- Department of Gastroenterology, Keçiören Education and Research HospitalTurkey
| | - Bilgin Kadri Aribas
- Department of Radiology, Abdurrahman Yurtaslan Ankara Oncology Education and Research HospitalTurkey
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Kefeli A, Basyigit S, Özgür Yeniova A, Küçükazman M, Nazligül Y, Aktas B. Platelet Number and Indexes during Acute Pancreatitis. Euroasian J Hepatogastroenterol 2014; 4:67-69. [PMID: 29699350 PMCID: PMC5913898 DOI: 10.5005/ip-journals-10018-1104] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2014] [Accepted: 07/15/2014] [Indexed: 01/22/2023] Open
Abstract
Aim Acute pancreatitis (AP) is an inflammatory disorder, the incidence of which has been increasing over recent years. Mean platelet volume (MPV) is an index of platelet activation and influenced by inflammation. The objective of the present study is to assess whether MPV would be convenient parameters for predictor factor of patients with AP. Materials and methods A total of 140 AP patients (male/female: 63/77) and 70 healthy subjects (male/female: 23/47) were enrolled in this study. The following data were extracted from the hospital medical records, including age, sex, platelet count, MPV, were recorded at the time of admission and as well as at the 1st day of remission of the disease. Results Mean platelet volume levels at onset and remission of AP were 7.8 ± 1.6 and 7.7 ± 0.9 respectively, and there was no statistically significant difference between these groups. Platelet count at onset and remission of AP and control subjects was 203 ± 74 × 103/μl, 234 ± 76 × 103/μl and 251 ± 87 × 103/μl, respectively, and there was statistically significant difference between these groups. Platelet count at onset and remission of AP was statistically lower than control subjects. Conclusion Some studies in literature suggest that MPV might be a useful parameter to be used as an indicator for AP and a prognostic factor for AP, but, in this study, it was revealed that MPV values do not change at AP compared with controls. Therefore, further prospective studies investigating the factors affecting the platelet size are required to determine whether MPV has a clinical implication and for predictor value of patients with AP. How to cite this article: Kefeli A, Basyigit S, Yeniova AÖ, Küçükazman M, Nazligul Y, Aktas B. Platelet Number and Indexes during Acute Pancreatitis. Euroasian J Hepato-Gastroenterol 2014;4(2):67-69.
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Affiliation(s)
- Ayse Kefeli
- Department of Gastroenterology, Kegibren Education and Research Hospital, Ankara, Turkey
| | - Sebahat Basyigit
- Department of Gastroenterology, Kegibren Education and Research Hospital, Ankara, Turkey
| | | | - Metin Küçükazman
- Department of Gastroenterology, Kegibren Education and Research Hospital, Ankara, Turkey
| | - Yasar Nazligül
- Department of Gastroenterology, Kegibren Education and Research Hospital, Ankara, Turkey
| | - Bora Aktas
- Department of Gastroenterology, Kegibren Education and Research Hospital, Ankara, Turkey
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Aktas B, Küçükazman M, Kefeli A, Basyigit S, Özgür Yeniova A, Nazligül Y. Platelet Number and Indexes during Acute Pancreatitis. Euroasian J Hepatogastroenterol 2014. [DOI: 10.5005/jp-journals-10018-1104] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Kefeli A, Basyigit S, Yeniova AO, Nazligul Y, Kucukazman M, Aktas B. General Properties of Colon Polyps in Central Anatolia. Euroasian J Hepatogastroenterol 2014; 4:7-10. [PMID: 29264311 PMCID: PMC5736948 DOI: 10.5005/jp-journals-10018-1088] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2013] [Accepted: 02/17/2014] [Indexed: 11/23/2022] Open
Abstract
Aim Polyp is called formations protruding into the lumen in the gastrointestinal tract. In this study, we aimed to determine frequency, anatomic distribution within the large bowel and pathologic types of colon polyps based on the colonoscopy results. Materials and methods The colonoscopy reports between 2010 and 2011 were analyzed retrospectively. Complaint of the patients on admission, the presence of polyps, anatomic distribution of polyps, polyp type and polyp size were evaluated. Result A total of 4000 colonoscopy reports were examined. The largest proportion of polyps occurred in the left colon (74.4%), followed by the ascending colon (11.5%). Eighty-five were adenomatous polyps, 71 were hyperplastic polyps, 12 were inflammatory polyps, 12 were serrated adenoma, 3 were adenocarcinoma, and 8 were tubulovillous adenomas. Discussion In light of like this study, the development of screening and follow-up programs in Turkey will be useful to reduce the incidence and mortality of colorectal cancer. How to cite this article: Kefeli A, Basyigit S, Yeniova AO, Nazligul Y, Kucukazman M, Aktas B. General Properties of Colon Polyps in Central Anatolia. Euroasian J Hepato-Gastroenterol 2014;4(1):7-10.
