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Sanli DET, Sanli AN, Kandemirli SG, Esmerer E, Kayadibi Y, Demiryas S, Korman MU. The mutually complementary role of magnetic resonance enterography and conventional enteroclysis in patients with complicated and/or advanced stage of Crohn's disease. BRATISL MED J 2021; 122:270-276. [PMID: 33729820 DOI: 10.4149/bll_2021_045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
AIM To assess the diagnostic significance of magnetic resonance enterography (MRE) and conventional enteroclysis (CE) in patients with complicated and/or advanced stage of Crohn's disease. METHODS Patients with abnormal CE findings suggestive of mural and/or extramural involvement with the diagnosis or pre-diagnosis of CD are evaluated. After real-time bowel distension by enteroscopic examination, the patients with advanced or complicated stage were taken to the MRE examination in the same session. Mucosal-mural-extramural and activation findings, presence of stenosis/stricture, skip lesions and the mean duration of exams were evaluated with both CE and MRE. The superiority of one method over the other relative to these findings was evaluated. RESULTS A total of 110 patients evaluated by CE had the findings of CD. Of these, 24 patients with abnormal CE findings suggestive of advanced mural and extramural involvements were subsequently evaluated with MRE. CE was superior to MRE in the depiction of early superficial mucosal changes (aphthous-linear ulcer), cobblestone pattern (p = 0.002, p < 0.01), obstruction (p = 0.004, p < 0.01), and differentiation between the string sign and stricture. MRE was superior to conventional enteroclysis in mural and perienteric findings of bowel thickening, fibro-fatty proliferation, abscess (p = 0.016, p 0.05). CONCLUSION CE and MRE are mutually complementary imaging modalities in CD staging, evaluation of activation findings, and detection of complications (Tab. 3, Fig. 8, Ref. 23).
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Demiryas S, Caliskan R, Saribas S, Akkus S, Gareayaghi N, Kirmusaoglu S, Kepil N, Dinc H, Dag H, Dagdeviren E, Tokman HB, Kalayci F, Demirci M, Tasci I, Erzin Y, Bal K, Kocazeybek B. The association between cagL and cagA, vacAs-m, babA genes in patients with gastric cancer, duodenal ulcer, and non-ulcer dyspepsia related to Helicobacter pylori. Acta Gastroenterol Belg 2020; 83:385-392. [PMID: 33094584] [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] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
INTRODUCTION As a component of the cag T4SS, the cagL gene is involved in the translocation of CagA into host cells and is essential for the formation of cag PAI-associated pili between H. pylori and gastric epithelial cells. AIM We aimed to investigate the clinical association of the cagL gene with other virulence factors (VacA, CagA, EPIYA-C, and BabA protein) of H. pylori strains isolated from GC, duodenal ulcer (DU), and non-ulcer dyspepsia (NUD) cases. METHODS The patient group (PG), including 47 patients (22 GC and 25 DU) and a 25 control group (CG= NUD) were included. Amplification of the H. pylori cagL, cagA, vacA, and babA2 genes and typing of EPIYA motifs were performed by PCR methods. RESULTS Sixty-one (84.7%) H. pylori strains were detected with cagL (93.6% in SG, 68% in CG). We detected a significant difference between SG and CG for the presence of cagL (p=0.012) but no statistical comparison was done for (≥2) EPIYA-C repeats In the comparison of H. pylori strains with cagA/vacAs1m1 and cagA/ vacAs1m2 and babA2 for the presence of cagL, we could not detect a significant difference (p=1). CONCLUSION We detected a significant difference between groups for the presence of cagL genotype (p=0.012). The vacAs1m1 (OR: 2.829), genotypes increased the GC and DU risk by 2.8 times, while multiple (≥2) EPIYA-C repeats incresed the GC and DU risk by 3.524 times. Gender (to be female) (OR: 0.454) decreased the GC and DU risk by inversly decreased in the multivariate analysis.
