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Sever F, Özmert S, Dereci S. The relationship between gastric ultrasound findings and endoscopically aspirated volume in infants and determining the antral cutoff value for empty stomach diagnosis. Paediatr Anaesth 2023. [PMID: 37814933 DOI: 10.1111/pan.14776] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2022] [Revised: 09/12/2023] [Accepted: 09/17/2023] [Indexed: 10/11/2023]
Abstract
BACKGROUND/AIMS Pulmonary aspiration of gastric content is a serious perioperative complication. The objective of this prospective study was to assess the relationship between the gastric volumes suctioned endoscopically and quantitative (antral cross-section area) and qualitative (empty vs. nonempty) examination of the gastric antrum. Furthermore, the study aimed to determine the best antral cross-section area cutoff value for a truly empty antrum in infants. METHODS This study was performed in a pediatric gastrointestinal endoscopy unit. Antral sonography was performed in supine and right lateral decubitus positions in 46 fasted infants prior to upper gastrointestinal endoscopic evaluation. Antral cross-sectional area measurements in both positions and qualitative evaluation of the antrum (according to a three-point grading system) were recorded. Gastric contents were endoscopically suctioned and measured. RESULTS Forty-six patients (aged under 24 months) were included. According to the three-point qualitative grading system, 76.1% of patients were classified as grade 0. The best cutoff value for the antral cross-section area in the right lateral decubitus position, indicating an empty antrum, was determined to be 2.40 cm2 . At this specific cutoff value, the sensitivity was 100%, the specificity was 68.6%, and the negative predictive value was 100%. CONCLUSIONS Gastric ultrasonography can confirm an empty or nearly empty stomach in healthy infants.
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Affiliation(s)
- Feyza Sever
- Anesthesiology and Reanimation Department, Ankara City Hospital, Ankara, Turkey
| | - Sengül Özmert
- Anesthesiology and Reanimation Department, Ankara City Hospital, Ankara, Turkey
| | - Selim Dereci
- Pediatric Gastroenterology Department, Ankara City Hospital, Children's Hospital, Ankara, Turkey
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Hizli Ş, Dereci S, Özdemir Ö, Duran F, Hidimoğlu B, İskender Mazman D, Gülhan B, Çelikel Acar B. Evaluation of Vascular and Perfusional Changes in the Retina and Choroid of Children with MIS-C. Pediatr Int 2023:e15522. [PMID: 36897122 DOI: 10.1111/ped.15522] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 02/16/2023] [Accepted: 02/16/2023] [Indexed: 03/11/2023]
Abstract
BACKGROUND MIS-C is hyperinflammation following Coronavirus Disease 2019 (COVID-19) and effects many organs. COVID-19 effects the retina and choroid through microangiopathy and thrombosis but the knowledge related to MIS-C in literature is limited. METHODS Thirty children (60 eyes) with MIS-C (Study group-SG) and age-and gender-matched, 32 healthy children (64 eyes) (Control group-CG) were included in the prospective case-control study. Complete ophthalmological examinations, measurements of the vessel densities of the retinal layers, and flow area of the outer retina and choriocapillaris in both groups were done with optical coherence tomography angiography (OCT-A). RESULTS The mean age of the SG was 11.9±3.9 and CG was 12.5±4.6 years (p=0.197). In this study we found that the vessel density of the deep layer of the inner retina was significantly decreased and reduced in the outer retina of flow area in SG compared to CG (p<0.05, for all). However, there was no significant difference between the groups for other measurements. CONCLUSIONS In MIS-C patients, vessel densities of the deep layer of the inner retina and flow area in the outer retina significantly decreased. This OCTA-A finding suggests; MIS-C is related with endothelial thrombotic condition problems in small branches of the retinal artery. The results of this study support the idea that there is a need for screening of MIS-C patients for the presence of these microangiopathic and perfusional complications.
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Affiliation(s)
- Şamil Hizli
- Department of Pediatric Gastroenterology, Ankara Yildirim Beyazit University, Ankara City Hospital, Ankara, Turkey
| | - Selim Dereci
- Department of Pediatric Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
| | - Özdemir Özdemir
- Department of Ophthalmology, Ankara City Hospital, Ankara, Turkey
| | - Fatih Duran
- Department of Pediatric Gastroenterology, Ankara City Hospital, Ankara, Turkey
| | - Burcu Hidimoğlu
- Department of Pediatric Gastroenterology, Ankara City Hospital, Ankara, Turkey
| | | | - Belgin Gülhan
- Department of Pediatric Infection, Ankara City Hospital, Ankara, Turkey
| | - Banu Çelikel Acar
- Department of Pediatric Rheumatology, Ankara City Hospital, Ankara, Turkey
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Karagöl C, Güngörer V, Ekici Tekin Z, Çelikel E, Aydın F, Kurt T, Tekgöz N, Sezer M, Coşkun S, Kaplan MM, Öner N, Polat MG, Tiftik M, Tıgrak S, Dereci S, Hızlı Ş, Acar BÇ. Clues for inflammatory diseases in the differential diagnosis of a child with sacroiliitis. Pediatr Int 2023; 65:e15504. [PMID: 36780151 DOI: 10.1111/ped.15504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 01/21/2023] [Accepted: 02/05/2023] [Indexed: 02/14/2023]
Abstract
BACKGROUND The purpose of this study was to compare the demographic, clinical and laboratory characteristics of patients with enthesitis-related arthritis (ERA), familial Mediterranean fever (FMF) and inflammatory bowel disease (IBD), which are inflammatory diseases that may develop sacroiliitis. Thus, it was aimed to reveal various findings that may indicate primary disease in patients with sacroiliitis. METHODS Pediatric patients aged 6-18 years, who were being followed with a diagnosis of ERA (n=62), FMF (n=590), and IBD (n=56) over the period 2013-2021 were included in the study. Sacroiliitis (n=55) was diagnosed by magnetic resonance imaging (MRI) of the sacroiliac joint, obtained from clinically suspected patients. RESULTS Sacroiliitis was detected in 54.8% of ERA patients, 2.3% of FMF patients, and 12.5% of IBD patients. The mean follow-up period was 4.1±2.8 years (10months-8 years) for the entire study group. The most common MRI findings for sacroiliitis was bone marrow edema. Peripheral joint involvement (73.5%) and HLA B27 positivity (64.7%) was significantly higher in ERA patients, and ERA was diagnosed more frequently in patients presenting with sacroiliitis. Non-steroidal anti-inflammatory drugs (NSAIDs) were the first choice of treatment agent when sacroillitis developed in all three patient groups. CONCLUSIONS The clinical and laboratory findings of ERA, FMF and IBD can sometimes be intertwined or can even coexist. Treatment may differ depending on the disease associated with sacroiliitis, although NSAIDs may be used in the first-line treatment of all 3 diseases. Sacroiliitis patients with HLA B27 positivity and peripheral arthritis may need to be addressed as ERA.
