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Karakoyun R, Ericzon BG, Kar I, Nowak G. Risk Factors for Development of Biliary Stricture After Liver Transplant in Adult Patients: A Single-Center Retrospective Study. Transplant Proc 2021; 53:3007-3015. [PMID: 34763882 DOI: 10.1016/j.transproceed.2021.09.023] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 08/31/2021] [Accepted: 09/24/2021] [Indexed: 11/19/2022]
Abstract
Identification of risk factors for biliary stricture after liver transplant and its potential prevention is crucial to improve the outcomes and reduce the complications. We retrospectively analyzed donor and recipient characteristics with intraoperative and postoperative parameters to identify the risk factors for development of post-transplant anastomotic and nonanastomotic biliary strictures with additional analysis of the time onset of those strictures. A total of 412 patients were included in this study. Mean (SD) follow-up time was 79 (35) months (range, 1-152 months). Biliary stricture was diagnosed in 84 patients (20.4%). Multivariate analysis indicated that postoperative biliary leakage (odd ratio [OR], 3.94; P = .001), acute cellular rejection (OR, 3.05; P < .001), donor age older than 47.5 years (OR, 2.05; P = .032), preoperative recipient platelet value < 77.5 × 103/mL (OR, 1.91; P = .023), University of Wisconsin solution (OR, 1.73; P = .041)), recipient male sex (OR, 1.78; P = .072), portal/arterial flow ratio > 4 (OR, 1.76; P = .083), and intraoperative bleeding > 2850 mL (OR, 1.70; P = .053) were independent risk factors for biliary stricture regardless of the time of their appearance. Multiple risk factors for biliary stricture were determined in this study. Some of these risk factors are preventable, and implementation of strategies to eliminate some of those factors should reduce the development of post-transplant biliary stricture.
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Affiliation(s)
- Rojbin Karakoyun
- Division of Transplantation Surgery, CLINTEC, Karolinska Institute and Karolinska University Hospital, Huddinge, Stockholm, Sweden.
| | - Bo-Göran Ericzon
- Division of Transplantation Surgery, CLINTEC, Karolinska Institute and Karolinska University Hospital, Huddinge, Stockholm, Sweden
| | - Irem Kar
- Department of Biostatistics, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Greg Nowak
- Division of Transplantation Surgery, CLINTEC, Karolinska Institute and Karolinska University Hospital, Huddinge, Stockholm, Sweden
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Abstract
Postoperative chylous ascites (PCA) is a rare clinical state that occurs during abdominal surgery. Despite its rarity, the need to diagnose and treat PCA is increasing in importance with the increased number of wide resections and lymph node dissections being performed and the serious consequences of treatment. Here we describe the PCA complications we observed after resection for treating a case of giant adrenocortical carcinoma and we have the brief review of the PCA complication.
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Affiliation(s)
- Mani Habibi
- General Surgery Department, Esenler Maternity and Child Health Hospital, Istanbul, Turkey
| | - Rojbin Karakoyun
- General Surgery Department, Antalya Training and Research Hospital, Antalya, Turkey
| | - Erkan Demirci
- Radiology Department, Memorial Hospital, Antalya, Turkey
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Habibi M, Oner OZ, Oruc MT, Bulbuller N, Ozdem S, Ozdemir S, Alikanooglu AS, Karakoyun R, Dogan U, Ongen A, Koc U. Effects of a Glutamine Enema on Anastomotic Healing in an Animal Colon Anastomosis Model. Ann Coloproctol 2015; 31:213-21. [PMID: 26817016 PMCID: PMC4724702 DOI: 10.3393/ac.2015.31.6.213] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2015] [Accepted: 10/16/2015] [Indexed: 12/17/2022] Open
Abstract
PURPOSE Anastomotic leakage in colorectal surgery is a very important issue. Although many studies have shown the positive effects of enteral glutamine (Gln) on anastomotic healing, none has assessed the effects of administering Gln via an enema for anastomotic healing. To fill this study gap, this study investigated the intraluminal effect of administration of Gln enema on the healing of colonic anastomosis in a rat model. METHODS Thirty Wistar albino rats were divided into three groups containing 10 rats each and were subjected to distal left colon transection and anastomosis. Postoperatively, group I (the control group) was administered no treatment, group II was administered daily placebo enemas containing physiological saline, and group III was administered daily 2% L-Gln enemas. After sacrifice on postoperative day 5, anastomotic healing, burst pressure, tissue hydroxyproline levels, and histological parameters were measured, and group values were compared via statistical analysis. RESULTS Group III was found to have the highest mean bursting pressure and tissue hydroxyproline levels and the lowest mean ischemia score. While the values of these parameters were not found to differ significantly among the groups, the lack of significance may have been due to the limited number of subjects examined. CONCLUSION Administration of a Gln enema may have a positive effect on anastomosis in terms of bursting pressure and histopathological parameters. Future research should examine administration of a preoperative Gln enema as a means of decreasing the traumatic effects of the enema and identifying its applicability in surgical practice.
