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Sanal M, Korkmaz M, Karadağ E, Kocabaşoğlu U, Konca Y, Güvenç H. Results of the Mutaf procedure in patients with gastroesophageal reflux disease. Pediatr Surg Int 2004; 20:326-8. [PMID: 15138783 DOI: 10.1007/s00383-004-1191-x] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 11/10/2003] [Indexed: 11/30/2022]
Abstract
Operations to treat complicated gastroesophageal reflux disease (GERD) have become the third most commonly performed general surgical procedure in large pediatric centers, and many surgical techniques have come into use to prevent gastroesophageal reflux. This paper presents our experience with gastric tube cardioplasty, a new procedure described by Oktay Mutaf (Mutaf procedure). Eleven children with GERD were successfully operated on. The postoperative period was uneventful, and all patients were symptom-free.
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Affiliation(s)
- M Sanal
- Kinderchirurgie, Anichstrasse 35, 6020 Innsbruck, Austria.
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2
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Abstract
The nipple and areola diameter of 498 girls aged 8-17 years were studied with the aim of finding measurable criteria for sexual maturation, including breast and pubic hair development during female puberty. All measurements were made holding a transparent ruler on both sides by the same observer. The smaller of the two measurements was used in the analysis. Significantly nipple and areola development occurred between breast stages B1 (2.56 and 14.35 mm), B2 (3.32 and 20.26 mm), B3 (5.21 and 28.84 mm), and B4 (6.28 and 32.03 mm). The nipple and areola diameter were also significantly greater in pubic hair stage (PH)3 (5.05 and 25.24 mm) with respect to PH2 and PH1 (3.46, 2.62 mm and 19.32, 15.37 mm, respectively), in PH5 (6.79 and 35.62 mm) with respect to PH4 (6.55 and 32.56 mm). A significant increase in nipple and areola diameter occurs between premenarchal girls and girls older than 0-2 years postmenarche. Sexual maturation staging by nipple size and by areola size appears to be feasible for female adolescent. However, staging by nipple size does not appear to be feasible for B4 and B5 stage, because the incremental gradations are small.
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Affiliation(s)
- A D Aygün
- Department of Pediatrics, Firat University Faculty of Medicine, Elazig, Turkey
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Güvenç H, Aygün AD, Yaşar F, Soylu F, Güvenç M, Kocabay K. Omphalitis in term and preterm appropriate for gestational age and small for gestational age infants. J Trop Pediatr 1997; 43:368-72. [PMID: 9476462 DOI: 10.1093/tropej/43.6.368] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.7] [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: 02/06/2023]
Abstract
To determine whether there is a difference on the historical and clinical characteristics of omphalitis among term and preterm appropriate for gestational age (AGA) and small for gestational age (SGA) infants, we prospectively investigated 85 newborns with bacteriologically proved omphalitis. Study groups were based on gestational age and being SGA. Preterm AGA infants had significantly lower mean age and neutrophil counts. Risk factors such as septic delivery including unplanned home delivery, and bacterial spectrum were similar in the groups. Staphylococcus aureus and Escherichia coli were the most frequent micro-organisms. Mortality rates for the study groups were similar and overall case fatality rate was 13 per cent. Immunological immaturity of preterm newborns may explain the earlier occurrence age of omphalitis and lower absolute neutrophil count. The following features such as early-onset infection, septic delivery including unplanned home delivery and abnormal temperature may be considered as determinants of poor prognosis. However, further studies are needed.