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Affiliation(s)
- Cüneyt Karagöl
- Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Vildan Güngörer
- Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Zahide Ekici Tekin
- Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Elif Çelikel
- Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Fatma Aydın
- Division of Pediatric Rheumatology, Department of Pediatrics, Ankara University Hospital, 06660-Cankaya, Ankara, Turkey
| | - Tuba Kurt
- Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Nilüfer Tekgöz
- Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Müge Sezer
- Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Serkan Coşkun
- Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Melike Mehveş Kaplan
- Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Nimet Öner
- Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Merve Guler Polat
- Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Mehmet Tiftik
- Division of Pediatric Radiology, Department of Radiology, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Sefa Tıgrak
- Division of Pediatric Radiology, Department of Radiology, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Selim Dereci
- Division of Pediatric Gastroenterology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Şamil Hızlı
- Division of Pediatric Gastroenterology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
| | - Banu Çelikel Acar
- Division of Pediatric Rheumatology, Department of Pediatrics, University of Health Sciences, Ankara City Hospital, 06800-Bilkent, Ankara, Turkey
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Salman H, Gürsoy Koca T, Dereci S, Akçam M. Comparison of Body Composition and Body Mass Index in the Determination of Obesity in Schoolchildren. Turk Arch Pediatr 2022; 57:506-510. [PMID: 35866326 PMCID: PMC9524434 DOI: 10.5152/turkarchpediatr.2022.21320] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Objective: The determination of obesity that develops with an increase in the percentage of fat in the body may not always be possible in the real sense with body mass index, which is frequently used in practice. This study aimed to compare the results obtained from body mass index and bioelectrical impedance analysis measurements in evaluating obesity in Turkish school-aged children using age-related percentile curves. Materials and Methods: The study included 1127 children (604 boys and 523 girls) recruited from a screening of the schools in the city center of Isparta between May 20 and June 20, 2014. Body mass index was calculated, and the variables of fat mass, body fat percentage, fat-free body mass, and total body water were measured with a Tanita BC-418 MA device. Results: According to the body mass index values, 23.8% of the study sample was overweight/obese, and according to bioelectrical impedance analysis, this rate was 14.7%. When examined by gender, males’ overweight/obese ratio was 19.9% (overweight 11.3% and obese 8.6%) according to body mass index and 12.9% (overweight 7.1% and obese 5.8%) using the bioelectrical impedance analysis method. In females, the overweight/obese ratio was 19% (overweight 9.4%, obese 9.6%) according to body mass index and 16.7% (overweight 9.6% and obese 7.1%) using the bioelectrical impedance analysis method. Conclusion: The results obtained from the weight-based body mass index method were not consistent with the body fat percentage results obtained with the bioelectrical impedance analysis method. Since the fat ratio is also crucial in evaluating obesity, care should be taken when diagnosing obesity using body mass index only.
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Affiliation(s)
- Hakan Salman
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Süleyman Demirel University, School of Medicine, Isparta, Turkey
- Corresponding author:Hakan Salman✉
| | - Tuğba Gürsoy Koca
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Pamukkale University, School of Medicine, Denizli, Turkey
| | - Selim Dereci
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Ankara City Hospital, Ankara, Turkey
| | - Mustafa Akçam
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Süleyman Demirel University, School of Medicine, Isparta, Turkey
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Mazman Dİ, Dereci S, Hızlı Ş, Doğan HT, Ateş BB, Hızal G, Demir AM, Aksu AÜ. Celiac crisis with thrombocytopenia and coagulopathy in a child. Turk J Pediatr 2022; 64:1156-1160. [PMID: 36583900 DOI: 10.24953/turkjped.2022.216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
BACKGROUND Celiac disease rarely presents with edema, hypoalbuminemia, acute metabolic deterioration, and electrolyte imbalances. This life-threatening condition is defined as a celiac crisis and may mimic disorders with metabolic derangement and sepsis. The crisis may present at onset or develop in celiac disease patients with poor compliance to a gluten-free diet. The fluid resuscitation and replacement of electrolyte deficits are life-saving modalities. CASE A 14-month-old girl was admitted with fever, lethargy, severe dehydration, edema, hypotension, and commenced sepsis therapy. However, the patient had a growth delay and loss of weight with diarrhea and delayed motor skills. On admission, laboratory evaluation showed anemia, coagulopathy, hypoalbuminemia, electrolyte disturbances, and metabolic acidosis and developed thrombocytopenia during follow-up. The celiac serological tests and upper gastrointestinal endoscopic duodenal mucosa appearance, and duodenum histopathology findings suggested celiac disease. CONCLUSIONS This case highlights that a celiac patient may present with a severe illness like sepsis and may be associated with cytopenia and coagulopathy in the celiac crisis.