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Affiliation(s)
- S Demiryas
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of General Surgery, Istanbul, Turkey
| | - R Caliskan
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of Medical Microbiology, Istanbul, Turkey
| | - S Saribas
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of Medical Microbiology, Istanbul, Turkey
| | - S Akkus
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of Medical Microbiology, Istanbul, Turkey
| | - N Gareayaghi
- Istanbul Sisli Hamidiye Etfal Training and Research Hospital, Blood Center, University of Health Sciences, Istanbul, Turkey
| | - S Kirmusaoglu
- T.C. Haliç University, Faculty of Arts and Sciences, Department of Molecular Biology and Genetics, Istanbul, Turkey
| | - N Kepil
- Istanbul University- Cerrahpasa, Cerrahpasa Medical Faculty, Department of Pathology, Istanbul, Turkey
| | - H Dinc
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of Medical Microbiology, Istanbul, Turkey
| | - H Dag
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - E Dagdeviren
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | - H B Tokman
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of Medical Microbiology, Istanbul, Turkey
| | - F Kalayci
- Istanbul Yeni Yuzyil University, Medical Faculty, Department of Medical Microbiology, Istanbul, Turkey
| | - M Demirci
- Beykent University Medical Faculty, Department of Medical Microbiology, Istanbul, Turkey
| | - I Tasci
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of General Surgery, Istanbul, Turkey
| | - Y Erzin
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of Gastroenterology, Istanbul, Turkey
| | - K Bal
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of Gastroenterology, Istanbul, Turkey
| | - B Kocazeybek
- Istanbul University-Cerrahpasa, Cerrahpasa Medical Faculty, Department of Medical Microbiology, Istanbul, Turkey
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Demirci M, Tokman H, Uysal H, Demiryas S, Karakullukcu A, Saribas S, Cokugras H, Kocazeybek B. Reduced Akkermansia muciniphila and Faecalibacterium prausnitzii levels in the gut microbiota of children with allergic asthma. Allergol Immunopathol (Madr) 2019; 47:365-371. [PMID: 30765132 DOI: 10.1016/j.aller.2018.12.009] [Citation(s) in RCA: 66] [Impact Index Per Article: 13.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Revised: 11/11/2018] [Accepted: 12/04/2018] [Indexed: 02/07/2023]
Abstract
INTRODUCTION AND OBJECTIVES The amounts of Akkermansia muciniphila and Faecalibacterium prausnitzii in gut microbiota are reduced in patients with allergic diseases compared to healthy controls. We aimed to quantify levels of A. muciniphila and F. prausnitzii amounts using real-time quantitative PCR (qPCR) in the gut microbiota of children with allergic asthma and in healthy controls. MATERIALS AND METHODS In total, 92 children between the ages of three and eight who were diagnosed with asthma and 88 healthy children were included in the study and bacterial DNA was isolated from the stool samples using the stool DNA isolation Kit. qPCR assays were studied with the microbial DNA qPCR Kit for A. muciniphila and microbial DNA qPCR Kit for F. prausnitzii. RESULTS Both bacterial species showed a reduction in the patient group compared to healthy controls. A. muciniphila and F. prausnitzii were found to be 5.45±0.004, 6.74±0.01 and 5.71±0.002, 7.28±0.009 in the stool samples of the asthma and healthy control groups, respectively. CONCLUSIONS F. prausnitzii and A. muciniphila may have induced anti-inflammatory cytokine IL-10 and prevented the secretion of pro-inflammatory cytokines like IL-12. These findings suggest that A. muciniphila and F. prausnitzii may suppress inflammation through its secreted metabolites.
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Kocazeybek B, Ergin S, Caliskan R, Demiryas S, Kepil N, Dinc O, Dağ H, Dağdeviren H, Tokman HB, Saribas S, Kalayci F, Demirci M, Taşcı İ, Erzin Y, Bal K. The importance of the association of cagL with cagA, vacAs/m and babA gene regions in patients with gastric cancer, duodenal ulcer and non-ulcer dyspepsia related to H. pylori: First in vitro study from Turkey. Int J Infect Dis 2018. [DOI: 10.1016/j.ijid.2018.04.3762] [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: 10/28/2022] Open
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Ergin S, Kocazeybek B, Caliskan R, Demiryas S, Dinc O, Gülergün R, Tokman HB, Ziver T, Saribas S, Yuksel P, Kalayci F, Demirci M, Taşcı İ, Erzin Y, Bal K. Mutations in the 23S rRNA genes of Helicobacter pylori mediate resistance to clarithromycin (A preliminary study). Int J Infect Dis 2018. [DOI: 10.1016/j.ijid.2018.04.3704] [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: 11/25/2022] Open
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Karakullukcu A, Tokman HB, Nepesov S, Demirci M, Saribas S, Vehid S, Caliskan R, Taner Z, Cokugras H, Ziver T, Demiryas S, Kocazeybek B. The protective role of Helicobacter pylori neutrophil-activating protein in childhood asthma. Allergol Immunopathol (Madr) 2017; 45:521-527. [PMID: 28579087 DOI: 10.1016/j.aller.2017.01.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2016] [Accepted: 01/24/2017] [Indexed: 02/06/2023]
Abstract
BACKGROUND Helicobacter pylori quantity and HP-NAP gene expression were evaluated in the faeces of healthy and asthmatic children. METHODS H. pylori DNAs and RNAs were isolated from the stool samples of 92 asthmatic children (AC; 3-8 years) and 88 healthy controls (HC). Quantitative PCR was used to determine the quantity of H. pylori and HP-NAP expression relative to the 16S rRNA (reference gene). Gene expression was analysed using the delta delta-Ct method. RESULTS H. pylori DNA was detected in the stool samples of 18 (20.4%) of the 88 HC (p<0.0001, OR=0.79) and none of AC. No meaningful statistical differences were found between individuals with positive and negative family histories for asthma in AC and HC (p>0.05). H. pylori quantity was higher in seven of 18 H. pylori-positive samples, but HP-NAP expression levels were low in four of these seven samples. Based on a multivariate logistic regression analysis of these three variables together, only males displayed a significant difference based on gender differences (p<0.02) and it was determined that, based on the OR value of 0.46 and the 95% CI range of 0.241-0.888, male gender was an independent protective factor in asthma. CONCLUSIONS HP-NAP levels vary to the relative concentrations of bacteria in the stationary or late logarithmic phases. Different napA expression levels may be caused by different endogenous napA gene expression or different environmental conditions.