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Affiliation(s)
- H Güvenç
- Department of Pediatrics, Medical Faculty of Firat University, Elaziğ, Türkey
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Abstract
The long-term result of accidental crushing of the vas deferens during inguinal surgery is unpredictable. It is stated that even a slight disturbance in the muscular layer or mucosa may endanger fertility. This study was designed to investigate the early and late histopathologic changes of iatrogenic injury on the vas and its effect on fertility in a rat model. Both vasa deferentia of 54 male rats, divided into three groups (n = 18 each), were subjected to an operative manipulation. These manipulations consisted of digital compression for 45 seconds in group A, grasping with a mosquito clamp for 2 seconds in group B, and grasping with a mosquito clamp for 2 minutes in group C. In five rats from each group, the vasa were removed on the third and 21st postoperative day for histological evaluation. The remaining 13 rats in each group were allowed to mate for a period of 4 months. Bilateral vasa were analyzed for patency and histology. A spermatic granuloma was observed in 79% of the fertile and 80% of the infertile rats. Statistical analysis showed no significant fertility difference among the three groups. There was no statistical difference between groups B and C (P > .05) in terms of high and low flow patency rates in vitro, whereas a statistical significance was present between these two groups and group A (P< .001). It can be said that type rather than time of injury is important in this experimental model, because the results of the patency test alone are sufficient to prove the possibility of functional damage in vas deferens. The authors conclude that inguinal contents should be handled carefully and contralateral exploration in asymptomatic cases older than 1 year with inguinal pathology should be avoided.
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Affiliation(s)
- A Abasiyanik
- Department of Pediatric Surgery, Selçuk University, School of Medicine, Konya, Turkey
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Abstract
Six patients (average age, 2 1/2 years; range, 4 months to 8 years) with the exstrophy-epispadias complex and isolate epispadias were treated using an alternative method. An inverted U-shaped incision (with a length of approximately 3 to 5 cm and a width of approximately 0.7 to 1.0 cm) was prepared, extending from the penopubic urethral meatus toward the umbilicus. The two incisions were extended along the urethral plate toward the ventral face of the glans. The pubic flap was prepared from the skin or scar tissue on the pubic area. The neourethra was reconstructed using penopubic flaps. A fistula occurred in one patient, which healed spontaneously. The penopubic flaps enabled us to form a wide-enough urethral tube and to perform a better dissection on the pubic area.
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Affiliation(s)
- A Abasiyanik
- Department of Pediatric Surgery, Selçuk University, Faculty of Medicine, Konya, Turkey
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Güvenç H, Aygün AD, Onder K, Kocabay K. Clinical quiz. Genitourinary tuberculosis. Pediatr Nephrol 1996; 10:247-8. [PMID: 8703723 DOI: 10.1007/bf00862095] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- H Güvenç
- Department of Paediatrics, Medical Faculty of Firat University, F. U Araştirma Hastanesi, Elazig, Turkey
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Abstract
Data on pubertal development in 462 healthy, well-developed schoolboys from the cross-sectional study in Elaziğ, Eastern Turkey, are reported. Genital and pubic hair development are classified according to Marshall and Tanner, and Winter criteria. The initiation of genital development (the onset of puberty) was 11.6 +/- 0.15 (mean +/- SEM) years and that of pubic hair development was 12.2 +/- 0.16 years. The completion of genital and pubic hair development occurred at the same age, namely at 15.7 +/- 0.11 years. On average the genitalia and pubic hair reached the adult stage 4.2 and 3.6 years after they began to develop, respectively. As a general comment Eastern Turkish boys' pubertal data are in good agreement with English, North American and South African data.
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Affiliation(s)
- H Yenioğlu
- Medical Faculty of Firat University, Elaziğ, Turkey
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Abstract
The authors report on a female newborn with prune-belly syndrome (PBS) in association with omphalocele. This case raises the total of omphalocele associated with PBS to seven. The authors suggest that this case lends support to the concept of PBS being caused by an early disturbance of mesodermal development in both the abdominal wall and the urinary tract.