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Affiliation(s)
- Duygu İskender Mazman
- Department of Pediatric Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara
| | - Selim Dereci
- Department of Pediatric Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara
| | - Şamil Hızlı
- Departments of Pediatric Gastroenterology, Ankara Yıldırım Beyazıt University Faculty of Medicine, Ankara, Türkiye
| | - Hayriye Tatlı Doğan
- Departments of Pathology, Ankara Yıldırım Beyazıt University Faculty of Medicine, Ankara, Türkiye
| | - Burcu Berberoğlu Ateş
- Department of Pediatric Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara
| | - Gülin Hızal
- Department of Pediatric Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara
| | - Arzu Meltem Demir
- Department of Pediatric Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara
| | - Aysel Ünlüsoy Aksu
- Department of Pediatric Gastroenterology, University of Health Sciences, Ankara City Hospital, Ankara
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Dereci S, Hizli S, Bolu S, Asik A, Direkci I, Karadag AS. Evaluation of eye health in children with type 1 diabetes mellitus and celiac disease. Niger J Clin Pract 2022; 25:1785-1791. [DOI: 10.4103/njcp.njcp_1985_21] [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: 11/24/2022]
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Dereci S, Asik A, Direkci I, Karadag AS, Hizli S. Evaluation of eye involvement in paediatric celiac disease patients. Int J Clin Pract 2021; 75:e14679. [PMID: 34328680 DOI: 10.1111/ijcp.14679] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2021] [Revised: 06/25/2021] [Accepted: 07/05/2021] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND The non-classic presentation of paediatric celiac disease (CeD) becomes increasingly common in daily practice, which requires an awareness of eye findings. The purpose of this study was to evaluate eye involvement and effect of gluten-free diet on ocular involvement in paediatric CeD patients by measuring the thicknesses of choroid and ganglion cell complex (GCC) composed of retinal nerve fibre layer, ganglion cell layer and inner plexiform layer using enhanced depth imaging optical coherence tomography. METHODS Forty-three CeD patients aged between four and 16 years (mean age: 9.9 ± 4.1, 12 boys and 31 girls) and 48 healthy children (mean age: 11.3 ± 4.1,17 boys and 31 girls) were compared. Following comprehensive eye examinations, thicknesses of choroid at three points and GCC layers (retinal nerve fibre layer at five points, ganglion cell layer and inner plexiform layer) were obtained using enhanced depth imaging optical coherence tomography. Measurement of thicknesses of choroid and GCC layers by a trained optical coherence tomography technician and an ophthalmologist who were not aware about group of children in paediatric CeD patients with 1 year gluten-free diet was carried out. RESULTS All layers of subfoveal, nasal and temporal choroid were significantly thinner in CeD than in the control group (P < .001, all, respectively). No significant difference was observed between the CeD and control groups in terms of GCC thicknesses (P > .05, all, respectively). CONCLUSION Paediatric CeD caused thinning of subfoveal, nasal and temporal areas of choroid, and this change is apparent even after 1 year gluten-free diet. This eye involvement should be more closely screened at diagnosis, and long-term clinical results of thin choroid should be determined. Thicknesses of GCC layers were not different in CeD group and may reveal the effect of diet or not involvement.
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Affiliation(s)
- Selim Dereci
- Pediatric Gastroenterology, Faculty of Medicine, Adıyaman University, Adiyaman, Turkey
| | - Abdulvahit Asik
- Pediatrics, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Ilke Direkci
- Ophthalmology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Ayse Sevgi Karadag
- Ophthalmology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey
| | - Samil Hizli
- Pediatric Gastroenterology, Ankara Yildirim Beyazit University, Ankara City Hospital, Ankara, Turkey
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Haktanir Abul M, Dereci S, Hacisalihoglu S, Orhan F. Is kiwifruit allergy a matter in kiwifruit-cultivating regions? A population-based study. Pediatr Allergy Immunol 2017; 28:38-43. [PMID: 27732749 DOI: 10.1111/pai.12666] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/09/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND Although kiwifruit is known as a common cause of food allergy, population-based studies concerning the prevalence of kiwifruit allergy do not exist. We aimed to determine the prevalence and clinical characteristics of IgE-mediated kiwifruit allergy in 6-18-year-old urban schoolchildren in a region where kiwifruit is widely cultivated. METHODS This cross-sectional study recruited 20,800 of the randomly selected 6-18-year-old urban schoolchildren from the Rize city in the eastern Black Sea region of Turkey during 2013. Following a self-administered questionnaire completed by the parents and the child, consenting children were invited for skin prick tests (SPTs) and oral food challenges (OFCs). Children with suspected IgE-mediated kiwifruit were skin prick tested with kiwifruit (commercial allergen and prick-to-prick test with fresh kiwifruit) and a pre-defined panel of allergens (banana, avocado, latex, sesame seed, birch, timothy, hazel, cat, Dermatophagoides pteronyssinus, and Dermatophagoides farinae). All children with a positive SPT to kiwifruit were invited for an open OFC. The prevalence of IgE-mediated kiwifruit allergy was established using open OFCs. RESULTS The response rate to the questionnaire was 75.9% (15783/20800). The estimated prevalence of parental-perceived IgE-mediated kiwifruit allergy was 0.5% (72/15783) (95% CI, 0.39-0.61%). Of the 72 children, 52 (72.2%) were skin tested, and 17 (32.7%) were found to be positive to kiwifruit with both commercial extract and kiwifruit. The most frequently reported symptoms in kiwifruit SPT-positive children were cutaneous (n = 10, 58.8%) followed by gastrointestinal (n = 6, 35.3%) and bronchial (n = 4, 23.5%). Oral symptoms were reported in six (35.3%) children. All children who were kiwifruit positive by SPT were found positive during the oral challenge. The confirmed prevalence of IgE-mediated kiwifruit allergy by means of open OFC in 6-18-year-old urban schoolchildren living in Rize city was 0.10% (95% CI, 0.06-0.16). CONCLUSION Prevalence of parental-perceived and clinically confirmed kiwifruit allergy is not consistent. In contrast to expectations, kiwifruit allergy prevalence was low in a city where it is cultivated and highly consumed.
