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Article: Steroid-induced reconstitution of the biliary tree ravaged by IgG4-related disease.

Özden, İlgin / Poyanlı, Arzu / Sanlı, Yasemin / Kaymakoğlu, Sabahattin

2020 Volume 8, Issue 12, Page(s) 3553–3554

Abstract: The steroid-induced, rapid healing of the biliary tree ravaged by IgG4-related disease shows that the point of irreversibility remains to be defined. ...

Abstract	The steroid-induced, rapid healing of the biliary tree ravaged by IgG4-related disease shows that the point of irreversibility remains to be defined.
Language	English
Publishing date	2020-07-16
Publishing country	England
Document type	Journal Article
ZDB-ID	2740234-4
ISSN	2050-0904
ISSN	2050-0904
DOI	10.1002/ccr3.3109
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Article ; Online: Incomplete or inappropriate endoscopic and radiologic interventions as leading causes of cholangitis.

Isik, Arda / Poyanli, Arzu / Tekant, Yaman / Cagatay, Atahan / Acunas, Bulent / Ibis, Cem / Ozden, Ilkgin

Polski przeglad chirurgiczny

2022 Volume 93, Issue 6, Page(s) 47–52

Abstract: Background: Iatrogenic factors persist as leading mechanisms of cholangitis at a referral center.: Methods: The records of 51 patients treated for cholangitis due to incomplete or inappropriate nonoperative biliary interventions between 2005-2016 ... ...

Abstract	Background: Iatrogenic factors persist as leading mechanisms of cholangitis at a referral center. Methods: The records of 51 patients treated for cholangitis due to incomplete or inappropriate nonoperative biliary interventions between 2005-2016 were evaluated retrospectively. Results: Twenty-nine patients were men; median (range) age was 60 (30-90). An incomplete or inappropriate ERCP and percutaneous transhepatic biliary drainage (PTBD) had been performed in 45 and 6 patients respectively. Inappropriate endoscopic stenting for hilar obstruction (perihilar cholangiocarcinoma: 22 and gallbladder carcinoma:3) was the most common scenario (n: 25, 49%). Twenty other patients had undergone an ERCP with incomplete (n: 12) or no (n:8) drainage. The errors in the PTBD group were passage of the catheter to the duodenum in patients with hilar obstruction (n: 4) and incomplete drainage in patients with perihilar cholangiocarcinoma (n: 2). Two patients (4%) died of infection. The surgery of 6 operable tumor patients was delayed for median (range) 5 (1-7) months. Conclusions: Incomplete or inappropriate nonoperative biliary interventions put patients' lives at risk and delay radical treatments.
MeSH term(s)	Female ; Humans ; Male ; Bile Duct Neoplasms/complications ; Bile Duct Neoplasms/diagnostic imaging ; Bile Duct Neoplasms/surgery ; Cholangiopancreatography, Endoscopic Retrograde/adverse effects ; Cholangitis/diagnostic imaging ; Cholangitis/etiology ; Cholangitis/surgery ; Drainage/adverse effects ; Klatskin Tumor/complications ; Klatskin Tumor/diagnostic imaging ; Klatskin Tumor/surgery ; Retrospective Studies
Language	English
Publishing date	2022-09-25
Publishing country	Poland
Document type	Journal Article
ZDB-ID	128732-1
ISSN	2299-2847 ; 0032-373X
ISSN (online)	2299-2847
ISSN	0032-373X
DOI	10.5604/01.3001.0015.0423
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Article: Left Adrenal Venous Drainage into the Inferior Vena Cava in a Pheochromocytoma Patient with Ectopic Pelvic Kidney.

Sengun, Berke / Iscan, Yalin / Sormaz, Ismail Cem / Aksakal, Nihat / Poyanli, Arzu / Tunca, Fatih / Senyurek, Yasemin

Sisli Etfal Hastanesi tip bulteni

2023 Volume 57, Issue 1, Page(s) 136–139

Abstract: In this report, we describe a very rare variant adrenal venous anatomy in a left-sided pheochromocytoma case with left adrenal vein draining into the inferior vena cava (IVC). A 66-year-old female with an incidentally discovered left adrenal mass was ... ...

Abstract	In this report, we describe a very rare variant adrenal venous anatomy in a left-sided pheochromocytoma case with left adrenal vein draining into the inferior vena cava (IVC). A 66-year-old female with an incidentally discovered left adrenal mass was referred to our clinic for further diagnostic work up. She had hypertension for the past three years. Abdominal magnetic resonance imaging which has been performed for essential thrombocytopenia revealed a left adrenal mass. She was diagnosed as pheochromocytoma by further laboratory workup. Pre-operative imaging with computed tomography (CT) angiography showed that left kidney was ectopically localized in pelvis, and left adrenal vein was draining directly into the IVC. A laparoscopic transabdominal left adrenalectomy was performed. Final pathology result was consistent for pheochromocytoma. Variant adrenal venous anatomy is rare. There are only few case reports on patients with left adrenal vein draining into the IVC. Although there are handful of autopsy studies, these studies were performed on normal adrenal glands. The number of clinical reports on variant adrenal venous anatomy is limited. Clinical studies revealed that most commonly seen variant adrenal venous anatomy was number based and were associated with larger tumor size and pheochromocytoma. Pre-operative CT imaging could be used to improve the identification of venous anatomy. In this report, we present a very rare case of an adult patient with left ectopic kidney who had undergone laparoscopic adrenalectomy for left adrenal pheochromocytoma and had left adrenal vein draining into the IVC. To the best of our knowledge, it is a first in the literature. Pre-operative CT imaging identified the variant adrenal venous anatomy in this patient.
Language	English
Publishing date	2023-03-21
Publishing country	Turkey
Document type	Case Reports
ZDB-ID	3026862-X
ISSN	1308-5123 ; 1302-7123
ISSN (online)	1308-5123
ISSN	1302-7123
DOI	10.14744/SEMB.2022.84669
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Article ; Online: Influence of Early Versus Delayed Hepatic Artery Perfusion Scan on

