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  1. Article ; Online: The relationship between thyroidectomy complications and body mass index.

    Üstün, Mehmet / Karaca, Avni Can / Birol, Ihsan / Uslu, Gülberk / Atici, Semra Demirli / Aydin, Cengiz

    Revista da Associacao Medica Brasileira (1992)

    2020  Volume 66, Issue 11, Page(s) 1573–1576

    Abstract: Introduction: Obesity is a growing public health problem associated with many comorbid diseases. The aim of this study was to evaluate the relationship between body mass index and complications of thyroidectomy.: Methods: Patients who underwent total ...

    Abstract Introduction: Obesity is a growing public health problem associated with many comorbid diseases. The aim of this study was to evaluate the relationship between body mass index and complications of thyroidectomy.
    Methods: Patients who underwent total thyroidectomy between January 2015 and December 2018 were enrolled. Patients were divided into two groups, i.e., BMI <25 (group A) and BMI≥ 25 (group B). Demographics, operative time, and complications were retrospectively reviewed.
    Results: The study included 145 patients (66 in Group A and 79 in Group B). There was no significant difference between the two groups in terms of age (p=0.330) and gender (p=0.055). No surgical site infection and bleeding complications were observed in any patients. The mean operative time was 148.4 minutes (90-235) in Group A and 153.4 minutes (85-285) in Group B (p=0.399). Transient hypocalcemia was observed in 25 (37.9%) patients in group A, and 23 (29.1%) patients in Group B (p = 0.291). Permanent hypocalcemia was not observed in any patient in group A, and in 2 patients in Group B (2.5%) (p = 0.501). Transient recurrent nerve palsy was observed in 1 (1.5%) patient in Group A and in 3 (3.8%) patients in Group B (p=0.626). None of the patients had permanent recurrent nerve palsy. Parathyroid autotransplantation was performed on 1 patient (1.5%) in group A and on 7 (8.9%) patients in Group B (p=0.055).
    Conclusion: We think there is no relationship between a high BMI and thyroidectomy complications, and surgery can also be performed safely in this patient group.
    MeSH term(s) Body Mass Index ; Female ; Humans ; Hypocalcemia/etiology ; Male ; Operative Time ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Retrospective Studies ; Thyroidectomy/adverse effects
    Language English
    Publishing date 2020-12-23
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 731969-1
    ISSN 1806-9282 ; 0104-4230 ; 0004-5241 ; 0102-843X
    ISSN (online) 1806-9282
    ISSN 0104-4230 ; 0004-5241 ; 0102-843X
    DOI 10.1590/1806-9282.66.11.1573
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 654: Show issues Location:
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  2. Article: A rare cause of colonic obstruction "colonic intussusception": report of two cases.

    Yoldas, Tayfun / Karaca, Avni Can / Ozturk, Safak / Unver, Mutlu / Calıskan, Cemil / Korkut, Mustafa Ali

    Case reports in surgery

    2015  Volume 2015, Page(s) 465374

    Abstract: Colocolic intussusceptions are rare clinical entities in adults and almost always caused by a leading lesion which often warrants resection. Mostly being malignant, the leading lesions are rarely benign lesions where intraluminal lipomas are the most ... ...

    Abstract Colocolic intussusceptions are rare clinical entities in adults and almost always caused by a leading lesion which often warrants resection. Mostly being malignant, the leading lesions are rarely benign lesions where intraluminal lipomas are the most frequent among them. Most adult intussusceptions require surgical resection owing to two major reasons: common presence of a leading lesion and significantly high risk of malignancy-reaching as high as 65% regardless of the anatomic site-of the leading lesion. Resection of the affected segment is usually the treatment of choice, since preoperative diagnosis of the lesion is usually ineffective and most leading lesions are malignant. This paper represents two cases of adult colocolic intussusception caused by intraluminal lipomas with a brief review of the literature.
    Language English
    Publishing date 2015-03-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2657697-1
    ISSN 2090-6919 ; 2090-6900
    ISSN (online) 2090-6919
    ISSN 2090-6900
    DOI 10.1155/2015/465374
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Steroid utilization in eosinophilic jejunitis: beneficial or harmful?

    Caliskan, Cemil / Firat, Ozgur / Karaca, Avni Can / Akgun, Erhan

    Langenbeck's archives of surgery

    2009  Volume 395, Issue 1, Page(s) 99–101

    Abstract: Purpose: Eosinophilic jejunitis is a rare disorder of undetermined origin, which is characterized by infiltration of eosinophils in the intestine. The aim of this study is to evaluate steroid therapy effect in patient treated for eosinophilic jejunitis ... ...

    Abstract Purpose: Eosinophilic jejunitis is a rare disorder of undetermined origin, which is characterized by infiltration of eosinophils in the intestine. The aim of this study is to evaluate steroid therapy effect in patient treated for eosinophilic jejunitis to share our experience with other colleagues.
    Methods: We report a patient with symptoms of small bowel obstruction whose diagnosis was confirmed by previous operation owing to a well-known pathology due to an unusual reason, perforation, which was masqueraded by therapeutic drugs.
    Result: This clinical entity is usually encountered between the third and fifth decades. Stomach and small intestine are the most affected organs; however, it can affect any part of the gastrointestinal system. Abdominal pain and obstructive symptoms concomitant with weight loss are the common presenting complaints. According to current knowledge, avoiding unnecessary resection unless it is inevitable is an acceptable option for the management of eosinophilic jejunitis disease.
    Conclusion: Recent data suggest that eosinophils may directly damage the gastrointestinal tract wall in eosinophilic gastroenteritis. A few limited literatures about this disease strongly recommends steroid therapy for treatment. Furthermore, beneficial or harmful effects of steroids in eosinophilic jejunitis and its treatment details are discussed and reviewed.
    MeSH term(s) Anastomosis, Surgical/methods ; Disease Progression ; Enteritis/complications ; Enteritis/diagnosis ; Enteritis/drug therapy ; Eosinophilia/complications ; Eosinophilia/diagnosis ; Eosinophilia/drug therapy ; Fatal Outcome ; Humans ; Infusions, Intravenous ; Intestinal Obstruction/diagnostic imaging ; Intestinal Obstruction/drug therapy ; Intestinal Perforation/diagnostic imaging ; Intestinal Perforation/etiology ; Intestinal Perforation/surgery ; Jejunum ; Laparotomy/methods ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Prednisolone/adverse effects ; Prednisolone/therapeutic use ; Risk Assessment ; Tomography, X-Ray Computed
    Chemical Substances Prednisolone (9PHQ9Y1OLM)
    Language English
    Publishing date 2009-05-06
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 1423681-3
    ISSN 1435-2451 ; 1435-2443
    ISSN (online) 1435-2451
    ISSN 1435-2443
    DOI 10.1007/s00423-009-0501-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Uk I Zs.10: Show issues Location:
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