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Affiliation(s)
- Mehtap Haktanir Abul
- Department of Pediatric Allergy and Immunology, School of Medicine, Karadeniz Technical University, Trabzon, Turkey
| | - Selim Dereci
- Department of Pediatrics, School of Medicine, Recep Tayyip Erdogan University, Rize, Turkey
| | - Sadan Hacisalihoglu
- Department of Pediatrics, School of Medicine, Recep Tayyip Erdogan University, Rize, Turkey
| | - Fazil Orhan
- Department of Pediatric Allergy and Immunology, School of Medicine, Karadeniz Technical University, Trabzon, Turkey
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Dereci S, Pirgon O. Necrobiosis Lipoidica. Indian Pediatr 2016; 53:848. [PMID: 27771664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Selim Dereci
- Suleyman Demirel University, Faculty of Medicine, Department of Pediatrics, Isparta, Turkey.
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Konar MC, Ghosh T, Monteiro de Castro TC, de Andrade Lotufo S, Dereci S, Pirgon O, Maria A. Auricular blister–a rare transfusion reaction. Indian Pediatr 2016. [DOI: 10.1007/s13312-016-0947-4] [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: 11/30/2022]
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Özkasap S, Dereci S, Özdemir GN, Zülfikar B. Difficulties in the treatment of an Infant with Hemophilia B. Turk Pediatri Ars 2016; 51:120-121. [PMID: 27489472 PMCID: PMC4959742 DOI: 10.5152/turkpediatriars.2016.3626] [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] [Subscribe] [Scholar Register] [Received: 11/20/2015] [Accepted: 03/01/2016] [Indexed: 06/06/2023]
Affiliation(s)
- Serdar Özkasap
- Division of Hematology and Oncology, Department of Pediatrics, Recep Tayyip Erdoğan University School of Medicine, Rize, Turkey
| | - Selim Dereci
- Division of Pediatric Gastroenterology, Department of Pediatrics, Süleyman Demirel University School of Medicine, Isparta, Turkey
| | - Gül Nihal Özdemir
- Division of Hematology and Oncology, Department of Pediatrics, İstanbul University Cerrahpaşa School of Medicine, Rize, Turkey
- Hemophilia Society of Turkey
| | - Bülent Zülfikar
- Division of Hematology and Oncology, Department of Pediatrics, İstanbul University Cerrahpaşa School of Medicine, Rize, Turkey
- Hemophilia Society of Turkey
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Koca T, Dereci S, Gencer A, Duman L, Aktas AR, Akcam M, Akcam FZ. Cystic Echinococcosis in Childhood: Five-Years of Experience From a Single-Center. TurkiyeParazitolDerg 2016; 40:26-31. [DOI: 10.5152/tpd.2016.4381] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [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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Serdaroğlu F, Koca T, Dereci S, Akçam M. The etiology of hypertransaminasemia in Turkish children. Bosn J Basic Med Sci 2016; 16:151-6. [PMID: 26894285 PMCID: PMC4852998 DOI: 10.17305/bjbms.2016.982] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2016] [Revised: 01/29/2016] [Accepted: 01/30/2016] [Indexed: 02/07/2023] Open
Abstract
The aim of this study was to investigate the causes of elevated levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST) in children. We analyzed the medical records for children aged 3 months to 18 years who presented to the hospital with ALT >45 IU/L and/or AST >50 IU/L, between 2012 and 2014, for various reasons, including those not related to liver disease. In total, 281 children met the study criteria. This group comprised of 125 (44.5%) females and 156 (55.5%) males. At the presentation, the most common patient complaint was fatigue (53.4%), while 15.7% of the patients reported no symptoms. The most common findings on the physical examination were jaundice and hepatomegaly. In 15% of the cases, the findings were normal. According to the diagnosis, the most common cause of the elevated transaminases were infections (34%), with hepatitis A virus (HAV) infection as the leading cause (18.9%). Drug-induced liver injury (DILI) was the cause in 18.1% of the cases and non-alcoholic fatty liver disease (NAFLD) in 11.1%. The highest transaminase levels were associated with HAV infection, while DILI and NAFLD caused only slightly elevated transaminases. Overall, our results show that the elevated transaminases in children are most often caused by infections, DILI, and NAFLD. In a majority of cases, elevated ALT and AST indicate liver disease, however, they could also be associated with conditions other than liver damage. Additionally, the elevated enzymes can be detected in completely healthy individuals.
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Affiliation(s)
- Filiz Serdaroğlu
- Department of Pediatrics, Suleyman Demirel University Faculty of Medicine, Isparta, Turkey.
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Shanmugam NP, Al-Lawati T, Kelgeri C, Rela M, Koca T, Dereci S, Karahan N, Akcam M, Revanna KG, Chandran S, Saiprasad, Kasaragod A. Auxiliary liver transplantation for acute liver failure. Indian Pediatr 2016; 53:67-9. [DOI: 10.1007/s13312-016-0795-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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Koca T, Dereci S, Karahan N, Akcam M. Gastrointestinal Neuroendocrine Tumors in Two Children. Indian Pediatr 2016; 53:70-72. [PMID: 26840681] [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: 06/05/2023]
Abstract
BACKGROUND Enterochromaffin-like cell hyperplasia and neuroendocrine tumors are relatively rare in childhood. CASE CHARACTERISTICS A 15-year-old girl who presented with epigastric pain and a 6-year-old boy who was admitted with hematochezia. Endoscopy revealed nodules in the stomach in Case 1, and polyploidy lesion in the rectum in Case 2. OUTCOME Enterochromaffin-like cell hyperplasia in Case 1 and neuroendocrine tumor in Case 2. MESSAGE A low index of suspicion for neuroendocrine tumors in children can result in delay in the detection of these rare but potentially malignant diseases.
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Affiliation(s)
- Tugba Koca
- Departments of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, and *Department of Pathology; Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey. Correspondence to: Dr Tugba Koca, Department of Pediatrics, Suleyman Demirel University Faculty of Medicine, Cunur, Isparta, Turkey.
