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Öztürk NK, Çiçek B, Tekin T, Güntürk İ, Yazıcı C, Karaca Z, Sönmez M. Serum visfatin levels are positively correlated with dietary carbohydrate and polyunsaturated fatty acid intakes in type 2 diabetes mellitus patients. J Diabetes Complications 2023; 37:108550. [PMID: 37364350 DOI: 10.1016/j.jdiacomp.2023.108550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 05/23/2023] [Accepted: 06/14/2023] [Indexed: 06/28/2023]
Affiliation(s)
- Nurefşan Konyalıgil Öztürk
- Bolu Abant İzzet Baysal University, Faculty of Health Sciences, Department of Nutrition and Dietetics, Bolu, Turkey.
| | - Betül Çiçek
- Erciyes University, Faculty of Health Sciences, Department of Nutrition and Dietetics, Kayseri, Turkey.
| | - Tuba Tekin
- Sivas Cumhuriyet University, Faculty of Health Sciences, Department of Nutrition and Dietetics, Sivas, Turkey.
| | - İnayet Güntürk
- Niğde Ömer Halisdemir University, Faculty of Health Sciences, Department of Midwifery, Niğde, Turkey.
| | - Cevat Yazıcı
- Erciyes University, Faculty of Medicine, Department of Biochemistry and Clinical Biochemistry, Kayseri, Turkey.
| | - Züleyha Karaca
- Erciyes University, Faculty of Medicine, Department of Endocrinology & Metabolism, Kayseri, Turkey.
| | - Meltem Sönmez
- Erciyes University, Faculty of Medicine, Department of Biostatistics, Kayseri, Turkey.
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Tekin T, Çiçek B, Konyalıgil N, Güntürk İ, Yazıcı C, Karaca Z, Ünlüsavuran M. Increased hip circumference in individuals with metabolic syndrome affects serum nesfatin-1 levels. Postgrad Med J 2019; 96:600-605. [DOI: 10.1136/postgradmedj-2019-136887] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2019] [Revised: 10/15/2019] [Accepted: 12/09/2019] [Indexed: 12/24/2022]
Abstract
BackgroundThis case–control study was conducted to investigate the relationship between serum nesfatin-1 levels and nutritional status and blood parameters in patients diagnosed with metabolic syndrome.MethodsThirty patients (case) diagnosed with metabolic syndrome according to National Cholesterol Education Program-Adult Treatment Panel III criteria were included. Thirty healthy subjects (control) matched with patients with metabolic syndrome in terms of age, gender and body mass index were included. Three-day food consumption records were obtained. Anthropometric indices were measured and body composition was determined by bioelectrical impedance method. Biochemical parameters and serum nesfatin-1 levels were measured after 8 hours of fasting.ResultsSerum nesfatin-1 levels were 0.245±0.272 ng/mL in the case group and 0.528±0.987 ng/mL in the control group (p>0.05). There was a positive significant correlation between serum nesfatin-1 levels and body weight, waist and hip circumferences in the case group (p<0.05). Each unit increase in hip circumference measurement affects the levels of nesfatin by 0.014 times. In the control group, there was a positive significant correlation between body weight and serum nesfatin-1 levels (p<0.05). A significant correlation was detected between HbA1c and serum nesfatin-1 levels in the case group (p<0.05). A significant relationship was detected between dietary fibre intake and the serum nesfatin-1 levels in the case group (p<0.05).ConclusionsAnthropometric indices and blood parameters were correlated with serum nesfatin-1 levels in patients with metabolic syndrome. More clinical trials may be performed to establish the relationship between serum nesfatin-1 levels and nutritional status.
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Korkut S, Özdemir A, Yay AH, Yalçın B, Ceylan M, Korkmaz L, Yazıcı C, Güntürk İ, Kurtoğlu S. Obestatin Reduces Intestinal Damage in Experimental Necrotizing Enterocolitis in Newborn Rats. Am J Perinatol 2019; 36:1179-1187. [PMID: 30567000 DOI: 10.1055/s-0038-1676491] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
OBJECTIVE To investigate the effect of pretreatment with obestatin (OB), an endogenous hormone also found in mother's milk, in experimental necrotizing enterocolitis (NEC). STUDY DESIGN Pups were randomized into four groups: control, OB-control, NEC, and OB-NEC. NEC was induced by asphyxia and hypothermia in the NEC and OB-NEC groups. OB was administered to the OB-control and OB-NEC groups. Macroscopic scoring of the intestinal tract was evaluated and tissue samples were obtained for histopathological and biochemical examination on the fourth day. RESULTS OB improved the macroscopic appearance of the gut and the clinical score during the experiment (p < 0.05). The rate of occurrence of NEC in the OB-NEC group was lower than the NEC group (p = 0.001). OB prevented necrosis and reduced the number of apoptotic cells in the OB-NEC group compared with the NEC group (p = 0.006). Furthermore, interleukin-6 and malondialdehyde levels in the OB-NEC group were lower than the NEC group (p < 0.05). CONCLUSION OB reduced intestinal damage and prevented necrosis through anti-inflammatory and antiapoptotic effects in experimental NEC. This effect of OB should be confirmed in clinical studies. Furthermore, future research should investigate whether OB plays a role in NEC pathogenesis or NEC is associated with OB levels in the serum and in breast milk.
