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| 1 | Endoscopic retrograde cholangiopancreatography during pregnancy without radiation显示文摘AIM: To present our experience with pregnant patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) without using radiation, and to evaluate the acceptability of this alternative therapeutic pathway for ERCP during pregnancy. METHODS: Between 2000 and 2008, six pregnant women underwent seven ERCP procedures. ERCP was performed under mild sedoanalgesia induced with pethidine HCl and midazolam. The bile duct was cannulated with a guidewire through the papilla. A catheter was slid over the guidewire and bile aspiration and/or visualization of the bile oozing around the guidewire was used to confirm correct cannulation. Following sphincterotomy, the bile duct was cleared by balloon sweeping. When indicated, stents were placed. Confirmation of successful biliary cannulation and stone extraction was made by laboratory, radiological and clinical improvement. Neither fluoroscopy nor spot radiography was used during the procedure. RESULTS: The mean age of the patients was 28 years (range, 21-33 years). The mean gestational age for the fetus was 23 wk (range, 14-34 wk). Five patients underwent ERCP because of choledocholithiasis and/orcholedocholithiasis-induced acute cholangitis. In one case, a stone was extracted after precut papillotomy with a needle-knife, since the stone was impacted. One patient had ERCP because of persistent biliary fistula after hepatic hydatid disease surgery. Following sphincterotomy, scoleces were removed from the common bile duct. Two weeks later, because of the absence of fistula closure, repeat ERCP was performed and a stent was placed. The fistula was closed after stent placement. Neither post-ERCP complications nor premature birth or abortion was seen. CONCLUSION: Non-radiation ERCP in experienced hands can be performed during pregnancy. Stent placement should be considered in cases for which complete common bile duct clearance is dubious because of a lack of visualization of the biliary tree. | Adem Akcakaya Orhan Veli Ozkan Ismail Okan Orhan Kocaman Mustafa Sahin | 2009 | World Journal of Gastroenterology2009,15,29: | 17 |
| 2 | Three-dimensional MR and axial CT colonography versus conventional colonoscopy for detection of colon pathologies显示文摘瞄准:在检测冒号损害评估先生 colonography (MRC ) 和 CT 性能的敏感和特性,并且把他们的敏感和特性与常规结肠镜检查的作比较。方法:怀疑有结肠的损害的 42 个病人因为直肠的流血,积极烘便的潜血测试结果或改变的肠习惯,经历了考试。在一个直肠的试管的插入以后,冒号充满 9 g/L NaCl 答案, 0.5 mmol/L gadopentetate dimeglumine 的 15-20 mL 和 iodinized 对比材料的 100 mL 的混合物的 1000-1500 mL。为先生 colonography 和互补先生图象的从前结肠的扩张被完成的、三维的坡度回响(3D-GRE ) 序列在所有情况中被拿。立即在先生 colonography 以后,腹的 CT 图象被螺线 CT 拿在里面轴并且背卧位。然后,所有病人被常规结肠镜检查(CC ) 检查。结果:为冒号病理的 MRC 的敏感和特性是 96.4% 并且 100% 分别地。由 MRC 的正确诊断的百分比是 97.6% 。百分之百,为冒号病理的 CT 的敏感和特性分别地是 92.8% 。由 CT 的正确诊断的百分比是 95.2% 。结论:在检测冒号损害, MRC 完成了类似于 CC 的诊断精确性。然而, MRC 是最低限度地侵略的,没有对在调查期间的镇静或止痛剂的需要。有穿孔风险的一个更低的百分比,并且所有冒号片断能由于多部分的成像可获得性被评估;结肠的损害,转移和任何另外的损害的内部、额外肠的部件能容易被评估。MRC 和 CT colonography 是答应在颜色的察觉高度敏感的新放射学的技术表面的集体、煽动性的肠损害。 | Rahime Haykir Serdar Karakose Aydin Karabacakoglu Mustafa Sahin Ertugrul Kayacetin | 2006 | World Journal of Gastroenterology2006,12,15: | 12 |
| 3 | Coexistence of Mirizzi syndrome with adenomyomatosis in the gallbladder:report of a case显示文摘BACKGROUND:Mirizzi syndrome is a rare complication of cholelithiasis. Adenomyomatosis is a common tumor-like lesion of the gallbladder. METHODS:A 52-year-old man was admitted to our hospital complaining of right hypochondriac pain and jaundice. Ultrasonography and computed tomography revealed stones in the gallbladder and dilation of the intrahepatic bile ducts. Magnetic resonance cholangiopancreatography revealed narrowing of the common bile duct caused by compression of the