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16
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Abstract
AIM Foreign bodies ingested by the oral route enter into the gastrointestinal tract and are considered a significant health problem in the childhood. In this study, we evaluated the pediatric patients who presented to our hospital with the complaint of ingestion of foreign body. MATERIAL AND METHODS The hospital records of all children who presented to our clinic because of ingestion of foreign body between January 2008 and January 2015 were examined retrospectively. The complaints at admission, the types of foreign bodies ingested, the localization of the foreign body in the gastrointestinal tract and the approaches and treatment methods used were examined. RESULTS Thirty-six (56%) of 64 patients included in the study were male and 28 (44%) were female and the mean age was 5.7±4.6 years (10 months-17 years). Thirty eight (59%) of 64 children who were included in the assessment were below the age of five years. The most common complaint at presentation was parental recognition of the ingested object and dysphagia. The most commonly ingested foreign bodies included coins, sewing pins, safety pins and hairclips. Nail clipper detected in the stomach, sewing pin which penetrated through the duodenal wall and stuck to hepatic parenchyma were the first pediatric cases in the literature. Upper esophagus was the most common location for foreign bodies. Endoscopic examinations were performed in 55 of 64 children. CONCLUSIONS Early detection and treatment of ingested foreign bodies in the upper gastrointestinal system is important in terms of preventing possible complications. In our study, the most frequent foreign bodies detected in the upper digestive tract were coins and they were most frequently detected in the upper esophagus. Most of our patients were below the age of five years. Flexible endoscopic method was used commonly for treatment.
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Affiliation(s)
- Selim Dereci
- Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
| | - Tuğba Koca
- Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
| | - Filiz Serdaroğlu
- Department of Pediatrics, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
| | - Mustafa Akçam
- Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
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Koca T, Sivrice AÇ, Dereci S, Duman L, Akçam M. Percutaneous endoscopic gastrostomy in children: a single center experience. Turk Arch Pediatr 2015; 50:211-6. [PMID: 26884690 DOI: 10.5152/turkpediatriars.2015.3157] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [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: 07/08/2015] [Accepted: 10/03/2015] [Indexed: 01/16/2023]
Abstract
AIM The aim of this study was to evaluate the demographic data and complication rates in children who had undergone percutaneous endoscopic gastrostomy in a three-year period in our Division of Pediatric Gastroenterology and to interrogate parental satisfaction. MATERIAL AND METHODS The demographic data, complications and follow-up findings of the patients who had undergone percutaneous endoscopic gastrostomy between March 2011 and March 2014 were examined retrospectively using medical files. RESULTS Forty seven percutaneous endoscopic gastrostomy and percutaneous endoscopic gastrostomy related procedures were performed in 34 children during a three-year period. The median age of the patients was 2.25 years (3 months-16 years, first and third quartiles=1.0-6.0) and the mean body weight was 13.07±8.6 kg (3 kg-47 kg). Before percutaneous endoscopic gastrostomy procedure, the mean weight z score was -2.26±1.2 (-5-0) and the mean height z score was -2.25±0.96 (-3.85-0.98). The follow-up mean height and weight Z scores at the 12(th) month after the percutaneous endoscopic gastrostomy procedure could be reached in 24 patients. A significant increase in the mean weight Z score from -2.41 to -1,07 (p=0.000) and in the mean height Z score from -2.29 to -1.99 (p=0.000) was found one year after percutaneous endoscopic gastrostomy catheter was placed in these 24 patients. Patients with neurological and metabolic diseases constituted the majority (64.7% and 26.5% respectively). Peritoneal leakage of food was detected in one patient and local stoma infections were detected in three patients after the procedure. During the follow up period, "Buried bumper syndrome" was observed in one patient. Following percutaneous endoscopic gastrostomy, the number of patients using anti-reflux medication increased from 16 (47.1%) to 18 (52.9%) (p=0.62). One patient with cerebral palsy who had aspiration pneumonia after percutaneous endoscopic gastrostomy insertion had undergone Nissen fundoplication. Percutaneous endoscopic gastrostomy tube was removed in a patient. The parents had positive views related with percutaneous endoscopic gastrostomy after the procedure. CONCLUSIONS Percutaneous endoscopic gastrostomy is a substantially successful and reliable method in infants as well as in children and adolescents. The parents had positive views related with percutaneous endoscopic gastrostomy after the procedure.
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Affiliation(s)
- Tuğba Koca
- Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
| | - Ayşe Çiğdem Sivrice
- Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
| | - Selim Dereci
- Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
| | - Levent Duman
- Department of Pediatric Surgery, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
| | - Mustafa Akçam
- Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
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Akcam M, Pirgon O, Dereci S. Harlequin Skin Changes Caused by Extreme Rectal Pain. Gastroenterology 2015; 149:872-3. [PMID: 26311047 DOI: 10.1053/j.gastro.2015.06.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2015] [Revised: 06/16/2015] [Accepted: 06/22/2015] [Indexed: 12/02/2022]
Affiliation(s)
- Mustafa Akcam
- Section of Gastroenterology, Hepatology and Nutrition, The University of S. Demirel, Isparta, Turkey
| | - Ozgur Pirgon
- Section of Pediatric Endocrinology, Department of Pediatrics, The University of S. Demirel, Isparta, Turkey
| | - Selim Dereci
- Section of Gastroenterology, Hepatology and Nutrition, The University of S. Demirel, Isparta, Turkey
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Mutlu M, Sarıaydın M, Aslan Y, Kader Ş, Dereci S, Kart C, Yaman SÖ, Kural B. Status of vitamin D, antioxidant enzymes, and antioxidant substances in neonates with neonatal hypoxic-ischemic encephalopathy. J Matern Fetal Neonatal Med 2015; 29:2259-63. [PMID: 26372267 DOI: 10.3109/14767058.2015.1081889] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
OBJECTIVE To investigate the concentration of vitamin D (VD), glutathione peroxidase (GP), superoxide dismutase (SOD), malondialdehyde (MDA), and advanced oxidation protein products (AOPP) in neonates with hypoxic-ischemic encephalopathy (HIE). MATERIAL AND METHODS This study was performed prospectively in term neonates treated for HIE. Samples were collected from the neonates in study and control groups at 6-14 h and on day 5 of their lives for 25-OH vitamin D3, antioxidant enzymes including GP and SOD and oxidants substances including MDA and AOPP. RESULTS This study was performed with 31 term neonates with HIE and 30 healthy term neonates. Maternal VD level was statistically lower in the study group (9.8 ± 6.8 ng/mL) than the control (16.4 ± 8.7 ng/mL) (p = 0.002). SOD and MDA levels were significantly high, and VD level was significantly low in the study group on the first day of life (p = 0.001 and p = 0.028, respectively). SOD and GP levels were significantly high in the study group on day 5 (p < 0.05). VD was significantly low in the study group on day 5 and the proportion of subjects with VD below 5 ng/ml was significantly lower in the control group (p= <0.05). CONCLUSION VD has neuroprotective and antioxidant properties. We detected VD levels were low in infants with HIE and their mothers. This finding may be useful for decreasing of brain damage.