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Affiliation(s)
- M Güvenç
- Department of Pediatrics, Firat University of Medical Faculty, Elaziğ, Turkey
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Güvenç H, Karataş F, Güvenç M, Kunç S, Aygün AD, Bektaş S. Low levels of selenium in mothers and their newborns in pregnancies with a neural tube defect. Pediatrics 1995; 95:879-82. [PMID: 7761214] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
OBJECTIVE Very few data are presented in the literature about selenium (Se) in human fetal development. The aim of this paper was to study the relationship between maternal and neonatal Se status and neural tube defects (NTDs). PATIENTS AND METHODS Serum and hair samples were obtained from 20 nonpregnant women, 32 healthy mothers with normal newborns, and 28 mothers who had a newborn with NTD, and their newborns at delivery. Serum Se levels, as ng/mL, and hair Se levels, as microgram/g, were determined on a Perkin-Elmer 1000 spectrophotometer (United Kingdom) by fluorometry. RESULTS The mean maternal serum and hair Se concentrations in the NTD group (42.9 +/- 1.75 ng/mL, 277 +/- 7.73 ng/g, respectively) were significantly lower than those of the control healthy mothers (50.2 +/- 2.35 ng/mL, 300 +/- 6.10 ng/g, respectively) and the nonpregnant women (58.1 +/- 3.12 ng/mL, 315 +/- 7.64 ng/g, respectively). A significant decrease in concentrations of Se in serum and hair was observed in newborns with a NTD (26.0 +/- 1.55 ng/mL, 181 +/- 3.71 ng/g, respectively) compared with healthy newborns (32.6 +/- 1.70 ng/mL, 204 +/- 4.43 ng/g, respectively). CONCLUSIONS Maternal Se deficiency during pregnancy was thought to be one of the factors responsible for NTDs. However, the lowered serum and hair Se concentrations may be secondary manifestations of an abnormal pregnancy and did not contribute to its production. More studies on maternal Se status during the antenatal period, especially early gestation and neonatal Se status including normal newborns and NTD infants, are needed.
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Affiliation(s)
- H Güvenç
- Department of Pediatrics, University of Firat, Elaziğ, Türkiye
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Güvenç M, Güvenç H, Yalcin O, Yumbul AZ, Baydinç C. Hydronephrotic type of bilateral multicystic dysplastic kidney. An unusual case. Pathologica 1994; 86:420-2. [PMID: 7708443] [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: 01/26/2023] Open
Abstract
25 year-old pregnant woman was admitted at week 29 of fetal development for routine ultrasonic evaluation of growth. Sonography of the fetal body revealed two cystic anechoic septated structures bilaterally. At autopsy of the stillborn neonate pathology confirmed congenital multicystic dysplastic kidney. We believe this is the first case reported.
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Affiliation(s)
- M Güvenç
- Department of Obstetrics, State Hospital, Elazig, Türkiye
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Ayata A, Güvenç H, Felek S, Aygün AD, Kocabay K, Bektas S. Maternal carriage and neonatal colonisation of group B streptococci in labour are uncommon in Turkey. Paediatr Perinat Epidemiol 1994; 8:188-92. [PMID: 8047486 DOI: 10.1111/j.1365-3016.1994.tb00449.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [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: 01/28/2023]
Abstract
Group B streptococcus infection is an important cause of neonatal morbidity and mortality. We studied 114 women and their newborns to determine the relationship between maternal carriage and neonatal group B streptococcal colonisation. Rectal, cervical and vaginal swabs were taken at delivery. Within a few minutes of birth, swab specimens were also taken from throat, ear, umbilicus, conjunctiva and skin of the newborns. Group B streptococcus was isolated in 10 (8.7%) of the 114 pregnant women studied and in five (4.3%) of the 114 newborns. Vertical transmission rate was found to be 50%. Neonatal group B streptococcus colonisation has not reached a high level in Turkey, and consequently does not warrant intrapartum screening at the moment.
