Browsing by Author "Eray ATLI"

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Citation Count: 0
ARDIŞIK TORAKS VE ABDOMEN BT TETKİKLERİNDE TARAMA UZUNLUĞU VE RADYASYON DOZ PARAMETRELERİNİN KARŞILAŞTIRILMASI
(2021) Umut ÖĞÜŞLÜ; Halime ÇEVİK CENKERİ; Sadık UYANIK; Eray ATLI; Abidin KILINÇER
AMAÇ: Bu çalışma ile amacımız ardışık toraks ve abdomen BTtetkiklerinde tarama uzunluğu değişkenliğini ve tarama uzunluğunun radyasyon dozu parametreleri üzerine etkisini değerlendirmektir.GEREÇ VE YÖNTEM: Merkezimizde, Ocak 2018 ve Aralık 2018tarihleri arasında aynı hastaya ait ardışık toraks (n=85) ve abdomen BT (n=57) tetkikleri çalışmaya dahil edildi. Toraks BT tetkiklerinin % 39 (n=33)'u, abdomen BT tetkiklerinin % 51 (n=29)'ikadındı. BT radyasyon dozu parametreleri görüntü arşivlemeiletişim sisteminden (picture archiving communications system,PACS) retrospektif elde edildi. Hacimsel BT doz indeksi (VolumeCT dose index, CTDIvol) ve doz uzunluk çarpımı (dose length product, DLP) değerleri hasta protokolünden kaydedildi. Etkin doz(ED) ve tarama uzunluğu (TU) hesaplandı. Ardışık toraks ve abdomen BT tetkikleri kendi içinde (ilk tetkik ve ikinci tetkik olmaküzere) iki gruba ayrıldı, ve BT radyasyon dozu parametreleri ileTU değerlendirildi.BULGULAR: Toraks ve abdomen BT'si elde edilen hastalarınortalama yaşı sırasıyla 58±16 ve 51±16'dır. Her iki tetkik bölgesinde ardışık BT tetkikleri arasında DLP ve ED değerleri arasındaistatiksel fark saptanmadı (p>0,05). Ardışık tetkikler arasındaCTDIvol değeri açısından toraks BT grubunda anlamlı fark bulunmazken (p=0,724), abdomen BT grubunda anlamlı fark göstermektedir (P=0,042). Tarama uzunluğunun tetkikler arasındaki ortalama farkı toraks BT için 3,3 ± 2,6 cm, abdomen BT için3,1 ± 2,5 cm olarak hesaplandı. Her iki tetkik bölgesinde taramauzunluğu ardışık tetkikler arasında anlamlı farklılık göstermemektedir (p>0,05).SONUÇ: Ardışık toraks ve abdomen BT tetkiklerinde, taramauzunluğu açısından DLP ve ED'ye etki edecek bir farklılık saptanmadı. Ardışık tetkiklerde TU açısından fark saptanmamasınarağmen, BT çekimlerinde TU taranan anatomik bölgede tanısalbilgi kaybına neden olmayacak en kısa şekilde ayarlanmalıdır.
Citation Count: 0
Conservative management of leakage after laparoscopic sleeve gastrectomy
(2018) Merve ŞENKUL; Ali TARDU; İsmail ERTUĞRUL; Eray ATLI; M. Faik YAYLAK
Laparoscopic sleeve gastrectomy (LSG) is a common surgical procedure for the treatment of morbid obesity. Severe complications may result with significant morbidity and mortality. Staple-line leakage is a rare,but important, complication. Here we present the case of a patient with staple-line leakage after LSG whowas treated conservatively. The patient was a 36-year-old female with a body mass index of 43. LSG wasperformed. The postoperative course was uneventful and the patient was discharged on postoperative day3. She presented with fever and back pain on postoperative day 5. An intermediate, type 2 staple-line leakwas confirmed with computed tomography (CT). The patient was treated conservatively. The patient waswell 1 year after the initial treatment and a follow-up CT confirmed complete resolution. Leakage and relatedmorbidity and mortality after LSG may be a challenge for the patient and the surgeon. Early diagnosis andaggressive treatment is essential to overcome potential serious consequences. In some selected patients, aconservative approach with close observation may help to manage leakage after LSG.
