Browsing by Author "Altintoprak, Fatih"

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Citation Count: 13
Intestinal Obstruction due to Bezoar in Elderly Patients: Risk Factors and Treatment Results
(Hindawi Ltd, 2019) Altintoprak, Fatih; Gemici, Eyup; Yildiz, Yasin Alper; Uzunoglu, Mustafa Yener; Kivilcim, Taner
Purpose. Bezoars are foreign particles from the accumulation of indigestible materials in the gastrointestinal system and a rare cause of mechanical intestinal obstruction. We aimed at investigating differences in risk factors for the development of intestinal obstruction associated with bezoar in elderly patients. Methods. Hospital records of patients who underwent surgery associated with phytobezoar between January 2004 and May 2016 were retrospectively evaluated. Patients were divided into two groups [<65 years (Group 1) and 65 years (Group 2)]. Data were examined regarding presence of comorbidity, history of abdominal surgery, operation time, bezoar site, surgical technique, length of hospitalization, morbidity, and mortality. Results. Of 121 patients enrolled, 48 (39.7%) were male and 73 (60.3%) were female (range: 24-86 years). Group 1 consisted of 69 patients aged < 65, while Group 2 consisted of 52 patients aged 65. Comorbidity was reported in 52 (42.9%) patients (mostly diabetes mellitus, 20.7%), while 60 patients (49.6%) had history of abdominal surgery (mostly peptic ulcer, 27.3%). No statistical differences were found between the two groups in terms of sex, bezoar site, surgical technique preferred, history of abdominal surgical intervention, pre- and postoperative CT examination, morbidity rates, and length of hospitalization. But, ratio of peptic ulcer operations history, presence of total comorbidity, and time of surgery decision was higher in Group 2 patients. Conclusion. In bezoar-related intestinal obstruction, duration and outcome of treatment are not affected by age distribution. Possibility of bezoar should primarily be considered in elderly patients with history of peptic ulcer operation.
Citation Count: 0
Intestinal Obstruction due to Bezoar in Elderly Patients: Risk Factors and Treatment Results (vol 2019, 3647356, 2019)
(Hindawi Ltd, 2019) Altintoprak, Fatih; Gemici, Eyup; Yildiz, Yasin Alper; Uzunoglu, Mustafa Yener; Kivilcim, Taner
[No Abstract Available]
Citation Count: 15
Role of Bacteriological Agents in Idiopathic Granulomatous Mastitis: Real or Not?
(Galenos Publ House, 2019) Kivilcim, Taner; Altintoprak, Fatih; Memis, Bahar; Ferhatoglu, Murat Ferhat; Kartal, Abdulcabbar; Dikicier, Enis; Dilek, Fatma Husniye
Objective: Granulomatous mastitis is a rare, benign, chronic inflammatory disease of the breast of unknown etiology. This study evaluated bacteriologic agents that might play a role in the etiology of granulomatous mastitis using a molecular method with a universal primer after isolating deoxyribonucleic acid (DNA) from pathology specimens from patients diagnosed with granulomatous mastitis. Materials and Methods: Breast biopsy material in the pathology department obtained between July 2008 and June 2013 was analyzed. The history of the granulomatous mastitis patients was examined in detail and paraffin block sections of the biopsy material were used to determine the presence of bacteria with a universal DNA primer. Results: This study examined 45 granulomatous mastitis patients who had been diagnosed using excisional, incisional, or core biopsies. We evaluated multiple bacterial taxa, but obtained no positive result using a nucleic-acid-based assay with a universal primer. Conclusion: The etiology of idiopathic granulomatous mastitis remains unclear. Further studies with a large number of patients should aim to identify the causative agent.