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Affiliation(s)
- Mani Habibi
- Department of General Surgery, Esenler Maternity and Child Health Hospital, Istanbul, Turkey
| | - Osman Zekai Oner
- Department of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey
| | - Mehmet Tahir Oruc
- Department of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey
| | - Nurullah Bulbuller
- Department of General Surgery, Akdeniz University, School of Medicine, Antalya, Turkey
| | - Sebahat Ozdem
- Department of Biochemistry, Akdeniz University, School of Medicine, Antalya, Turkey
| | - Sukru Ozdemir
- Department of General Surgery, Karapınar State Hospital, Konya, Turkey
| | | | - Rojbin Karakoyun
- Department of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey
| | - Ugur Dogan
- Department of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey
| | - Ayper Ongen
- Department of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey
| | - Umit Koc
- Department of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey
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Abstract
BACKGROUND Appendiceal stump closure is a highly important step in laparoscopic appendectomy, especially for post-operative complications. The aim of this study is to compare the effects of suture ligation and bipolar tissue sealer techniques on burst pressure using flesh appendectomy specimens. MATERIAL AND METHODS Appendectomy specimens of 32 patients with grade I-II disease were included in the study. Perforated or necrotic appendices and specimens ineligible for pressure measurement were excluded from the study. Appendiceal stumps of 16 patients in group 1 were double-ligated with 2/0 polyglactin sutures, then appendectomy was performed between these sutures. In group 2, the management of the stump was performed through single ligation with polyglactin suture, followed by appendectomy using a bipolar tissue sealing device. Burst pressures were recorded for all specimens. RESULTS There were no differences between groups in terms of age and sex. There was no significant difference between the two groups in terms of burst pressure (p = 0.92). Also, no significant difference was found between groups in terms of localization of the perforation (p > 0.05). CONCLUSION Bipolar tissue sealer achieves safe stump closure with satisfactory burst pressure values. Based on this, using bipolar tissue sealer for appendiceal stump closure in appendicitis may be safe and reliable.
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Affiliation(s)
- Umut Rıza Gündüz
- a Department of Surgery, Antalya Training and Research Hospital , Antalya, Turkey
| | - Rojbin Karakoyun
- a Department of Surgery, Antalya Training and Research Hospital , Antalya, Turkey
| | - Şükrü Özdemir
- a Department of Surgery, Antalya Training and Research Hospital , Antalya, Turkey
| | - Hasan ÇalıŞ
- a Department of Surgery, Antalya Training and Research Hospital , Antalya, Turkey
| | - Mani Habibi
- a Department of Surgery, Antalya Training and Research Hospital , Antalya, Turkey
| | - Osman Zekai Öner
- a Department of Surgery, Antalya Training and Research Hospital , Antalya, Turkey
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Karakoyun R, Gündüz U, Bülbüller N, Çalış H, Habibi M, Öner O, Gülkesen H. The effects of reinforcement methods on burst pressure in resected sleeve gastrectomy specimens. J Laparoendosc Adv Surg Tech A 2014; 25:64-8. [PMID: 25531037 DOI: 10.1089/lap.2014.0408] [Citation(s) in RCA: 9] [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: 01/07/2023] Open
Abstract
BACKGROUND Staple-line leak is a life-threatening complication of laparoscopic sleeve gastrectomy. Reinforcement materials have been reported to lower the risk of staple-line bleeding, but their effects on leak risk have not been elucidated. The aim of this study was to compare the effects of two supportive techniques on burst pressures in sleeved gastrectomy specimens. MATERIALS AND METHODS Thirty patients who underwent laparoscopic sleeve gastrectomy were evaluated. The resected sleeve gastrectomy specimens were categorized into three groups. Group 1 had no extra support in the staple line, Group 2 had oversewing with continuous suture on the staple line, and Group 3 had fibrin sealant (Tisseel(®); Baxter, Deerfield, IL) on the staple line. The end point was the first detectable leakage, at which point leak pressure and the anatomic site of leakage were recorded. RESULTS Thirty sleeved gastrectomy specimens were included (each group included 10 specimens). There were no differences among group in terms of age, sex, and body mass index. The leak pressure was significantly higher (106±10.5 mm Hg) in Group 2 (P<.01). Leaks occurred significantly more frequently in the staple line than in the staple junction points (P=.014). CONCLUSIONS Oversewing the staple line with 3-0 Vicryl(®) (Ethicon, Somerville, NJ) suture significantly increased the strength of the staple line. Increases in intraluminal pressure are known to be one of the significant risks in leak etiology. Thus, we concluded that oversewing the staple line with 3-0 Vicryl suture can be beneficial in the prevention of leaks. However, further work is necessary in this area of research.