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Affiliation(s)
- Sabriye Korkut
- Department of Neonatology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Ahmet Özdemir
- Department of Neonatology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Arzu Hanım Yay
- Department of Histology and Embryology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Betül Yalçın
- Department of Histology and Embryology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Mahir Ceylan
- Department of Neonatology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Levent Korkmaz
- Department of Neonatology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Cevat Yazıcı
- Department of Biochemistry, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - İnayet Güntürk
- Department of Biochemistry, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Selim Kurtoğlu
- Department of Neonatology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
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Tutar N, Yetkin NA, Yazıcı C, Önal Ö, Kontaş O, Keleştemur F. Clinical significance of progastrin-releasing peptide, neuron-specific enolase, chromogranin a, and squamous cell cancer antigen in pulmonary neuroendocrine tumors. Turk J Med Sci 2019; 49:774-781. [PMID: 31091854 PMCID: PMC7018342 DOI: 10.3906/sag-1810-147] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Background/aim It is not always easy to diagnose pulmonary neuroendocrine tumors (PNETs). The aim of the present study is to make a differential diagnosis by studying the same markers in patients with non-small-cell lung carcinoma (NSCLC), patients with benign lung disease (chronic obstructive pulmonary disease and pneumonia), and healthy volunteers to determine the roles of these markers in pulmonary neuroendocrine tumor diagnosis and to identify their power. Materials and methods A total of 100 participants including 23 PNET patients and 28 NSCLC patients who were pathologically diagnosed but not yet treated, 25 participants with benign disease, and 24 healthy volunteers were included in this cross-sectional study. Results No significant difference was found between the chromogranin A (CgA) and squamous cell carcinoma antigen 1 (SCCA1) values among the groups (PNET, NSCLC, benign, healthy volunteers), but the difference in progesterone-releasing peptide (ProGRP), neuron-specific enolase (NSE), and adjusted NSE was statistically significant (P values were respectively ProGRP, P = 0.006; NSE, P = 0.015; NSE adjusted, P = 0.09). In a comparison of the PNET and NSCLC groups, having a ProGRP value higher than 84.6 pg/mL revealed PNET with 60.9% sensitivity and 89.3% specificity (P = 0.001). Conclusion The ProGRP value is the only indicator that distinguishes the PNET group from the other 3 groups.
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Affiliation(s)
- Nuri Tutar
- Department of Pulmonary Medicine, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Nur Aleyna Yetkin
- Department of Pulmonary Medicine, Faculty of Medicine, Health Sciences University, Kayseri, Turkey
| | - Cevat Yazıcı
- Department of Biochemistry, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Ömer Önal
- Department of Thoracic Surgery, Faculty of Medicine, Erciyes University, Kayseri, Turkey
| | - Olgun Kontaş
- Department of Pathology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
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Coskun A, Baykal AT, Oztug M, Kazan D, Kaya E, Emiroglu R, Yılmaz S, Dundar HZ, Akgoz M, Berber I, Aktas H, Bilsel G, Karaosmanoglu K, Çetiner B, Arslan C, Yurtsever I, Yazıcı C. Proteomic Analysis of Liver Preservation Solutions Prior to Liver Transplantation. CURR PROTEOMICS 2019. [DOI: 10.2174/1570164615666180905104543] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Objective: Transplantation is the preferred treatment for patients with end-stage liver diseases. However, in clinical practice, functional preservation of the liver is a major concern before the transplantation. Although various protective solutions are used (in combination with hypothermia), the functional preservation time for liver is still limited to hours. We analyzed the preservation medium to detect the proteins released from the liver during storage period.
Material/Methods:
Samples were collected from the pre-transplant preservation mediums of 23 liver donors. For all donors, the cases involved Donation after Brain Death (DBD). 2D-PAGE and LCMSMS methodologies were used to detect the proteins and peptides from the preservation mediums.
