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Tas A, Atabey M, Gokcen P, Ozel MI, Karagoz ZK, Ugur K, Aydin S, Silig Y. Leptin/Melanocortin pathway hormones in obese patients after laparoscopic sleeve gastrectomy. Eur Rev Med Pharmacol Sci 2022; 26:1484-1491. [PMID: 35302192 DOI: 10.26355/eurrev_202203_28212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
OBJECTIVE The melanocortin system is an important neural system underlying the control of body weight and food intake. This system has recently received great attention as a potential target for obesity treatment. Therefore, the objective of this study was to find out the leptin-melanocortin pathway before and after Laparoscopic Sleeve Gastrectomy (LSG) in obese patients. PATIENTS AND METHODS The study was carried out with a total of 144 individuals in 3 groups [control, obese group before LSG and obese group after LSG (who underwent LSG one year ago)]. The amount of leptin (LEP), leptin receptor (LEPR), tropomyosin receptor kinase receptor B (TrkB), brain-derived neurotrophic factor (BDNF), pro-opiomelanocortin (POMC) and melanocortin-4 receptors (MC4R) molecules were measured by using Enzyme-Linked Immunosorbent Assays. RESULTS A statistically significant difference was found between the groups in terms of body mass index (BMI) values (p = 0.001). There was also statistically significant difference present between obese before LSG group and obese after LSG group regarding the levels of LEP, TrkB, BDNF and proteins (p < 0.05). A decline was determined in the LEP and BDNF levels one year follow-up after LSG. CONCLUSIONS The evidence suggests that the leptin melanocortin pathway strictly regulates food intake and BMI before and after LSG surgery. This pathway should be kept under control for effectively reducing food intake and body weight in the treatment of obesity.
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Affiliation(s)
- A Tas
- Department of Nutrition and Diet, Faculty of Health Science, Sivas Cumhuriyet University, Sivas, Turkey.
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Aykota MR, Atabey M. Effect of sleeve gastrectomy on thyroid-stimulating hormone levels in morbidly obese patients with normal thyroid function. Eur Rev Med Pharmacol Sci 2021; 25:233-240. [PMID: 33506912 DOI: 10.26355/eurrev_202101_24389] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE There are many studies, which demonstrate that morbid obesity is associated with an increase in Thyroid Stimulating Hormone (TSH) levels. However, the effect of Laparoscopic Sleeve Gastrectomy (LSG) procedure on postoperative TSH levels is not clear. This study aims to evaluate the effect of weight loss after LSG procedure on TSH levels in euthyroid patients with morbid obesity. PATIENTS AND METHODS 159 Euthyroid patients who applied for an LSG procedure (93.7% female, with a mean age of 34.18±10.01 years, BMI 43.2±6.82 kg/m2) were retrospectively analyzed for the study. The parameters used in the analysis were their serum free T3 levels (fT3), free T4 levels (fT4), and TSH levels preoperatively and at 6 months after surgery. The postoperative correlation between TSH and BMI (Body Mass Index), % EWL (Percent Excess Weight Loss), and % TWL (Total Weight Loss) levels were evaluated. RESULTS Mean BMI change from 43.2±6.82 kg/m2 to 30.48±5.63 kg/m2 (p<0.001), 6 months after LSG, was associated with a mean reduction in the TSH from 2.27±1.09 µU/dL to 1.61±0.99 µU/dL; p<0.001). Serum fT3 levels (3.23±0.42 ng/dL at baseline and 3.21±0.48 ng/dL at 6 months after surgery; p=0.409) remained steady. Serum fT4 levels (1.21±0.18 µU/dL at baseline and 1.43±0.20 µU/dL at 6 months after LSG; p<0.001) increased. Change in TSH was significantly correlated with change in BMI at 6 months after surgery (r=0.200, p=0.015). However, the decrease in TSH following LSG procedure did not correlate with % EWL (r=-0.114, p=0.159) and % TWL (r=-0.100, p=0.209). CONCLUSIONS After the LSG procedure, there was a significant decrease in TSH levels and a significant increase in fT4 levels, but no change was seen in fT3 levels. While this decrease in TSH levels showed a positive correlation with BMI, no statistically significant correlation was found with % EWL and % TWL.