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Affiliation(s)
- Rojbin Karakoyun
- 1 Department of General Surgery, Antalya Training and Research Hospital , Antalya, Turkey
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Karakoyun R, Demirci E, Karakoyun M, Karakaş B, Gündüz U, Sener Z, Gülenay S, Erol B, Sağtaş E. Reliability of MDCT, with MPR and hydro-CT technique, in resectability and lymphnode staging of gastric cancer. MINERVA CHIR 2014; 69:129-140. [PMID: 24736448] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
AIM The aim of this study was to evaluate the reliability of thin-slice hydro-multidetector row computed tomography (MDCT) in assessing resectability and lymph node staging of gastric cancer. METHODS Sixty-one patients (37 males, 24 females; mean age 61 years) with gastric cancer, and whose surgery was planned, underwent preoperative abdominopelvic hydro-MDCT at slice thickness of 5 mm. We evaluated the tumor stage, depth of tumor invasion into the gastric wall, metastasis of lymph node, and presence/absence of distant metastases on the CT images produced with multiplanar reconstruction (MPR) and hydro-CT technique. The results were compared with pathological and surgical findings. Diagnostic accuracy was also analyzed. RESULTS Of 61 patients with gastric cancer, 6 (14%) were inoperable, 45 (68%) were advanced stage, and 10 (16%) were early stage gastric cancer patients. The detection rate of the primary tumor was 97% for MDCT; the overall accuracy of MDCT in the determination of the depth of invasion and serosal involvement when compared with pathological staging were 84% and 95%, respectively; the overall accuracy rate in lymph node staging was 73.5%. CONCLUSION MDCT can improve the accuracy of preoperative T and N staging of gastric cancer and will contribute to treatment strategies for patients with advanced stage gastric cancer.
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Affiliation(s)
- R Karakoyun
- Department of Surgery Antalya Training and Research Hospital Antalya, Turkey -
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Karakoyun R, Köksoy C, Şener Z, Gündüz U, Karakaş B, Karakoyun M. Comparison of quality of life in patients with peripheral arterial disease caused by atherosclerosis obliterans or Buerger's disease. Cardiovasc J Afr 2014; 25:124-9. [PMID: 25000442 PMCID: PMC4120127 DOI: 10.5830/cvja-2014-017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2013] [Accepted: 04/01/2014] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVE Buerger's disease and atherosclerosis obliterans (ASO) are two peripheral arterial diseases (PAD) that are frequently encountered. The aim of this study was to compare quality of life (QOL) in patients with Buerger's disease and ASO. METHODS We prospectively followed 86 patients who were admitted to our hospital due to ASO or Buerger's disease. Their ischaemia was evaluated according to the clinical category chronic limb ischaemia at the time of hospital admission and at six and 12 months. The QOL was measured at the time of hospital admission and at six and 12 months with the Short Form Health Status Survey (SF-36) and Vascular Quality of Life Questionnaire (VASCUQOL). RESULTS A total of 86 patients with ASO or Buerger's disease (47 and 39, respectively) were included in the study. Pain parameters from both SF-36 and VASCUQOL scores were lower in patients with Buerger's disease at the time of hospital admission and at six months. The impairment in QOL was found to be proportional to the extent of chronic limb ischaemia. Conversely, when patients with critical limb ischaemia were evaluated, no difference was observed between those with ASO or Buerger's disease in terms of QOL. Amputations were found to have a negative effect on quality of life. CONCLUSION Buerger's disease had a more pronounced negative effect on QOL than ASO, particularly in terms of pain score. When critical limb ischaemia was considered, ASO and Buerger's disease impaired quality of life at the same rate.