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Affiliation(s)
- A Ayata
- Department of Pediatrics, Medical Faculty of Firat University, Elaziğ, Turkey
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Gökçe C, Kiliç SS, Müngen B, Arisoy ES, Arisoy AE, Güvenç H, Gökçe O, Felek S, Bektaş B. Comparison of children and adults with tuberculous meningitis in Elaziğ, Turkey. J Trop Pediatr 1992; 38:116-8. [PMID: 1507303 DOI: 10.1093/tropej/38.3.116] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Retrospective evaluation of 16 cases of tuberculous meningitis revealed that BCG vaccination and tuberculin positivity were rare in pediatric as well as adult patients. Children with disease had developmental retardation and a high rate of maternal illiteracy as compared to normal controls.
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Affiliation(s)
- C Gökçe
- Department of Internal Medicine, Firat University Hospital, Elazig, Turkey
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Abstract
88 newborns with omphalitis diagnosed at a University Hospital in Eastern Turkey from January 1988 to December 1990 were reviewed. The yearly incidence was 7.7% in inpatient newborns. Risk factors including septic delivery (especially home delivery), prematurity, and being small for gestational age appeared to be important. Clinical manifestations, white blood cell and absolute neutrophil counts were non-specific and non-pathognomonic. Bacteriologic analysis revealed that Gram-positive bacteria (68%) predominated over Gram-negative isolates (60%). Staphylococcus aureus and Escherichia coli were the most frequent microorganisms. Mortality rate was 15%; all deaths occurred in patients presenting with systemic symptoms. The following poor prognostic factors were identified: septic delivery (particularly at home), prematurity, being small for gestational age and the development of systemic symptoms.
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Affiliation(s)
- H Güvenç
- Department of Pediatrics, Medical Faculty, Firat University, Elaziğ, Turkey
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Güvenç H, Güvenç M, Berki R. Serum gonadotropins and estradiol levels in Turkish pubertal girls. Indian J Pediatr 1990; 57:421-3. [PMID: 2121645 DOI: 10.1007/bf02727930] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Serum follicle stimulating hormone (FSH), luteinizing hormone (LH) and estradiol (E2) levels were measured by radioimmunoassay in the sera of 37 healthy Turkish pubertal girls. The data show that FSH levels significantly increased from stage 2 to 3, and tented to plateau during stages 3,4 and 5, and LH and estradiol levels constantly rises with advances in sexual development and significantly correlates with pubertal stages. When the serum FSH level was compared in pre and postmenarcheal girls of the same age the level was almost identical. Adversely, LH and estradiol levels were higher in postmenarcheal girls than in premenarcheal girls.
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Affiliation(s)
- H Güvenç
- Department of Pediatrics, Faculty of Medicine, Firat University, Elazig, Turkey
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Güvenç H, Yurdakök M, Kinik E, Büyükgebiz A. The incidence of pubertal gynecomastia in boys living in the Ankara region. Turk J Pediatr 1989; 31:123-6. [PMID: 2617714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The incidence of pubertal gynecomastia was determined in 646 Turkish boys in Ankara. A marked increase in the incidence was observed at Pubertal Stage 4 (60.2%) and age 14 years (61.1%). The incidence of gynecomastia during puberty at various pubertal stages and ages was 34.6%. Although the incidence of unilateral gynecomastia was 19.6%; there was no difference between right or left involvement.
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Kocabay K, Güvenç H, Okten A, Bektaş S. A case of recessive dystrophic epidermolysis bullosa. Turk J Pediatr 1988; 30:187-91. [PMID: 3242192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Güvenç H, Berki R, Ocal G. Sexual maturation of Turkish boys in Ankara. Turk J Pediatr 1988; 30:39-43. [PMID: 3232223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Yurdakök M, Kinik E, Güvenç H, Bedük Y. Viloxazine versus imipramine in the treatment of enuresis. Turk J Pediatr 1987; 29:227-30. [PMID: 3332732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Yurdakök M, Kinik E, Bedük Y, Güvenç H, Us O. Treatment of enuresis: a study with imipramine, amitriptyline, chlordiazepoxide-clidinium and piracetam. Turk J Pediatr 1986; 28:171-5. [PMID: 3564164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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