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Affiliation(s)
- Ayse Kefeli
- Department of Gastroenterology, Kecib'ren Education and Research Hospital, Turkey
| | - Sebahat Basyigit
- Department of Gastroenterology, Kecib'ren Education and Research Hospital, Turkey
| | | | - Yasar Nazligul
- Department of Gastroenterology, Kecib'ren Education and Research Hospital, Turkey
| | - Metin Kucukazman
- Department of Gastroenterology, Kecib'ren Education and Research Hospital, Turkey
| | - Bora Aktas
- Department of Gastroenterology, Kecib'ren Education and Research Hospital, Turkey
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Basyigit S, Aktas B, Küçükazman M, Demirkaynak Simsek H, Güler Simsek G, Kefeli A, Özgür Yeniova A, Nazligül Y. Early Gastric Cancer: A Demonstrative Case Report. Euroasian J Hepatogastroenterol 2014; 4:61. [PMID: 29264322 PMCID: PMC5736959 DOI: 10.5005/jp-journals-10018-1099] [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] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2014] [Accepted: 02/18/2014] [Indexed: 12/03/2022] Open
Abstract
With early detection of gastric cancer, mortality from gastric cancer has decreased. Endoscopists should be more suspicious about these lesions because these can be easily neglected. We reported a case which has endoscopic appearance of benign lesion but possessed malignant histological features. How to cite this article: Basyigit S, Aktas B, Küçükazman M, Simsek HD, Simsek GG, Kefeli A, Yeniova AÖ, Nazligul Y. Early Gastric Cancer: A Demonstrative Case Report. Euroasian J Hepato-Gastroenterol 2014;4(1):61.
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Affiliation(s)
- Sebahat Basyigit
- Department of Gastroenterology, Kecioren Research and Training Hospital, Ankara, Turkey
| | - Bora Aktas
- Department of Gastroenterology, Kecioren Research and Training Hospital, Ankara, Turkey
| | - Metin Küçükazman
- Department of Gastroenterology, Kecioren Research and Training Hospital, Ankara, Turkey
| | | | - Gulçin Güler Simsek
- Department of Pathology, Kecioren Research and Training Hospital, Ankara, Turkey
| | - Ayse Kefeli
- Department of Gastroenterology, Kecioren Research and Training Hospital, Ankara, Turkey
| | | | - Yasar Nazligül
- Department of Gastroenterology, Kecioren Research and Training Hospital, Ankara, Turkey
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Basyigit, S, Küçükazman M, Kefeli A, Özgür Yeniova A, Nazligül Y. Duodenal Diverticular Bleeding Stopped Spontaneously: Case Report and a Brief Review of Literature. Euroasian J Hepatogastroenterol 2012. [DOI: 10.5005/jp-journals-10018-1032] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Küçükazman M, Kefeli A, Basyigit S, Özgür Yeniova A, Nazligül Y, Halil Akkus I, Tezer A, Guresci S. Efficacy of Bismuth-Containing Quadruple Therapy as First-line Treatment for Helicobacter pylori Infection. Euroasian J Hepatogastroenterol 2012. [DOI: 10.5005/jp-journals-10018-1041] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
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Igdem S, Abacioglu MU, Alço G, Ibrahimov R, Kefeli A, Çetin I, Turkan S, Okkan S. Postoperative radiotherapy for prostate cancer: Sooner or later? J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.e16157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e16157 Background: To report our experience with adjuvant or salvage radiotherapy for prostate cancer and to assess the tolerance of the patients. Methods: The charts of 139 men who received postoperative radiotherapy (RT) after radical prostatectomy (RP) between 