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Affiliation(s)
- A Karakullukcu
- Istanbul University, Department of Medical Microbiology Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - H B Tokman
- Istanbul University, Department of Medical Microbiology Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - S Nepesov
- Department of Pediatric Infectious Diseases, Clinical Immunology and Allergy, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - M Demirci
- Istanbul University, Department of Medical Microbiology Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - S Saribas
- Istanbul University, Department of Medical Microbiology Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - S Vehid
- Department of Biostatistics, Istanbul University Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey
| | - R Caliskan
- Istanbul University, Department of Medical Microbiology Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - Z Taner
- Istanbul University, Department of Medical Microbiology Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - H Cokugras
- Department of Pediatric Infectious Diseases, Clinical Immunology and Allergy, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - T Ziver
- Eastern Mediterranean University, Faculty of Health Sciences, Nutrition and Dietic Department, Famagusta, North Cyprus, Cyprus
| | - S Demiryas
- Istanbul University, Department of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey
| | - B Kocazeybek
- Istanbul University, Department of Medical Microbiology Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
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Sukegawa M, Chihara N, Suzuki H, Watanabe M, Nomura S, Uchida E, Napoliello D, Mykytiuk S, Vlasov V, Pidmurniak O, Prystupa M, Latynskyi E, Pidoprygora YU, Brytanchuk R, Demiryas S, Kucuk Y, Umman V, Ulualp K, Ertem M, Tasci I, Ahn S, Park DJ, Kim HH, Morgell A, Nilsson H, Nordin P, Angerås U, Sandblom G. Topic: Femoral Hernia - Approach, results. Hernia 2015; 19 Suppl 1:S220-2. [PMID: 26518808 DOI: 10.1007/bf03355357] [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] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- M Sukegawa
- Institute of Gastroenterology, Nippon Medical School - Musashikosugi Hospital, Kawasaki, Japan
| | - N Chihara
- Institute of Gastroenterology, Nippon Medical School - Musashikosugi Hospital, Kawasaki, Japan
| | - H Suzuki
- Institute of Gastroenterology, Nippon Medical School - Musashikosugi Hospital, Kawasaki, Japan
| | - M Watanabe
- Institute of Gastroenterology, Nippon Medical School - Musashikosugi Hospital, Kawasaki, Japan
| | - S Nomura
- Institute of Gastroenterology, Nippon Medical School - Musashikosugi Hospital, Kawasaki, Japan
| | - E Uchida
- Department of Surgery, Nippon Medical School, Tokyo, Japan
| | - D Napoliello
- Sarasota Memoral Healthcare System, Sarasota, USA
| | - S Mykytiuk
- Khmelnytskyi Basic Medical College, Khmelnytskyi, Ukraine
| | - V Vlasov
- Vinnitsa National Medical University, Khmelnytskyi, Ukraine
| | - O Pidmurniak
- Surgical Department of Khmelnytskyi Regional Hospital, Khmelnytskyi, Ukraine
| | - M Prystupa
- Surgical Department of Khmelnytskyi Regional Hospital, Khmelnytskyi, Ukraine
| | - E Latynskyi
- Surgical Department of Khmelnytskyi Regional Hospital, Khmelnytskyi, Ukraine
| | - Y U Pidoprygora
- Surgical Department of Khmelnytskyi Regional Hospital, Khmelnytskyi, Ukraine
| | - R Brytanchuk
- Surgical Department of Khmelnytskyi Regional Hospital, Khmelnytskyi, Ukraine
| | - S Demiryas
- Cerrahpasa Medical Faculty, Department of General Surgery, Istanbul University, Istanbul, Turkey
| | - Y Kucuk
- Cerrahpasa Medical Faculty, Department of General Surgery, Istanbul University, Istanbul, Turkey
| | - V Umman
- Cerrahpasa Medical Faculty, Department of General Surgery, Istanbul University, Istanbul, Turkey
| | - K Ulualp
- Cerrahpasa Medical Faculty, Department of General Surgery, Istanbul University, Istanbul, Turkey
| | - M Ertem
- Cerrahpasa Medical Faculty, Department of General Surgery, Istanbul University, Istanbul, Turkey
| | - I Tasci
- Cerrahpasa Medical Faculty, Department of General Surgery, Istanbul University, Istanbul, Turkey
| | - S Ahn
- Department of Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea
| | - D J Park
- Department of Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea
| | - H H Kim
- Department of Surgery, Seoul National University Bundang Hospital, Seongnam, South Korea
| | - A Morgell
- Karolinska Universitetssjukhuset, Stockholm, Sweden
| | - H Nilsson
- Sahlgrenska Universitetssjukhuset, Göteborg, Sweden
| | - P Nordin
- Östersunds Sjukhus, Östersund, Sweden
| | - U Angerås
- Sahlgrenska Universitetssjukhuset, Göteborg, Sweden
| | - G Sandblom
- Karolinska Universitetssjukhuset, Stockholm, Sweden
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