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Affiliation(s)
- Mehmet Mutlu
- a Division of Neonatology, Department of Pediatrics , Karadeniz Technical University , Trabzon , Turkey
| | - Mehmet Sarıaydın
- a Division of Neonatology, Department of Pediatrics , Karadeniz Technical University , Trabzon , Turkey
| | - Yakup Aslan
- a Division of Neonatology, Department of Pediatrics , Karadeniz Technical University , Trabzon , Turkey
| | - Şebnem Kader
- a Division of Neonatology, Department of Pediatrics , Karadeniz Technical University , Trabzon , Turkey
| | - Selim Dereci
- b Department of Pediatrics , Recep Tayyip Erdoğan University , Rize , Turkey
| | - Cavit Kart
- c Department of Obstetrics and Gynaecology , Karadeniz Technical University , Trabzon , Turkey , and
| | - Serap Özer Yaman
- d Department of Biochemistry , Karadeniz Technical University , Trabzon , Turkey
| | - Bilgül Kural
- d Department of Biochemistry , Karadeniz Technical University , Trabzon , Turkey
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Koca T, Aslan N, Dereci S, Akcam M. Burkitt lymphoma with unusual presentation: Acute pancreatitis. Pediatr Int 2015; 57:775-7. [PMID: 26031558 DOI: 10.1111/ped.12640] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2014] [Revised: 11/13/2014] [Accepted: 12/26/2014] [Indexed: 12/26/2022]
Abstract
Pancreatitis due to malignant infiltration is an uncommon condition in childhood. Pancreatic lymphomas constitute <2% of all non-Hodgkin lymphomas. Only six reported cases with various clinical presentation have been documented in the literature. Described herein is the case of a nine-year-old boy with abdominal pain, jaundice, emesis, weight loss, diarrhea, who developed hyperlipidemia and cholestasis. Pancreatitis was suspected due to high amylase and lipase. Computed tomography and magnetic resonance cholangiopancreatography showed diffuse enlargement of the pancreas. This sausage pancreas imaging was suggestive of autoimmune pancreatitis, but the patient was diagnosed with Burkitt lymphoma on bone marrow aspiration, and rapidly improved with chemotherapy. Burkitt lymphoma should be kept in mind when patients present with pancreatitis, especially with diffuse enlarged pancreas.
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Affiliation(s)
- Tugba Koca
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Turkey
| | - Nagehan Aslan
- Department of Pediatrics, School of Medicine, Süleyman Demirel University, Isparta, Turkey
| | - Selim Dereci
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Turkey
| | - Mustafa Akcam
- Department of Pediatrics, School of Medicine, Süleyman Demirel University, Isparta, Turkey
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Dereci S, Çopur Çiçek A, Savaş Acar S, Bakkaloğlu Z, Özkasap S, Kanber K, Hacisalihoğlu Ş, Albayrak Y, Durmaz R. Prevalence and genotype distribution of rotaviruses in children with gastroenteritis in Rize province. Bosn J Basic Med Sci 2015; 15:35-9. [PMID: 26295292 DOI: 10.17305/bjbms.2015.469] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2015] [Revised: 04/29/2015] [Accepted: 04/29/2015] [Indexed: 01/08/2023] Open
Abstract
Determination of the distribution of rotavirus genotypes is essential for understanding the epidemiology of this virus responsible for nearly half a million of deaths in patients with gastroenteritis worldwide. In the present study, we aimed to genotype the rotavirus strains isolated from diarrheal stool samples in children under 5 years old. A total of 1297 fecal samples were collected, and rotavirus antigen was detected in 73 of these samples. Antigen-positive samples were transferred to the Public Health Agency of Turkey, Molecular Microbiology Research Laboratory, and were tested for determination of genotypes G and P using semi-nested multiplex polymerase chain reaction method performed with consensus- and genotype-specific primers. Twelve specimens were found to be negative for rotavirus in genotyping method. All the positive-strains were in G1-4, G8-9, P(4), P(8), and P(9) genotypes. The most frequent GP genotype combinations were found to be G9P(8) in 21 strains (34.4%), G2P(4) in 14 strains (23.0%), and G1P(8) in 12 strains (19.7%). We found 10 distinct genotypes amongst a total of 61 strains. Among the strains isolated and genotyped in our study, 90.2% (55/61) and 67.2% (41/61) have already been included in the two existing commercial vaccines. In conclusion, these findings implicate the necessity of development of region-specific vaccines after evaluation of the local genotype distribution. Further studies on the large number of rotavirus strains would contribute to this process.
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Affiliation(s)
- Selim Dereci
- Department of Pediatrics, School of Medicine Recep Tayyip Erdogan University Rize.