gallbladder. Laparotomy revealed type Ⅱ Mirizzi syndrome. RESULTS:Partial cholecystectomy with a Roux-en-Y hepaticojejunostomy reconstruction was performed. Histologically,Rokitansky-Aschoff sinus proliferation,hypertrophy of smooth muscles,and fibrosis were seen in the gallbladder. A segmental type of adenomyomatosis of the gallbladder was diagnosed. CONCLUSIONS:The pathogenic link between the two peculiar entities is unclear. A possible explanation is considered that the pathogenesis of Mirizzi syndrome is resulted from chronic inflammation due to adenomyomatosis. | Abdulkadir Bedirli Mustafa Kerem Hasan Bostanci Tarkan Karakan T. Tolga Sahin Nalan Akyurek | 2007 | Hepatobiliary & Pancreatic Diseases International2007,6,4: | 10 |
| 4 | Same-day colonoscopy preparation with Senna alkaloids and bisacodyl tablets:A pilot study显示文摘AIM:To evaluate the efficacy of same-day bowel preparation with Senna alkaloids combined with bisacodyl tablets in routine colonoscopy procedures.METHODS:Between March and June 2013,a sameday bowel preparation was implemented in our endoscopy unit.The preparation consisted of a semi-liquid,fiber-free diet one day prior to the procedure,with two bisacodyl tablets after lunch and dinner,and 250 mL of Senna alkaloid with 1.5 L of drinking water at 6 am the day of the procedure.The quality control parameters of colonoscopy were evaluated and implemented according to the guidelines of the American Society for Gastrointestinal Endoscopy.The pre-procedure,duringprocedure and post-procedure patient data were collected and analyzed:(1) pre-procedure(age,gender,comorbid diseases,colonoscopy indications,complete lack of compliance with the bowel preparation protocol);(2) during-procedure(sedation dose,duration of colonoscopy,withdrawal time,cecal intubation rate,polyp detection rate,Boston Bowel Preparation Scores and presence of foam and clear liquid); and(3) postprocedure(visual analogue scale score,pain during the procedure,patient satisfaction and premature withdrawal due to the insufficient bowel preparation).RESULTS:A total of 75 patients were included in this study with a mean age of 54.64 ± 13.29 years; 53.3%(40/75) were female and 46.7%(35/75) were male.A complete lack of compliance with the bowel preparation protocol was seen in 6.7% of patients(5/75).The mean total duration of colonoscopy was 16.12 ± 6.51 min,and the mean withdrawal time was 8.89 ± 4.07 min.The cecal intubation rate was 93.8%(61/64) and the polyp detection rate was 40%(30/75).The mean Boston Bowel Preparation Score was 7.38 ± 1.81,with the following distribution:right colon,2.34 ± 0.89; transverse colon,2.52 ± 0.67; left colon,2.52 ± 0.63.The mean visual analogue scale score was 4.59 ± 1.57.Due to insufficient bowel preparation,seven patients(7/75; 9.3%) were asked to repeat the procedure.Of these,five patients had poor or modest compliance with the protocol,and two patients reported constipation.Premature withdrawal due to insufficient bowel preparation was 2.7%(2/75).The overall satisfaction with the protocol was 86.7%(65/75),with patients reporting they would prefer the same protocol in a repeat procedure.CONCLUSION:The same-day administration of Senna alkaloids appears to be a safe and effective bowel cleansing protocol for colonoscopy procedures. | Erdinc Yenidogan Ismail Okan Huseyin Ayhan Kayaoglu Gokhan Giray Akgul Mufit Sansal Servet Tali Zeki Ozsoy Mustafa Sahin | 2014 | World Journal of Gastroenterology2014,20,41: | 7 |