Results:
A total of 198 proteins originating from the liver were detected.
Conclusion:
The data provide valuable insights into biomarkers that may be used to evaluate organ injury, functional status, and suitability for transplantation. Additionally, the findings could be valuable for the development of new strategies for effective preservation of solid organs prior to transplantation.
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Affiliation(s)
- Abdurrahman Coskun
- Department of Medical Biochemistry, School of Medicine, Acibadem University, Istanbul, Turkey
| | - Ahmet Tarik Baykal
- Department of Medical Biochemistry, School of Medicine, Acibadem University, Istanbul, Turkey
| | - Merve Oztug
- TUBITAK UME (National Metrology Institute), Gebze, Turkey
| | - Dilek Kazan
- Department of Bioengineering, Engineering Faculty, Marmara University, Istanbul, Turkey
| | - Ekrem Kaya
- Department of General Surgery, School of Medicine, Uludag University, Bursa, Turkey
| | - Remzi Emiroglu
- Department of General Surgery, School of Medicine,Acibadem University, Istanbul, Turkey
| | - Sezai Yılmaz
- Department of General Surgery, School of Medicine, Inonu University, Malatya, Turkey
| | - Halit Ziya Dundar
- Department of General Surgery, School of Medicine, Uludag University, Bursa, Turkey
| | - Muslum Akgoz
- TUBITAK UME (National Metrology Institute), Gebze, Turkey
| | - Ibrahim Berber
- Department of General Surgery, School of Medicine,Acibadem University, Istanbul, Turkey
| | - Hikmet Aktas
- Vocational School of Health Services, Acibadem University Istanbul, Turkey
| | - Gokhan Bilsel
- TUBITAK UME (National Metrology Institute), Gebze, Turkey
| | - Kubra Karaosmanoglu
- Department of Bioengineering, Engineering Faculty, Marmara University, Istanbul, Turkey
| | - Banu Çetiner
- Department of Medical Biochemistry, School of Medicine, Acibadem University, Istanbul, Turkey
| | - Cansu Arslan
- Department of Medical Biochemistry, School of Medicine, Acibadem University, Istanbul, Turkey
| | - Ilknur Yurtsever
- Regenerative and Restorative Medicine Research Center, Medipol University, Istanbul, Turkey
| | - Cevat Yazıcı
- Department of Medical Biochemistry, School of Medicine, Erciyes University, Kayseri, Turkey
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Somdaş MA, Güntürk İ, Balcıoğlu E, Avcı D, Yazıcı C, Özdamar S. Protective effect of N-acetylcysteine against cisplatin ototoxicity in rats: a study with hearing tests and scanning electron microscopy. Braz J Otorhinolaryngol 2018; 86:30-37. [PMID: 30268784 PMCID: PMC9422681 DOI: 10.1016/j.bjorl.2018.08.002] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2018] [Revised: 07/17/2018] [Accepted: 08/14/2018] [Indexed: 10/28/2022] Open
Abstract
INTRODUCTION Ototoxicity is a health problem appearing after powerful treatments in serious health conditions. It is sometimes inevitable when treatment of the serious disease is required. Cisplatin is an antineoplastic agent which was investigated previously to reveal increased nitrogen and reactive oxygen radicals that damages hair cells, resulting in ototoxicity. N-acetylcysteine, previously shown to decrease ototoxicity caused by different agents, is known to be a powerful in vitro antioxidant. Probably N-acetylcysteine, in addition to its antioxidant effect, blocks a cascade where reactive oxygen species result in apoptosis in the cochlea. OBJECTIVES The possible preventive effect of N-acetylcysteine in cisplatin ototoxicity was studied with auditory brain stem responses, otoacoustic emissions, and histopathological investigation of the cochlea in a scanning electron microscopy. METHODS This study was conducted on 21 Wistar Albino rats in four groups. 1mL/kg/day three times in total intraperitoneal (i.p.) Saline (n=5), 500mg/kg/day i.p. three times in total N-acetylcysteine (n=5), i.p. 15mg/kg cisplatin alone (single dose) (n=5) and i.p. 15mg/kg cisplatin plus 500mg/kg/day N-acetylcysteine (n=6) were administered. The rats were anesthetized to study the hearing tests before and after the experiment. The rats were sacrificed to investigate the cochleas by scanning electron microscopy. RESULTS Auditory brain stem responses and otoacoustic emissions values were attenuated in the cisplatin group. The group that received N-acetylcysteine in addition to cisplatin had better auditory brain stem responses thresholds and otoacoustic emissions. The samples obtained from the cisplatin group showed surface irregularities, degeneration areas, and total or partial severe stereocilia losses. The changes were milder in the cisplatin+N-acetylcysteine group. CONCLUSION Cisplatin ototoxicity can be detected by auditory brain stem responses and otoacoustic emissions testing in rats. N-acetylcysteine may protect the cochlear cells from histopathological changes. We concluded that N-acetylcysteine given 4h after cisplatin injection has a potential otoprotective effect against cisplatin ototoxicity. which suggests it could be used in clinical trials.