1997–2007 in two institutions were retrospectively analyzed. Thirty-seven percent received adjuvant RT and 63% salvage RT. The median age was 65 years (range: 43–80). Pathologic Gleason score was 2–6 in 24%, 7 in 56%, and 8–10 in 20%. Seminal vesicle involvement was reported in 34%, positive surgical margins in 72%, lymph node involvement in 7%, capsular perforation in 61%, and perineural invasion in 73% of the patients. The median PSA level before RT was 0.29ng/ml (range: 0–19ng/mL). Median time from RP to RT was 3 months (range, 1–12 months) in the adjuvant setting, and 27 months (range, 2–96 months) in the salvage setting. Nineteen percent received radiation to the pelvis, 81% to the prostate bed only. The median dose to the prostatic bed was 66.6Gy (range: 60–76Gy). Before, during or after RT 49% received androgen deprivation for a median of 6 months (range, 3–48 months). Biochemical failure is defined as a post-RT PSA level >0.2ng/mL. Results: The median follow up time was 41 months (range, 12–133 months). At 4 years, for the entire cohort biochemical control, metastasis free survival, and overall survival was 68%, 92%, and 94%, respectively. Although there was a significant difference in favor of the adjuvantly treated group for biochemical control (81% vs 60%, p = 0.03) in univariate analysis, multivariate analysis demonstrated that higher preoperative PSA level (p = 0.02), and lymph node involvement (p = 0.02) predicted for a worse PSA outcome. No grade 3 acute gastrointestinal (GI) or genitourinary (GU) toxicity was reported during the treatment. At 4 years, 4% of patients had Grade 2 late GI toxicity, 0.7% had grade 3 late GI, and 0.7% brade 4 late GI toxicity, while 16% of patients reported late grade 2 GU, and 4% had late grade 3 GU toxicity. Conclusions: Our results suggest that adjuvant RT may offer a better biochemical outcome in patients who underwent radical prostatectomy for prostate cancer. Overall, the number of high grade toxicities for postoperative RT was low. Therefore it can safely be used in appropriate setting. No significant financial relationships to disclose.
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Affiliation(s)
- S. Igdem
- Istanbul Bilim University, istanbul, Turkey; Marmara University Hospitals, Istanbul, Turkey; Florence Nightingale Gayrettepe Hospital, Istanbul, Turkey
| | - M. U. Abacioglu
- Istanbul Bilim University, istanbul, Turkey; Marmara University Hospitals, Istanbul, Turkey; Florence Nightingale Gayrettepe Hospital, Istanbul, Turkey
| | - G. Alço
- Istanbul Bilim University, istanbul, Turkey; Marmara University Hospitals, Istanbul, Turkey; Florence Nightingale Gayrettepe Hospital, Istanbul, Turkey
| | - R. Ibrahimov
- Istanbul Bilim University, istanbul, Turkey; Marmara University Hospitals, Istanbul, Turkey; Florence Nightingale Gayrettepe Hospital, Istanbul, Turkey
| | - A. Kefeli
- Istanbul Bilim University, istanbul, Turkey; Marmara University Hospitals, Istanbul, Turkey; Florence Nightingale Gayrettepe Hospital, Istanbul, Turkey
| | - I. Çetin
- Istanbul Bilim University, istanbul, Turkey; Marmara University Hospitals, Istanbul, Turkey; Florence Nightingale Gayrettepe Hospital, Istanbul, Turkey
| | - S. Turkan
- Istanbul Bilim University, istanbul, Turkey; Marmara University Hospitals, Istanbul, Turkey; Florence Nightingale Gayrettepe Hospital, Istanbul, Turkey
| | - S. Okkan
- Istanbul Bilim University, istanbul, Turkey; Marmara University Hospitals, Istanbul, Turkey; Florence Nightingale Gayrettepe Hospital, Istanbul, Turkey
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