| 5 | Mechanical lithotripsy and/or stenting in management of difficult common bile duct stones显示文摘BACKGROUND:Mechanical lithotripsy and/or stent insertion is the alternative therapeutic approach in difficult endoscopic retrograde cholangiopancreatography (ERCP)case.This study was designed to investigate the appropriate treatment for extraction of bile duct stones in difficult cases of ERCP. METHODS:Between 2000 and 2008,744 ERCP procedures were performed in 592 patients with choledocholithiasis in our endoscopy unit.The demographic features,and clinical and laboratory findings were collected from a prospectively held database.Bile duct calculi were extracted by basket and/or balloon catheter following ERCP and sphincterotomy.Patients with retained stones were regarded as difficult cases.These patients were treated with mechanical lithotripsy and those with incomplete clearance of stones underwent stent placement. RESULTS:Two hundred and forty-five patients(41%) were male and 347(59%)were female with a mean age of 58 years(range 19-95 years).Stones were impacted in 27 patients(5%).Stone extraction was performed by basket and/or balloon catheter in 610 ERCP procedures,and lithotripsy was performed in 70 ERCP procedures.Forty- four patients underwent stent insertion,and 20 underwent stent replacement.Morbidity occurred in 39 patients (5%),with no mortality associated with the procedure.Hemorrhage occurred in 9 patients and basket impaction in 4.Mild pancreatitis and cholangitis developed in 12 and 11 patients,respectively. CONCLUSION:Difficult cases of bile duct stones can be treated successfully with lithotripsy,and a stent should be applied when the common bile duct cannot be cleared completely. | Adem Akcakaya Orhan Veli Ozkan Gurhan Bas Atilla Karakelleoglu Orhan Kocaman Ismail Okan Mustafa Sahin | 2009 | Hepatobiliary & Pancreatic Diseases International2009,8,5: | 5 |
| 6 | Relation of coronary collateral circulation with epicardial fat volume in patients with stable coronary artery disease显示文摘OBJECTIVE: To investigated the relationship between epicardial fat volume (EFV) and coronary collateral circulation (CCC) in patients with stable coronary artery disease (CAD)。 METHODS: The study population consisted of 152 consecutive patients with CAD who underwent coronary angiography and were found to have at least 95% significiant lesion in at least one major coronary artery。 EFV was assessed utilizing 64-multislice computed tomography。 The patients were classifield into impaired CCC group (Group 1, Rentrop grades0-1, n =58), or adequate CCC (Group 2, Rentrop grades 2-3, n = 94)。 RESULTS: The EFV values were significantly higher in paitients with adequate CCC than in those with impaired CCC。 In multivariate logistic regression analysis, EFV (OR = 1.059;95% CI: 1.035-1.085; P = 0.001); and presence of angina were independent predictors of adequate CCC。 In receiver-operating characteristic curve analysis, the EFV value > 106.5 mL yielded an area under the curve value of 0.84, with the test sensitivity of 49.3%, and with 98.3% specifity。 CONCLUSIONS: High EFV, and the presence of angina independently predict adequate CCC in patients with stable coronary artery disease。 This association offers new diagnostic opportinities to assess collateral flow by conventional ultrasound techniques。 | Aslm Enhos Irfan Sahin Mehmet Mustafa Can Ibrahim Biter Mustafa Hakan Dinckal Victor Serebruany | 2013 | Journal of Geriatric Cardiology2013,10,4: | 4 |
| 7 | Adipokines and ghrelin in gastric cancer cachexia显示文摘AIM:To investigate the roles of the adipocytokines,ghrelin and leptin in gastric cancer cachexia. METHODS:Resistin,ghrelin,leptin,adiponectin,insulin and insulin-like growth factor(IGF-Ⅰ),were measured in 30 healthy subjects,and 60 gastric cancer patients of which 30 suffered from cancer-induced cachexia and 30 served as a control group. The relationships between hormones,body mass index(BMI) loss ratio,age,gender,and Glasgow Prognostic Score(GPS) were investigated. RESULTS:Cachexia patients had higher tumor stage and GPS when compared with non-cachexia