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Dereci S, Koca T, Akçam M, Türkyilmaz K. An Evaluation of Peripapillary Retinal Nerve Fiber Layer Thickness in Children With Epilepsy Receiving Treatment of Valproic Acid. Pediatr Neurol 2015; 53:53-7. [PMID: 25979661 DOI: 10.1016/j.pediatrneurol.2015.02.016] [Citation(s) in RCA: 9] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2014] [Revised: 02/18/2015] [Accepted: 02/19/2015] [Indexed: 10/23/2022]
Abstract
AIM We investigated the peripapillary retinal nerve fiber layer thickness with optical coherence tomography in epileptic children receiving valproic acid monotherapy. MATERIALS AND METHODS The study was conducted on children aged 8-16 years who were undergoing valproic acid monotherapy for epilepsy. The study group comprised a total of 40 children who met the inclusion criteria and 40 healthy age- and sex-matched children as a control group. Children with at least a 1-year history of epilepsy and taking 10-40 mg/kg/day treatment were included in the study. Peripapillary retinal nerve fiber layer thickness measurements were performed using Cirrus HD optical coherence tomography. All children and parents were informed about the study and informed consent was obtained from the parents of all the participants. RESULTS The study group included 21 girls and 19 boys with a mean age of 10.6 ± 2.3 years. According to the results of optical coherence tomography measurements, the mean peripapillary retinal nerve fiber layer thickness was 91.6 ± 9.7 in the patient group and 95.5 ± 7.4 μm in the control group (P < 0.05). The superior peripapillary retinal nerve fiber layer thickness was 112.0 ± 13.2 in the patient group and 120.0 ± 14.7 μm in the control group (P < 0.02). According to the results of both measurements, the peripapillary retinal nerve fiber layer thickness was significantly lower in the patient group. Neither color vision loss nor visual field examination abnormality could be documented. CONCLUSION According to the optical coherence tomography measurements, the average and superior peripapillary retinal nerve fiber layer thicknesses were thinner in patients with epilepsy who were receiving valproic acid monotherapy compared with healthy children. This situation can lead to undesirable results in terms of eye health. New studies are needed to investigate whether these findings are the result of epilepsy or can be attributed to valproic acid and whether there are adverse effects of valproic acid later in life.
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Affiliation(s)
- Selim Dereci
- Department of Pediatrics, School of Medicine, S. Demirel University, Isparta, Turkey.
| | - Tuğba Koca
- Department of Pediatrics, School of Medicine, S. Demirel University, Isparta, Turkey
| | - Mustafa Akçam
- Department of Pediatrics, School of Medicine, S. Demirel University, Isparta, Turkey
| | - Kemal Türkyilmaz
- Department of Ophthalmology, School of Medicine, RTE University, Rize, Turkey
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Dereci S, Orhan F, Koca T, Akcam M. Prevalence of blueberry allergy in a Turkish population. Ann Allergy Asthma Immunol 2015; 114:259-60. [PMID: 25744908 DOI: 10.1016/j.anai.2014.12.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2014] [Revised: 10/10/2014] [Accepted: 12/22/2014] [Indexed: 12/11/2022]
Affiliation(s)
- Selim Dereci
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey.
| | - Fazil Orhan
- Division of Pediatric Allergy, Department of Pediatrics, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
| | - Tugba Koca
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
| | - Mustafa Akcam
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
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Kapçı N, Akçam M, Koca T, Dereci S, Kapcı M. The nutritional status of hospitalized children: Has this subject been overlooked? Turk J Gastroenterol 2015; 26:351-5. [PMID: 26038998 DOI: 10.5152/tjg.2015.0013] [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] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
BACKGROUND/AIMS To determine the nutritional status of hospitalized children at the time of admission and to investigate the relationship between diagnosis and nutritional status. MATERIALS AND METHODS Body weight, height, triceps skinfold thickness, and mid-arm circumference were measured on admission and percentages of weight-for-age, weight-for-height, body mass index, mid-arm circumference, and triceps skinfold thickness were calculated. The nutritional status was evaluated using the Waterlow, Gomez, and other anthropometric assessments. RESULTS A total of 511 patients were included in the study with a mean age of 5.8±4.9 years. Malnutrition was determined in 52.7% of patients according to the Waterlow classification. Mild malnutrition was determined in 39%, moderate in 12%, and severe in 1.7%, with the characteristics of acute malnutrition in 23.9%, acute-chronic in 7.3%, and chronic in 21.5%. The highest rate of malnutrition was in the 0-2 years age group (62.3%). According to the Gomez classification, malnutrition rate was determined as 46.8%. The rates of malnutrition in malignant, gastrointestinal, and infectious diseases were 60%, 59.8%, and 54.5%, respectively. CONCLUSION The prevalence of malnutrition in hospitalized children was noticeably high. The nutritional evaluation of all patients and an early start to nutritional support could provide a significant positive contribution.
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Affiliation(s)
- Nermin Kapçı
- Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey.
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Dilek AR, Dereci S, Özkasap S, Şahin K. Validity of Urine and Blood Tests for Detection of Urinary Tract Infections in Children. J Pediatr Inf 2014. [DOI: 10.5152/ced.2014.1646] [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: 11/22/2022]
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Mutlu M, Dereci S, Aslan Y. Deep neck abscess in neonatal period: case report and review of literature. Int J Pediatr Otorhinolaryngol 2014; 78:577-82. [PMID: 24512784 DOI: 10.1016/j.ijporl.2014.01.015] [Citation(s) in RCA: 6] [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] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2013] [Revised: 01/08/2014] [Accepted: 01/11/2014] [Indexed: 01/30/2023]
Abstract
Deep neck abscess is very rare in neonatal period. We reported a deep neck abscess caused by methicillin-sensitive Staphylococcus aureus infection (MSSA) in a neonate. A 10-day male infant was admitted to our neonatal unit with the complaints of fever, irritability, and refused to food intake. Ultrasonography and magnetic resonance imaging revealed as an abscess in the neck. Needle aspiration from abscess revealed pus. Antibiotics and drainage were applied. We also reviewed the neonatal deep neck abscess reported in English literature and clinical presentation, risk factors, causing microorganisms, treatment, complication and outcome of deep neck abscesses were discussed.