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Affiliation(s)
- M R Aykota
- Department of General Surgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.
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Atabey M, Aykota MR, Özel Mİ, Arslan G. Short-term changes and correlations of plasma spexin, kisspeptin, and galanin levels after laparoscopic sleeve gastrectomy. Surg Today 2021; 51:651-658. [PMID: 33555434 DOI: 10.1007/s00595-021-02240-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [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: 10/20/2020] [Accepted: 01/08/2021] [Indexed: 12/24/2022]
Abstract
PURPOSE To determine the circulating levels of spexin, kisspeptin, galanin, and the correlations between these peptides after laparoscopic sleeve gastrectomy (LSG). METHODS The plasma levels of the spexin, kisspeptin, and galanin and metabolic parameters (body mass index, weight loss, % excess weight loss, body fat, fasting glucose, HbA1C, and cholesterol levels) were measured (baseline, 1 month, and 3 months) and correlated in thirty adult individuals with obesity (22 female and 8 male) after LSG. RESULTS The body mass index (BMI), body fat, fasting glucose, total and low-density lipoprotein cholesterol decreased, while high-density lipoprotein cholesterol and % EWL (excess weight loss) increased at 3 months after surgery. The plasma spexin levels increased at 3 months, kisspeptin levels increased at 1 month and stabilized afterward, and galanin levels decreased at 3 months after LSG. Significant correlations were found between metabolic parameters with spexin, kisspeptin, and galanin. In addition, spexin and kisspeptin were negatively correlated with galanin, while spexin was positively correlated with kisspeptin. CONCLUSIONS The biochemical data reveal evidence that LSG causes an increase in the levels of spexin, and kisspeptin and a decrease in galanin levels. Our findings, therefore, suggest a possible interaction between these novel peptides, which have potential roles in obesity and glucose metabolism.
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Affiliation(s)
- Mustafa Atabey
- Department of General Surgery, Faculty of Medicine, University of Biruni, Istanbul, Turkey.
| | - Muhammed Raşid Aykota
- Department of General Surgery, Faculty of Medicine, University of Pamukkale, Denizli, Turkey
| | - Mehmet İlker Özel
- Department of General Surgery, Şarkışla Public Hospital, Sivas, Turkey
| | - Gökhan Arslan
- Department of Physiology, Faculty of Medicine, University of Ondokuz Mayis, Samsun, Turkey
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Arslan C, Atabey M. AB008. OP-8 The relationship between smoking and body fat percentage of obese individuals before laparoscopic sleeve gastrectomy. Ann Laparosc Endosc Surg 2020. [DOI: 10.21037/ales-2019-bms-19] [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: 11/06/2022]
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Arslan C, Atabey M. AB009. OP-9 Correlation between meal frequency and body mass index of obese individuals before laparoscopic sleeve gastrectomy. Ann Laparosc Endosc Surg 2020. [DOI: 10.21037/ales-2019-bms-20] [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: 11/06/2022]
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Atabey M, Tas A, Sari I, Bostanci ME, Topcu O, Silig Y. Significant association between MDM2 T309G polymorphism and colorectal cancer. J BUON 2019; 24:1137-1142. [PMID: 31424672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
PURPOSE The Murine double minute 2 (MDM2) gene plays a crucial role in regulating and suppressing the function of apoptotic pathway. We investigated the relationship between MDM2 gene SNP309 (T309G) (rs2279744) polymorphism and colorectal cancer (CRC) in a Turkish population. METHODS The polymorphism T309G (rs2279744) in the MDM2 gene was studied in patients with colorectal cancer (n=135) and healthy control subjects (n=145) using the polymerase chain reaction restriction fragment length polymorphism (PCR-RFLP) method. The findings were evaluated using logistic regression and x2 tests. RESULTS When CRC cases and controls were evaluated based on different habits and family cancer histories, a statistically significant relationship was found between CRC and alcohol consumption (x2=4.07, p=0.044). Cancer cases and controls had statistically significant different family histories of cancer (x2=6.82, p=0.009). There was also significant difference in TG genotype distribution in the MDM2 T309G polymorphism between those with and without cancer (OR=1.98, 95% CI=1.98-3.91, x2=4.00, p=0.045). CONCLUSIONS The SNP309 polymorphism of the MDM2 gene is associated with increased CRC risk in the Turkish population.