patients(P < 0.05). Ghrelin,resistin,leptin,adiponectin and IGF-Ⅰ,showed a significant correlation with BMI loss ratio and GPS(P < 0.05). A strong correlation was seen between GPS and BMI loss(R = -0.570,P < 0.0001). Multivariate analysis indicated that BMI loss was significantly independent as a predictor of ghrelin,resistin,leptin and IGF-Ⅰ(P < 0.05). Existence of an important significant relationship between resistin and insulin resistance was also noted. CONCLUSION:These results showed that serum ghrelin,leptin,adiponectin,and IGF-Ⅰ play important roles in cachexia-related gastric cancers. No relationshipwas found between resistin and cancer cachexia. Also,because of the correlation between these parameters and GPS,these parameters might be used as a predictor factor. | Mustafa Kerem Zafer Ferahkose Utku Tonguc Yilmaz Hatice Pasaoglu Ebru Ofluoglu Abdulkadir Bedirli Bulent Salman Tevfik Tolga Sahin Murat Akin | 2008 | World Journal of Gastroenterology2008,14,23: | 4 |
| 8 | An assessment of antioxidant status in patients with carbon monoxide poisoning显示文摘BACKGROUND: Carbon monoxide poisoning(COP) is an important cause of mortality and morbidity worldwide. This study was to investigate the levels of serum paraoxonase(PON), arylesterase(ARYL), ceruloplasmin(Cp), and sulfhydryl(-SH) in the treatment of COP, and to further understand the pathophysiology of COP.METHODS: This prospective study comprised 107 individuals with COP(group 1) and 50 healthy volunteers(group 2). Serum, plasma, and erythrocyte samples were taken on admission from all participants with COP. This process was repeated in the 90 th and 180 th minutes of treatment. Samples were taken from the control group only once. The levels of plasma PON, ARYL, Cp activity and-SH were measured in both groups.RESULTS: Age, gender, and carboxyhemoglobin level were not correlated with PON, ARYL, Cp, and-SH levels. PON, ARYL, and-SH levels were signifi cantly decreased in group 1 compared with group 2. Conversely, Cp was signifi cantly elevated in group 1 in contrast to group 2. Although ARYL was lower on admission in patients with COP than that was observed in the 90 th and 180 th minutes(P<0.001), Cp was higher on admission than at the other time points(P<0.001).CONCLUSIONS: Participants with COP had decreased levels of antioxidants(PON, ARLY, and-SH). COP represses the antioxidant system. | Suat Zengin Behcet A Sahin Karta Basri Can Mustafa Orkmez Abdullah Taskin Ugur Lok Bediha Gulen Cuma Yildirim Seyithan Taysi | 2014 | World Journal of Emergency Medicine2014,5,2: | 2 |
| 9 | Uric acid and high sensitive C-reactive protein are associated with subclinical thoracic aor- tic athemsclerosis显示文摘 | Mustafa Gtir Durmus Yildiray Sahin Zafer Elbasan | 2013 | Journal of Cardiology2013,61,2: | 1 |
| 10 | Management of lactational breast abscesses显示文摘 | Ramazan Eryilmaz Mustafa Sahin M. Hakan Tekelioglu Emin Daldal | 2005 | The Breast2005,,5: | 1 |
| 11 | Comparison of Mechanical Bowel Obstruction Cases of Intra-abdominal Tumor and Non-tumoral Origin显示文摘 | Adem Akcakaya MD Mustafa Sahin MD Aytekin Coskun MD Sinan Demiray MD | 2006 | World Journal of Surgery2006,,7: | 1 |
| 12 | Heart and soft-tissue uptake of ^99mTc-MDP in a hemodialysis patient显示文摘 | Sahin Ali Seven Bedri Yildirim Mustafa | 2004 | Clin Nucl Med2004,29,: | 1 |