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Affiliation(s)
- Mehmet Mutlu
- Department of Neonatology, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey.
| | - Selim Dereci
- Department of Pediatrics, Recep Tayyip Erdoğan University, Faculty of Medicine, Rize, Turkey
| | - Yakup Aslan
- Department of Neonatology, Karadeniz Technical University, Faculty of Medicine, Trabzon, Turkey
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Özkasap S, Türkyilmaz K, Dereci S, Öner V, Calapoğlu T, Cüre MC, Durmuş M. Assessment of peripapillary retinal nerve fiber layer thickness in children with vitamin B12 deficiency. Childs Nerv Syst 2013; 29:2281-6. [PMID: 23677174 DOI: 10.1007/s00381-013-2138-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2013] [Accepted: 04/29/2013] [Indexed: 02/07/2023]
Abstract
PURPOSE Vitamin B(12) deficiency is a worldwide problem. It affects all ages, including children. It is one of the most common nutritional disorders and can cause harmful effects on the nervous system. In this study, we compared the peripapillary retinal nerve fiber layer thickness (RNFLT) in a healthy control group with children with vitamin B(12) deficiency. In our study, we aimed to evaluate the effect of vitamin B(12) deficiency on the RNFLT in children with the optical coherence tomography (OCT) method. METHODS Sixty-six children with a diagnosis of vitamin B(12) deficiency (patient group) and 66 age- and sex-matched healthy children (control group) were enrolled in this prospectively designed study. Blood counts, vitamin B(12) levels, folate levels, and full biochemical parameters were obtained for all the subjects in each group. Peripapillary RNFLT measurements were performed with Cirrus HD spectral domain OCT. RESULTS The thickness of the superior retinal nerve fiber layer (RNFL) in the vitamin B(12) deficiency group was significantly lower than that of the control group (p = 0.037). Although the average thickness of the RNFL was lower in the patient group, there was no statistically significant differences (p = 0.216). In the vitamin B(12) deficiency group, the average RNFL thickness and the superior RNFL thickness were significantly correlated with vitamin B(12) levels ((r1) = 0.353, (p1) < 0.004 and (r2) = 0.416, (p2) = 0.001, respectively). CONCLUSION Our study showed that a deficiency in vitamin B(12), elsewhere it is important for the development of the central nervous system, is associated with a reduction in the thickness of the superior RNFL.
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Affiliation(s)
- Serdar Özkasap
- Faculty of Medicine, Division of Pediatric Hematology and Oncology, Recep Tayyip Erdogan University, Rize, Turkey,
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Özkasap S, Türkyilmaz K, Dereci S, Öner V, Calapoğlu T, Cüre MC, Durmuş M. Assessment of peripapillary retinal nerve fiber layer thickness in children with vitamin B12 deficiency. Childs Nerv Syst 2013. [PMID: 23677174 DOI: 10.1007/s00381-013-2138-0.] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
PURPOSE Vitamin B(12) deficiency is a worldwide problem. It affects all ages, including children. It is one of the most common nutritional disorders and can cause harmful effects on the nervous system. In this study, we compared the peripapillary retinal nerve fiber layer thickness (RNFLT) in a healthy control group with children with vitamin B(12) deficiency. In our study, we aimed to evaluate the effect of vitamin B(12) deficiency on the RNFLT in children with the optical coherence tomography (OCT) method. METHODS Sixty-six children with a diagnosis of vitamin B(12) deficiency (patient group) and 66 age- and sex-matched healthy children (control group) were enrolled in this prospectively designed study. Blood counts, vitamin B(12) levels, folate levels, and full biochemical parameters were obtained for all the subjects in each group. Peripapillary RNFLT measurements were performed with Cirrus HD spectral domain OCT. RESULTS The thickness of the superior retinal nerve fiber layer (RNFL) in the vitamin B(12) deficiency group was significantly lower than that of the control group (p = 0.037). Although the average thickness of the RNFL was lower in the patient group, there was no statistically significant differences (p = 0.216). In the vitamin B(12) deficiency group, the average RNFL thickness and the superior RNFL thickness were significantly correlated with vitamin B(12) levels ((r1) = 0.353, (p1) < 0.004 and (r2) = 0.416, (p2) = 0.001, respectively). CONCLUSION Our study showed that a deficiency in vitamin B(12), elsewhere it is important for the development of the central nervous system, is associated with a reduction in the thickness of the superior RNFL.
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Affiliation(s)
- Serdar Özkasap
- Faculty of Medicine, Division of Pediatric Hematology and Oncology, Recep Tayyip Erdogan University, Rize, Turkey,
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Erduran E, Arslan MK, Dereci S. Acalculous cholecystitis caused by Salmonella paratyphi B infection in a child with acute pre-B-cell lymphoblastic leukemia. Pediatr Hematol Oncol 1999; 16:473-6. [PMID: 10505326 DOI: 10.1080/088800199277056] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
Acute acalculous cholecystitis (AC) rarely occurs in children with acute leukemia. The principal treatment modality of AC is emergency surgery. Medical treatment of AC is not a good therapeutic approach. The mortality rate of AC is approximately 100% for medical treatment and 10-15% for emergency surgery. A 9-year-old boy with acute pre-B-cell lymphoblastic leukemia and AC caused by Salmonella paratyphi B infection is presented. He was successfully treated with cefepime, amikacin, and granulocyte-colony stimulating factor (G-CSF). These treatment combinations led to uneventful recovery after 21 days. It appears that AC in children with acute leukemia may be treated with appropriate intravenous antibiotics. This may be the first case of AC caused by Salmonella paratyphi B infection reported in a child with acute pre-B-cell lymphoblastic leukemia.
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Affiliation(s)
- E Erduran
- Department of Pediatrics and General Surgery, Karadeniz Technical University, Trabzon, Turkey.
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Aslan Y, Sarihan H, Dinç H, Gedik Y, Aksoy A, Dereci S. Gastric perforation presenting as bilateral scrotal pneumatoceles. Turk J Pediatr 1999; 41:267-71. [PMID: 10770669] [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: 02/16/2023]
Abstract
Although processus vaginalis is patent in the majority of newborn infants, the expression of an intraabdominal pathology such as gastrointestinal perforation or bleeding in the scrotum is very rare. In a large percentage of neonates with the gastrointestinal perforation, pneumoperitoneum is absent. In any case, it may not be detected in early radiographs. We report a newborn baby who presented with bilateral scrotal pneumatoceles as a first sign of pneumoperitoneum due to gastric perforation. Plain x-ray of the abdomen was normal except for pneumoscrotum, but contrast study revealed gastric perforation.
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Affiliation(s)
- Y Aslan
- Department of Pediatrics, Karadeniz Technical University Faculty of Medicine, Trabzon
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