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Affiliation(s)
- Rojbin Karakoyun
- Division of Vascular Surgery, Department of General Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey.
| | - Cüneyt Köksoy
- Division of Vascular Surgery, Department of General Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Zeynep Şener
- Division of Vascular Surgery, Department of General Surgery, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Umut Gündüz
- Department of Surgery, Antalya Training and Research Hospital, Antalya, Turkey
| | - Baris Karakaş
- Department of Surgery, Antalya Training and Research Hospital, Antalya, Turkey
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Karakoyun R, Koksoy C, Yilmaz T, Altun H, Banli O, Albayrak A, Alper M, Şener Z. The Angiogenic Effects of Ischemic Conditioning in Experimental Critical Limb Ischemia. Eur J Vasc Endovasc Surg 2014; 47:172-9. [DOI: 10.1016/j.ejvs.2013.11.001] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2013] [Accepted: 11/02/2013] [Indexed: 10/26/2022]
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Calis H, Karakoyun R, Aslaner A, Gunduz UR, Arici C. Management of Patients with Idiopathic Granulomatous Mastitis: Presentation of 13 Cases. J Breasth Health 2014. [DOI: 10.5152/tjbh.2014.1907] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Karakoyun R, Bülbüller N, Koçak S, Habibi M, Gündüz U, Erol B, Öner O, Aslaner A, Sürer D, Özdemir Ş, Gülkesen H. What do we leave behind after neartotal and subtotal thyroidectomy: just the tissue or the disease? Int J Clin Exp Med 2013; 6:922-929. [PMID: 24260598 PMCID: PMC3832329] [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: 09/20/2013] [Accepted: 10/05/2013] [Indexed: 06/02/2023]
Abstract
Selection of multinodular goiter (MNG) surgery procedure is stilll under discussion. Subtotal thyroidectomy (STT) and neartotal thyroidectomy (NTT) are preferred surgical procedures. However, it is uncertain whether the remnant tissue contains pathological findings or not after these procedures. We aimed to evaluate and comparison the pathologic findings in remnant tissue after NTT and STT. Thyroid tissue samples of 50 patients who underwent TT for MNG disease between January 2010 and August 2011 in our clinic were evaluated. Before the dissection of the thyroid tissue subtotal and neartotal margins were marked in both right and left lobes. After the resection of the specimen, the tissue was excised from the subtotal and neartotal margin marked during the surgery. The pathologic findings of the main tissue, the residual subtotal and neartotal tissues were evaluated and compared. All patients were followed-up 1 year. 43 (86%) females and 7 (14%) males with an average age of 50.5 (23-77) were included in the study. Incidental papillary thyroid cancer was detected in 5 patients (10%). Pathologic findings were present in 31 patients (62%) of subtotal residual tissue and 28 of the patients (56%) of neartotal residual tissue. Papillary microcarcinoma was detected in 3 (9.7%) of subtotal residual tissues and 2 (7.1%) of neartotal residual tissues. There is no significant difference between subtotal and neartotal tissues in terms of existence of pathological findings (p>0.05). There is no significant difference between the neartotal and subtotal residual tissues contralateral of dominant nodule (p>0.05). 2 of the patients (4%) had temporary hypocalcemia, 1 patient (2%) had seroma and 1 patient (2%) had recurrent laryngeal nerve injury. There are high rates of microscopic pathological findings on residual tissues both after STT and NTT. The neartotal and subtotal residual tissues contralateral to the large nodule also had high levels of pathologic findings.
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Affiliation(s)
- Rojbin Karakoyun
- Department of Surgery, Antalya Training and Research HospitalAntalya, Turkey
| | - Nurullah Bülbüller
- Department of Surgery, Antalya Training and Research HospitalAntalya, Turkey
| | - Savaş Koçak
- Division of Endocrine Surgery, Department of General Surgery, Faculty of Medicine, Ankara UniversityAnkara, Turkey
| | - Mani Habibi
- Department of Surgery, Antalya Training and Research HospitalAntalya, Turkey
| | - Umut Gündüz
- Department of Surgery, Antalya Training and Research HospitalAntalya, Turkey
| | - Bekir Erol
- Department of Radiology, Antalya Training and Research HospitalAntalya, Turkey
| | - Osman Öner
- Department of Surgery, Antalya Training and Research HospitalAntalya, Turkey
| | - Arif Aslaner
- Department of Surgery, Antalya Training and Research HospitalAntalya, Turkey
| | - Dinç Sürer
- Department of Pathology, Antalya Training and Research HospitalAntalya, Turkey
| | - Şükrü Özdemir
- Department of Surgery, Antalya Training and Research HospitalAntalya, Turkey
| | - Hakan Gülkesen
- Department of Statistics, Faculty of Medicine, Akdeniz universityAntalya, Turkey
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Erol B, Kara T, Gürses C, Karakoyun R, Köroğlu M, Süren D, Bülbüller N. Gray scale histogram analysis of solid breast lesions with ultrasonography: can lesion echogenicity ratio be used to differentiate the malignancy? Clin Imaging 2013; 37:871-5. [DOI: 10.1016/j.clinimag.2013.04.007] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2012] [Revised: 02/14/2013] [Accepted: 04/29/2013] [Indexed: 10/26/2022]