Citation Count: 0
Percutaneous Treatment of Postoperative Bile Leaks with Coil Embolization After Cholecystectomy
(2021) Birnur YILMAZ; Burçak Gümüş; Eray ATLI; Halime ÇEVİK CENKERİ; Sadık UYANIK; Umut ÖĞÜŞLÜ
Objectives: To evaluate safety and efficiency of percutaneous coil embolization in patients with bile leakage aftercholecystectomy.Methods: Patients who underwent percutaneous coil embolization for treatment of bile leakage between January2016- January 2018 were included in this retrospective case series study. Technical success, procedure related complications, time for leak stoppage and catheter indwelling time were evaluated.Results: There were 5 patients (4 men, mean age 60 years) who were treated with percutaneous embolization of bileleak. Technical and clinical success were 100%. Most common procedure related complication was pain at catheterinsertion site. There was no major complication. Mean time for cessation of leakage was 2 days (Range: 1-3) after embolization and mean duration of the percutaneous catheters was 12 days (Range: 9-14).Conclusion: Percutaneous coil embolization is a safe and effective method in management of bile leaks after cholecystectomy. Early decision of embolization of the leak source may improve the quality of life and clinical outcomes. Prospective larger studies are needed to determine the role of percutaneous embolization in this specific clinical scenario.
Citation Count: 0
Relationship Between Clinical Findings and Vena Saphena Magna Diameter and Insufficiency at Cruris
(2020) Sadık UYANIK; Halime ÇEVİK CENKERİ; Umut ÖĞÜŞLÜ; Eray ATLI
Objectives: The aim of our study is to investigate the relationship between the severity of VSM (vena saphena magna)insufficiency, diameter, and clinical findings, especially at cruris.Methods: Our study was performed between November 2016 and May 2020, retrospectively with 194 low extremities.VSM diameter measurement and reflux were evaluated at three levels during the examination with Colour DopplerUltrasonography (CDUS), sapheno-femoral junction(SFJ), midfemoral segment and proximal to the cruris, standing andlying. The patients without venous insufficiency constitute the control group.Results: The mean VSM diameter is 5.51mm in SFJ, 4.08mm in the thigh and 3.47mm in the cruris. The increase in VSMdiameters was statistically significant(p<0.01) at all of the three levels, compared to control group(p<0.01). The VSMdiameter difference was found to be high in the group with insufficiency in lying position examination especially in theSFJ and thigh level (p<0.01). The VSM diameter in the cruris is low but significant(p<0.05). Correlation between SFJ andcruris is present between diameter increase differences and clinical findings at all of levels. Therefore, in those patientsin whom diameter in SFJ, cruris localizations increased in standing position, skin lesions are more frequent (p<0.01).Conclusion: Clinical findings correlate with VSM insufficiency and diameters. The skin lesions correlate with the diameter increase during evaluation in standing position. Diameter change is greater in the SFJ and thigh than significantchange at cruris. Finally, the VSM diameter increase in cruris correlates more with skin lesions.
Citation Count: 0
Splenic infarction after laparoscopic sleeve gastrectomy
(2018) Ali TARDU; M. Faik YAYLAK; Merve ŞENKUL; Eray ATLI; İsmail ERTUĞRUL
Laparoscopic sleeve gastrectomy is a common procedure for obesity with well-defined complications. Thiscase report describes a splenic infarction observed after a laparoscopic sleeve gastrectomy performed in a32-year-old female patient with a body mass index of 41 kg/m2. On the postoperative second day she presented with left-sided thoracic pain and fever. Intravenous contrast-enhanced computed tomography (CT)revealed a splenic infarction in the upper pole. The patient was treated conservatively with antibiotics andanalgesics. She was discharged on the postoperative sixth day. One month later, patient was symptom-freeat the control visit. A follow-up CT demonstrated regression on the infarction side with minimal residue.Splenic infarction after laparoscopic sleeve gastrectomy is a rare, early surgical complication. Diagnosis ismade with confirmation of clinical signs using CT. Conservative treatment is adequate for most patients. Inour case, a retrospective review of the laparoscopic images revealed the ischemic areas after the division ofthe short gastric vasculature.
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Tracheobronchopathia osteochondroplastica limited to the trachea: a case report and rewiew of literature
(2023) Ahmet Bülent KARGI; Eray ATLI; Bilge KILIÇ; Pelin BİLGİN
Tracheobronchopathia Osteochondroplastica (TO) is a rare and benign disease with a progressive course. Its clinical manifestation is observed on computed tomography by the presence of diffuse osteocartilage submucosal nodules invading the lumen of the trachea and usually the main bronchi. Bronchoscopic evaluation is necessary for differential diagnosis. Standard treatment has not been determined as few patients have been reported in the literature. A 58-year-old male patient was admitted to our hospital with complaints of cough and dyspnea increasing with exertion. A fiberoptic bronchoscopy demonstrated many protruding lesions along the trachea with no involvement of the bronchial system. The patient was stable at a two-year follow-up.