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Affiliation(s)
- Mehmet Akif Somdaş
- Erciyes University, Faculty of Medicine, Department of Otorhinolaryngology, Kayseri, Turkey.
| | - İnayet Güntürk
- Erciyes University, School of Medicine, Department of Medical Biochemistry, Kayseri, Turkey
| | - Esra Balcıoğlu
- Erciyes University, School of Medicine, Department of Histology and Embryology, Kayseri, Turkey
| | - Deniz Avcı
- Patnos State Hospital, Department of Otorhinolaryngology, Ağrı, Turkey
| | - Cevat Yazıcı
- Erciyes University, School of Medicine, Department of Medical Biochemistry, Kayseri, Turkey
| | - Saim Özdamar
- Erciyes University, School of Medicine, Department of Histology and Embryology, Kayseri, Turkey
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Koçyiğit İ, Doğan İ, Yazıcı C, Eroğlu E, Ünal A, Doğan M, Sipahioğlu MH, Oymak O, Tokgöz B. Comparison of Different Dialysis Modalities in End-Stage Renal Disease Patients with Acute Dialysis Requirement. ACTA ACUST UNITED AC 2017. [DOI: 10.5262/tndt.2017.1003.09] [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: 11/12/2022]
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Coskun A, Baykal AT, Kazan D, Akgoz M, Senal MO, Berber I, Titiz I, Bilsel G, Kilercik H, Karaosmanoglu K, Cicek M, Yurtsever I, Yazıcı C. Proteomic Analysis of Kidney Preservation Solutions Prior to Renal Transplantation. PLoS One 2016; 11:e0168755. [PMID: 28036361 PMCID: PMC5201308 DOI: 10.1371/journal.pone.0168755] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2016] [Accepted: 12/06/2016] [Indexed: 12/01/2022] Open
Abstract
One of the main issues in kidney transplantation is the optimal functional preservation of the organ until its transplantation into the appropriate recipient. Despite intensive efforts, the functional preservation period remains limited to hours. During this time, as a result of cellular injury, various proteins, peptides, and other molecules are released by the organ into the preservation medium. In this study, we used proteomic techniques to analyze the protein profiles of preservation solutions in which organs had been preserved prior to their transplantation. Samples were obtained from the preservation solutions of 25 deceased donor kidneys scheduled for transplantation. The protein profiles of the solutions were analyzed using 2D gel electrophoresis/MALDI-TOF and LC-MS/MS. We identified and quantified 206 proteins and peptides belonging to 139 different groups. Of these, 111 proteins groups were belonging to kidney tissues. This study used proteomic techniques to analyze the protein profiles of organ preservation solutions. These findings will contribute to the development of improved preservation solutions to effectively protect organs for transplantation.
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Affiliation(s)
- Abdurrahman Coskun
- Acibadem University School of Medicine, Department of Medical Biochemistry, Istanbul, Turkey
- * E-mail:
| | - Ahmet Tarik Baykal
- Acibadem University School of Medicine, Department of Medical Biochemistry, Istanbul, Turkey
| | - Dilek Kazan
- Marmara University Engineering Faculty, Department of Bioengineering, Istanbul, Turkey
| | | | | | - Ibrahim Berber
- Acibadem University School of Medicine Department of General Surgery, Istanbul, Turkey
| | - Izzet Titiz
- Haydarpasa Numune Research and Training Hospital, Department of General Surgery, Istanbul, Turkey
| | | | - Hakan Kilercik
- Yeni Yuzyil University, Gaziosmanpasa Hospital, Department of Anesthesiology, Istanbul, Turkey
| | - Kubra Karaosmanoglu
- Marmara University Engineering Faculty, Department of Bioengineering, Istanbul, Turkey
| | - Muslum Cicek
- Yeni Yuzyil University, Gaziosmanpasa Hospital, Department of Anesthesiology, Istanbul, Turkey
| | - Ilknur Yurtsever
- Istanbul Medipol University, Regenerative and Restorative Medicine Research Center, Beykoz/Istanbul, Turkey
| | - Cevat Yazıcı
- Erciyes University, School of Medicine, Department of Medical Biochemistry, Kayseri, Turkey
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Abstract
Some studies have shown a relationship between febrile seizures and zinc levels. The lowest dose zinc supplementation in pentylenetetrazole seizure model has a protective effect. But, zinc pretreatment has no effect in maximal electroshock model. However, it is unclear how zinc supplementation affects hyperthermia-induced febrile seizures. The aim of the present study was to investigate the effects of zinc supplementation on febrile seizures in male Sprague-Dawley rats. The rats were randomly assigned to four groups. Zinc supplementation was commenced 5 days prior to febrile seizure induction by placing the animals in a water bath at 45°C. We measured the rectal temperature and determined the febrile seizure latency, duration, and stage. In the zinc-supplemented group, both the seizure latency and the rectal temperature triggering seizure initiation were significantly higher than in the other groups. We suggest that zinc supplementation can positively modulate febrile seizure pathogenesis in rats.