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Affiliation(s)
- Mustafa Atabey
- Clinic of General Surgery, Medicana Sivas Hospital, Sivas, Turkey
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Tas A, Atabey M, Caglayan G, Bostanci ME, Sahin Bolukbasi S, Topcu O, Silig Y. Investigation of the association between the MDM2 T309G polymorphism and gastric cancer. Biomed Rep 2017; 7:469-473. [PMID: 29181159 DOI: 10.3892/br.2017.978] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2017] [Accepted: 08/25/2017] [Indexed: 01/10/2023] Open
Abstract
Murine double minute clone 2 oncoprotein (MDM2) is a key component in the regulation of the tumour suppressor p53. The association between the MDM2 polymorphism and gastric cancer (GC) has been investigated in Turkish population. In the present case-control study, the aim was to investigate the association between genetic polymorphisms of the MDM2 gene (a major regulator of p53 function) and primary GC risk in a Turkish population. The polymorphism, T309G (rs2279744) in the MDM2 gene was determined in patients with GC (n=65) and in healthy control subjects (n=67) using the polymerase chain reaction-restriction fragment length polymorphism method. The findings were evaluated using logistic regression and χ2 tests. No statistically significant differences were observed between the control subjects and patients with GC regarding smoking status. A comparison between GC cases and control subjects indicated a statistically significant difference for family history of cancer [odds ratio (OR)=0.17; 95% confidence interval (CI), 0.05-0.56; χ2=0.19; P=0.01]. A significant difference was identified in the GG genotype distribution between GC patients and control subjects (OR=4.58; 95% CI, 1.18-17.79; P=0.022). Thus, the results of the present study indicate that the MDM2 gene T309G intron (GG) genotype may be an important risk factor for GC development in the Turkish population.
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Affiliation(s)
- Ayca Tas
- Department of Nutrition and Diet, Cumhuriyet University, Faculty of Health Sciences, 58140 Sivas, Turkey
| | - Mustafa Atabey
- Department of General Surgery, Cumhuriyet University, Faculty of Medicine, 58140 Sivas, Turkey
| | - Gulcin Caglayan
- Department of Biochemistry, Cumhuriyet University, Faculty of Medicine, 58140 Sivas, Turkey
| | | | - Serap Sahin Bolukbasi
- Department of Biochemistry, Cumhuriyet University, Faculty of Pharmaceutics, 58140 Sivas, Turkey
| | - Omer Topcu
- Department of General Surgery, Cumhuriyet University, Faculty of Medicine, 58140 Sivas, Turkey
| | - Yavuz Silig
- Department of Biochemistry, Cumhuriyet University, Faculty of Medicine, 58140 Sivas, Turkey
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Bostanci ME, Atabey M, Bozkurt B, Ozel I, Karadayi K. Co-existence of cecal volvulus with situs inversus totalis: A case report. Turk J Emerg Med 2016; 16:134-135. [PMID: 27857996 PMCID: PMC5103063 DOI: 10.1016/j.tjem.2015.01.004] [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] [Subscribe] [Scholar Register] [Received: 11/18/2014] [Revised: 01/06/2015] [Accepted: 01/20/2015] [Indexed: 11/16/2022] Open
Abstract
Detorsion, cecopexy, cecostomy and tube cecostomy are the treatment options for acute cecal volvulus if there is no intestinal ischemia. Resection required if intestinal viability, necrosis, gangrene or perforation exists. After resection, primary anastomosis or ileostomy can be performed. First colonoscopic decompression testing may be appropriate in terms of saving time for elective surgery. The co-existance of situs inversus totalis with cecal volvulus may cause uncertainty of the definite diagnosis and delay of surgical procedure. This is a case report about cecal volvulus together with situs inversus totalis.