| 13 | QT wave dispersion in patients with panic disorder显示文摘Objective QT dispersion (QTd), defined as the maximal inter-lead difference in QT intervals on 12 leads of the surface electrocardiogram (ECG), reflects the regional heterogeneity of ventricular repolarization and has been suggested as an important marker for risk of arrhythmia in addition to the QT interval. Some investigators proposed that it might be a predisposing factor for arrhythmic events and sudden death. Thus, we aimed to investigate whether QTd differs in patients with panic disorder from that in healthy controls. Methods In 40 panic disorder patients and 40 healthy controls, Qmax, Qmin, and QTd values were measured. In addition, the Hamilton depression rating scale and the panic agoraphobia scale were scored for both patients and healthy volunteers. Results Qmax and Qmin values in the panic disorder patients were significantly higher than those in healthy controls. The mean corrected QTd was significantly greater in the patients than in the controls. One-way analysis of covariance (ANCOVA; using left atrial size, age and heart rate as covariates) also corrected the significant difference. In addition, ANCOVA revealed a significant main effect for the diagnosis, indicating a significantly higher QTd for patients compared with controls. Conclusion QTd might be associated with panic disorder. Future studies in larger samples evaluating the effects of treatment are required. | Murad Atmaca Mustafa Yavuzkir Filiz zci M.Gurkan Gurok Sahin Adiyaman | 2012 | Neuroscience Bulletin2012,28,3: | 1 |
| 14 | The Use of Voltammetry for Sorption Studies of Pb 2+ from Aqueous Media using Schiff Base Immobilized Biologic Polymer Material显示文摘 | Semahat Kucukkolbasi Zehra ?zden Erdo?an Nuriye Kocak Mustafa Sahin Ilkay Hilal Gubbuk | 2013 | Water, Air, & Soil Pollution2013,,3: | 1 |
| 15 | Correlation between the serum alkaline phosphatase level and the severity of coronary artery disease显示文摘 | Irfan Sahin Ahmet Karabulut Baris Gungor Ilhan I. Avci Ertugrul Okuyan Fatih Kizkapan Suleyman S. Yildiz Mehmet M. Can Mustafa Dinckal | 2014 | Coronary Artery Disease2014,,4: | 1 |
| 16 | Joint order batch- ing and picker routing in single and multiple-cross-aisle warehous- es using cluster-based tabu search algorithms显示文摘 | Osman Kulak Yusuf Sahin Mustafa Egemen Taner | 2012 | Flex Serv Manuf J2012,,24: | 1 |
| 17 | Parathyroid adenoma screening efficacies of different imaging tools and factors affecting the success rates显示文摘 | Erman Cakal Evrim Cakir Alper Dilli Nujen Colak Ilknur Unsal Müyesser Sayki Aslan Basak Karbek Mustafa Ozbek Mehmet Kilic Tuncay Delibasi Mustafa Sahin | 2012 | Clinical Imaging2012,,6: | 1 |
| 18 | Joint order batching and picker routing in single and multiple-cross-aisle warehouses using cluster-based tabu search algorithms显示文摘 | Osman Kulak Yusuf Sahin Mustafa Egemen Taner | 2012 | Flex Serv Manuf J2012,,24: | 1 |
| 19 | Ischemia–Reperfusion Injury Following Superior Mesenteric Artery Occlusion and Strangulation Obstruction显示文摘 | Adem Akcakaya Orhan Alimoglu Mustafa Sahin Semra Dogru Abbasoglu | 2002 | Journal of Surgical Research2002,,1: | 1 |
| 20 | Combined duplication of the colon and vermiform appendix in an adult patient显示文摘Combined duplication of the colon and vermiform appendix is one of the rare congenital anomalities of the alimentary tract. Only a few cases have been reported in the adult population. A 28-year-old man presented to the clinic with a mass in the right flank. Imaging showed only a hydronephrotic atrophic kidney. The f inal diagnosis was only available at exploration. Combined duplication of the tubular colon and vermiform appendix was conf irmed histopathologically. The patient was treated with nephrectomy and complete resection of the duplicated colon and vermiform appendix. The patient recovered uneventfully,and has done well for the past year. This is believed to be one of the first reports of combined duplication of the tubular colon and vermiform appendix as a cause of hydronephrotic atrophic kidney in an adult patient. | Sahin Kabay Mehmet Yucel Faik Yaylak Alper Hacioglu Mustafa C Algin Esra G Olgun Levent Sahin Tayfun Aydin | 2008 | World Journal of Gastroenterology2008,14,4: | 1 |