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Affiliation(s)
- L Aydın
- Department of Physiology, Faculty of Medicine, Baskent University , Ankara , Turkey
| | - S R Erdem
- Department of Pharmacology, Faculty of Medicine, Baskent University , Ankara , Turkey
| | - C Yazıcı
- Department of Biostatistics, Faculty of Medicine, Baskent University , Ankara , Turkey
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Özdemir Ç, Asil H, Yazıcı C, Akgün H, Akçay A, İkizceli İ. Heart-type fatty acid binding protein and cardiac troponin I may have a diagnostic value in electrocution: A rat model. J Forensic Leg Med 2016; 39:76-9. [DOI: 10.1016/j.jflm.2016.01.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2015] [Revised: 12/04/2015] [Accepted: 01/18/2016] [Indexed: 11/26/2022]
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Taşdemir Z, Özsarı Taşdemir F, Koçyiğit İ, Yazıcı C, Gürgan CA. The clinical and systemic effects of periodontal treatment in diabetic and non-diabetic obese patients. J Oral Sci 2016; 58:523-531. [DOI: 10.2334/josnusd.16-0163] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Affiliation(s)
- Zekeriya Taşdemir
- Department of Periodontology, Faculty of Dentistry, Erciyes University
| | | | - İsmail Koçyiğit
- Deparment of Nephrology, Internal Medicine, Faculty of Medicine, Erciyes University
| | - Cevat Yazıcı
- Department of Biochemistry, Faculty of Medicine, Erciyes University
| | - Cem A. Gürgan
- Department of Periodontology, Faculty of Dentistry, Erciyes University
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Talih T, Arslan E, Sozuer E, Akcan A, Akyıldız H, Akyüz M, Yazıcı C. The effects of sulforaphane in the rat model of experimental intestinal ischemia reperfusion. Eur Surg 2015. [DOI: 10.1007/s10353-015-0307-y] [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: 10/23/2022]
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Güzel M, Sözüer EM, Salt Ö, İkizceli İ, Akdur O, Yazıcı C. Value of the serum I-FABP level for diagnosing acute mesenteric ischemia. Surg Today 2013; 44:2072-6. [PMID: 24337529 DOI: 10.1007/s00595-013-0810-3] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2013] [Accepted: 11/05/2013] [Indexed: 12/25/2022]
Abstract
PURPOSE This study examined the feasibility of using the serum intestinal fatty acid binding protein (I-FABP) level for the early diagnosis of acute mesenteric ischemia, and investigated whether it contributes to the clinical decision-making process. METHOD Thirty patients diagnosed with acute mesenteric ischemia, 27 patients with other types of acute abdomen who presented with acute abdomen symptoms but were not diagnosed with acute mesenteric ischemia, and 20 healthy people were included in the study. Mesenteric ischemia was confirmed by a pathological evaluation in patients who underwent intestinal resection due to detection of mesenteric ischemia during surgery. RESULTS There was no significant difference in the leukocyte counts and D-dimer levels between subjects with mesenteric ischemia and acute abdomen due to other causes (p > 0.05). There was a significant difference in the serum I-FABP level between these groups (p < 0.001). CONCLUSION The I-FABP level is a more reliable parameter for diagnosing acute mesenteric ischemia compared to leukocytosis and D-dimer elevation.
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Affiliation(s)
- Murat Güzel
- Department of Emergency Medicine, Samsun Training and Research Hospital, Baris Bulvari Kadikoy Mahallesi no:199, İlkadim, Samsun, Turkey,
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