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Affiliation(s)
- Meric Emre Bostanci
- Cumhuriyet University School of Medicine, Department of General Surgery, Sivas, Turkey
| | - Mustafa Atabey
- Cumhuriyet University School of Medicine, Department of General Surgery, Sivas, Turkey
| | - Birkan Bozkurt
- Cumhuriyet University School of Medicine, Department of General Surgery, Sivas, Turkey
| | - Ilker Ozel
- Cumhuriyet University School of Medicine, Department of General Surgery, Sivas, Turkey
| | - Kursat Karadayi
- Cumhuriyet University School of Medicine, Department of General Surgery, Sivas, Turkey
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Aktimur R, Gokakin AK, Deveci K, Atabey M, Topcu O. Oxidative stress markers in laparoscopic vs. open appendectomy for acute appendicitis: A double-blind randomized study. J Minim Access Surg 2016; 12:143-7. [PMID: 27073307 PMCID: PMC4810948 DOI: 10.4103/0972-9941.156203] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Oxidative stress is a complicated process, which was defined as an increase in prooxidants and decrease in antioxidants caused by various mechanisms, including inflammation and surgical trauma. The association between acute appendicitis and oxidative stress has been showed in previous studies. However, comparison of oxidative stress in laparoscopic or open appendectomy (OA) has not been established. PATIENTS AND METHODS Patients who were diagnosed as acute appendicitis between October 2012 and January 2013 were randomized to open (OA, n = 50) and laparoscopic appendectomy (LA, n = 50). Blood samples for oxidative stress markers (total oxidant status [TOS] and total antioxidant status [TAS]), C-reactive protein (CRP) and white blood cells (WBC's) were collected just before the surgery and 24 h after surgery. RESULTS There were no differences in preoperative values of WBC and CRP between LA and OA groups (P = 0.523 and 0.424), however, in postoperative 24(th) h, CRP was reduced in LA group (P = 0.031). There were no differences in preoperative levels of TOS, TAS, and oxidative stress index (OSI) between LA and OA groups. In the postoperative 24(th) h, TOS and OSI were found to be significantly higher in OA group when compared to LA group (P = 0.017 and 0.002) whereas no difference was detected in TAS level in the postoperative 24(th) h (P = 0.172). CONCLUSIONS This double-blind, randomized clinical trial provides evidence that LA for uncomplicated appendicitis is associated with significantly lower oxidative stress compared with OA. Some of the advantages of LA may be attributed to the significant reduction of oxidative stress in these patients.