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Abstract
AIM This prospective study was conducted to compare changes in the health-related quality of life (HRQoL) and religious practices of patients who underwent surgery for rectal cancer. METHOD We prospectively followed 93 Muslim patients after surgery for colorectal carcinoma: abdominoperineal excision (APE, n = 50), sphincter-saving resection (LAR, n = 22) or anterior resection including sigmoid colectomy (AR, n = 1). The HRQoL was measured pre- and postoperatively at 15-18 months with the Medical Outcomes Study Short Form 36 Health Survey (SF-36) and a modified version of the American Society of Colorectal Surgeons (ASCRS) Fecal Incontinence questionnaire. Life standards, including religious practice, were measured using the Ankara University Life Standard Questionnaire. RESULTS No difference was detected in any SF-36 Health Survey HRQoL domain among the groups, although there were differences within groups before and after surgery. The ASCRS Fecal Incontinence questionnaire scales of lifestyle, coping/behaviour and depression/self-perception were similar in the APE and AR groups and were significantly worse than in the AR group (P ≤ 0.004). The embarrassment scale was worse in the APE than in the LAR and AR groups (P < 0.001). Religious worship (praying alone, praying in mosques, fasting during Ramadan and purifying alms) was not significantly different among the groups. CONCLUSION HRQoL measured by the SF-36 questionnaire and religious practices were not significantly different after APE compared with AR. Ostomy support and pre- and postoperative health-related and religious counselling may have had beneficial effects.
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Affiliation(s)
- H Celasin
- Department of Surgery, University of Ankara, Ankara, Turkey
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Altun H, Banli O, Karakoyun R. Intestinal intussusception as a complication of typhoid fever. Acta Chir Belg 2011; 111:174-5. [PMID: 21780526 DOI: 10.1080/00015458.2011.11680731] [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: 10/21/2022]
Abstract
Typhoid fever is a severe febrile illness caused by Salmonella typhi. Although ileal perforation and bleeding are seen more frequently, intestinal intussusception is a very rare complication of typhoid fever. A male patient was admitted to hospital due to abdominal distension and pain. Abdominal computerised tomography revealed ileal intussusception. The patient underwent exploratory laparotomy. Ileal intussusception was determined and segmental ileal resection was performed. Examination of the resected ileal segment revealed multiple ulcerous lesions that led to intussusception. The postoperative course was uneventful. The operative treatment is the subject of debate because of insufficient evidence. We recommend segmental bowel resection because of the underlying pathology.
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Affiliation(s)
- H. Altun
- Department of General Surgery, Etlik Ihtisas Hospital, Ankara, Turkey
| | - O. Banli
- Department of General Surgery, Etlik Ihtisas Hospital, Ankara, Turkey
| | - R. Karakoyun
- Department of General Surgery, Etlik Ihtisas Hospital, Ankara, Turkey
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Karakoyun R, Banli O, Altun H. Stromal tumor originating from sigmoid mesocolon: a case report. Turk J Surg 2010. [DOI: 10.5097/1300-0705.ucd.128-09.03] [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: 11/08/2022]
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Abstract
Meckel's diverticulum is the most common congenital anomaly of the gastro-intestinal tract. It is generally asymptomatic. Occasionally, it may cause some complications such as bleeding, obstruction, diverticulitis and intussusception. We present a case of a 21-year-old female with intussusception due to inverted Meckel's diverticulum. Diagnosis and therapy of inverted Meckel's diverticulum is a subject of debate because of its rarity and the limited number of reports in the literature.
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Gyedu A, Karakoyun R, Baltaci S, Yağci C, Köksoy C. Surgical repair of a giant renal artery aneurysm: a case report. Eur J Vasc Endovasc Surg 2008; 36:31-3. [PMID: 18313339 DOI: 10.1016/j.ejvs.2008.01.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2007] [Accepted: 01/15/2008] [Indexed: 10/22/2022]
Abstract
A case of a giant renal artery aneurysm and multiple small branch aneurysms in a 48-year old man is presented. The largest aneurysm was repaired successfully with kidney preservation. Small branch aneurysms were left alone. Subsequent CT scans 6, 12 and 20 months after the operation revealed the same aneurysms without any increase in size and shape.
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Affiliation(s)
- A Gyedu
- Division of Vascular Surgery, Ankara University Medical School, Ankara, Turkey
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