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Affiliation(s)
- Recep Aktimur
- Department of General Surgery, Samsun Training and Research Hospital, Samsun, Turkey
| | - Ali Kagan Gokakin
- Department of General Surgery, Cumhuriyet University, School of Medicine, Sivas, Turkey
| | - Koksal Deveci
- Department of Biochemistry, Cumhuriyet University, School of Medicine, Sivas, Turkey
| | - Mustafa Atabey
- Department of General Surgery, Cumhuriyet University, School of Medicine, Sivas, Turkey
| | - Omer Topcu
- Department of General Surgery, Cumhuriyet University, School of Medicine, Sivas, Turkey
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Gökakın AK, Atabey M, Deveci K, Sancakdar E, Tuzcu M, Duger C, Topcu O. The effects of sildenafil in liver and kidney injury in a rat model of severe scald burn: a biochemical and histopathological study. ULUS TRAVMA ACIL CER 2016; 20:319-27. [PMID: 25541842 DOI: 10.5505/tjtes.2014.39586] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Severe burn induces systemic inflammation and reactive oxygen species leading to lipid peroxidation which may play role in remote organs injury. Sildenafil is a selective and potent inhibitor of cyclic guanosine monophosphate specific phosphodiesterase-5. Sildenafil reduces oxidative stress and inflammation in distant organs. The aim of the present study was to evaluate the effects of different dosages of sildenafil in remote organs injury. METHODS A total of thirty-two rats were randomly divided into four equal groups. The groups were designated as follows: Sham, Control, 10, and T20 mg/kg sildenafil treatment groups. Levels of malondialdehyde (MDA), vascular endothelial growth factor (VEGF), VEGF receptor (Flt-1), activities of glutathione peroxidase (Gpx), levels of total antioxidative capacity (TAC), and total oxidant status (TOS) were measured in both tissues and serum, and a semi-quantitative scoring system was used for the evaluation of histopathological findings. RESULTS Sildenafil increased levels of Gpx, and Flt-1, and decreased MDA and VEGF levels in tissues. Sildenafil also increased serum levels of TAC and Flt-1 and decreased TOS, OSI, and VEGF. CONCLUSION Sildenafil decreased inflammation scores in remote organs in histopathological evaluation. It has protective effects in severe burn-related remote organ injuries by decreasing oxidative stress and inflammation.
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Affiliation(s)
- Ali Kağan Gökakın
- Department of General Surgery, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
| | - Mustafa Atabey
- Department of General Surgery, Cumhuriyet University Faculty of Medicine, Sivas, Turkey
| | - Koksal Deveci
- Department of Biochemistry, Cumhuriyet University Faculty of Medicine, Sivas, Turkey
| | - Enver Sancakdar
- Department of Biochemistry, Cumhuriyet University Faculty of Medicine, Sivas, Turkey
| | - Mehmet Tuzcu
- Department of Pathology, Cumhuriyet University Faculty of Veterinary, Sivas, Turkey
| | - Cevdet Duger
- Department of Anesthesiology, Cumhuriyet University Faculty of Medicine, Sivas, Turkey
| | - Omer Topcu
- Department of General Surgery, Cumhuriyet University Faculty of Medicine, Sivas, Turkey
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Abstract
BACKGROUND Medical treatment has played an important role in the reduction of peptic ulcer perforation (PUP). The goal of this study was to evaluate the effect of fasting on PUP. METHODS A retrospective analysis of 229 patients who were operated due to PUP between 1999-2009 was made. Patients were divided into two groups. Group I (n=188) included the patients who were operated in other periods of the year, while Group II (n=41) included the patients who were operated during Ramadan, the Muslim period of fasting. Patients in Group II were analyzed in terms of duration of fasting. RESULTS The increase in surgeries per group was higher in Group II than Group I (p<0.05). Predisposing factors, anti-ulcer drug usage and demographic variables were seen to have no role in this difference. Duration of fasting may have a minimal effect on the perforation. CONCLUSION The results of this study demonstrate that PUP is detected as relatively higher during Ramadan among those who are fasting for more than 12 hours daily. We suggest that people with predisposing factors should be informed before making a decision to fast.
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Affiliation(s)
- Ali Kağan Gökakın
- Department of General Surgery, Cumhuriyet University Faculty of Medicine, Sivas, Turkey.
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Koc M, Aktimur R, Kagan Gokakin A, Atabey M, Koyuncu A, Elagoz S, Topcu O. Expression of FHIT, p16, p53 and EGFR as prognostic markers in thyroid tumors of uncertain malignant potential. J BUON 2015; 20:567-572. [PMID: 26011351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
PURPOSE Thyroid tumors of uncertain malignant potential (TT-UMP) constitute a relatively new diagnosis. The purpose of this study was to analyze the relationship between immunohistochemical panels, prognostic parameters and TT-UMP. METHODS Group I was composed of patients diagnosed as differentiated thyroid carcinoma (DTC) and Group II of patients diagnosed as TT-UMP. The prognostic scores of patients were calculated using data according to the well-known prognostic scoring systems MACIS, AMES, AGES. Evaluations of antibodies were based on the presence of nuclear staining for p16 and p53, membranous and cytoplasmic staining for epidermal growth factor receptor (EGFR) and cytoplasmic staining for fragile histidine triad (FHIT). RESULTS Statistically significant difference was noted (p< 0.05) between Group I and Group II according to MACIS and AMES. No statistical difference was found in terms of immunostaining between groups when stained with p16, p53 and FHIT. On the other hand, in Group II a moderate positive correlation was detected between MACIS and EGFR. CONCLUSION According to our findings p53 was not important in tumor genesis at early stages in well-differentiated thyroid carcinomas and p16 loss of expression could be used as a finding to help in difficult microscopic diagnosis. TT-UMP is a gray zone of lesions requiring specific therapeutic procedures and postoperative follow-up. A positive correlation was detected between EGFR and TT-UMP, leading to assume that this situation could be used as a new tool in the follow-up of these patients in the future.
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Affiliation(s)
- Mustafa Koc
- Cumhuriyet University, School of Medicine, Department of General Surgery, Imaret Koyu, Sivas, Turkey
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Gokakin AK, Kurt A, Akgol G, Karakus BC, Atabey M, Koyuncu A, Topcu O, Goren E. Effects of Ramadan fasting on peptic ulcer disease as diagnosed by upper gastrointestinal endoscopy. Arab J Gastroenterol 2013; 13:180-3. [PMID: 23432987 DOI: 10.1016/j.ajg.2012.12.002] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2012] [Revised: 06/29/2012] [Accepted: 12/13/2012] [Indexed: 11/16/2022]
Abstract
BACKGROUND AND STUDY AIMS The diagnostic methods such as upper gastrointestinal endoscopy (UGE) have played an important role in the evaluation of peptic ulcer (PU). Every year, millions of Muslims fast in Ramadan month. The aim of this study was to evaluate the effect of fasting on PU via UGE. PATIENTS AND METHODS A total of 321 patients in the period from 2009 to 2011, who underwent UGE as a diagnostic work-up mainly for epigastric pain, were analysed. Patients were divided into three groups: Patients who have been evaluated by UGE, in the month just before Ramadan (group I, n=69), in Ramadan month (group II, n=132) and in the month just after Ramadan (group III, n=120). Continuous data were expressed as the mean±SD, and were compared with one-way analysis of variance (ANOVA) test amongst groups. Categorical data were given as percentages and were compared with the chi-squared test. RESULTS Epigastric pain was the most common indication for referral in each group. Interestingly, the indication 'bleeding' was found to be the least in group II, but was far from statistical significance. The highest prevalence of duodenal ulcers and duodenitis was found in group II; the differences to the other groups were statistically significant. CONCLUSION Duodenal ulcers and duodenitis were found more during Ramadan month. We recommend that, the patients with epigastric pain may fast by taking their medications.
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Affiliation(s)
- Ali Kagan Gokakin
- Cumhuriyet University, School of Medicine, Department of General Surgery, Sivas, Turkey.
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Topcu O, Kurt A, Soylu S, Akgol G, Atabey M, Karakus BC, Aydin C. Polypropylene mesh repair of incarcerated and strangulated hernias: a prospective clinical study. Surg Today 2012; 43:1140-4. [DOI: 10.1007/s00595-012-0397-0] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2011] [Accepted: 07/30/2012] [Indexed: 01/08/2023]
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