Kovan, Bilal / Denizmen, Dilara / Civan, Caner / Kuyumcu, Serkan / Isik, Emine Goknur / Has Simsek, Duygu / Ozkan, Zeynep Gozde / Poyanli, Arzu / Demir, Bayram / Sanli, Yasemin

Cancer biotherapy & radiopharmaceuticals

2024

Abstract: Purpose: ...

Abstract	Purpose:
Language	English
Publishing date	2024-01-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	1315649-4
ISSN	1557-8852 ; 1084-9785
ISSN (online)	1557-8852
ISSN	1084-9785
DOI	10.1089/cbr.2023.0149
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Article: Dramatic response to albendazole in transplantation candidates with unresectable hepatic alveolar hydatid disease.

Ocak, Sönmez / Poyanlı, Arzu / Güllüoğu, Mine / İbiş, Cem / Tekant, Yaman / Özden, İlgin

Clinical case reports

2021 Volume 9, Issue 8, Page(s) e04666

Abstract: Long-term albendazole treatment should be given to all patients with unresectable hepatic alveolar echinococcosis as dramatic regression is possible in 15%-20%. It may be prudent to prepare a living donor for possible salvage transplant in case of a ... ...

Abstract	Long-term albendazole treatment should be given to all patients with unresectable hepatic alveolar echinococcosis as dramatic regression is possible in 15%-20%. It may be prudent to prepare a living donor for possible salvage transplant in case of a severe complication. Preemptive transplantation in mildly symptomatic patients should be discouraged.
Language	English
Publishing date	2021-08-21
Publishing country	England
Document type	Case Reports
ZDB-ID	2740234-4
ISSN	2050-0904
ISSN	2050-0904
DOI	10.1002/ccr3.4666
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Article ; Online: Spontaneous regression of liver hemangiomas: a single-institution analysis of 46 patients.

Aydin, Oğuzhan / Acunaş, Bülent / Poyanli, Arzu / Serin, Kürşat Rahmi / İbiş, Cem / Özden, İlgin

European journal of gastroenterology & hepatology

2021 Volume 33, Issue 11, Page(s) 1436–1440

Abstract: Objective: The aim of this study was to determine the nature of spontaneous regression of liver hemangiomas.: Patients and methods: The records of the liver hemangioma patients who attended the out-patient clinic between 1988 and 2018 were evaluated. ...

Abstract	Objective: The aim of this study was to determine the nature of spontaneous regression of liver hemangiomas. Patients and methods: The records of the liver hemangioma patients who attended the out-patient clinic between 1988 and 2018 were evaluated. The data of the 716 adult patients who were followed for at least 3 years with cross-sectional imaging were analyzed. Results: Spontaneous regression was documented in 46 patients (6.4%). Twenty-eight patients had a single hemangioma (61%), eight (17%) had two hemangiomas; the other 10 patients had 3-6 hemangiomas. Of the 87 lesions in 46 patients, 69 actually regressed during the study. Twelve patients with more than one lesion exhibited discordant courses - one of the hemangiomas of a patient with multiple lesions regressed, whereas the other enlarged or remained stable. Eleven of the regressed hemangiomas exhibited enlargement first, followed by spontaneous regression. Fourteen (20%) of the regressed hemangiomas acquired atypical characteristics that would have suggested a malignancy had the original films been unavailable. Conclusion: Spontaneous regression of liver hemangiomas is an underrecognized phenomenon. Enlargement should not be a straightforward indication for intervention because it may be followed by regression. A regressed hemangioma should be considered in the differential diagnosis of liver lesions suspicious for malignancy.
MeSH term(s)	Adult ; Diagnosis, Differential ; Hemangioma/diagnostic imaging ; Humans ; Liver Neoplasms/diagnostic imaging
Language	English
Publishing date	2021-03-17
Publishing country	England
Document type	Journal Article
ZDB-ID	1034239-4
ISSN	1473-5687 ; 0954-691X
ISSN (online)	1473-5687
ISSN	0954-691X
DOI	10.1097/MEG.0000000000002069
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Article ; Online: Is the Y90-radioembolization treatment effective on the intermediate-advanced stage of hepatocellular carcinoma and what is the albumin-bilirubin score's prediction factor for survival?

Evirgen, Sami / Cavus, Bilger / Gokturk, Suut / Iliaz, Raim / Ozkan, Zeynep Gozde / Baran, Bulent / Ormeci, Asli Ciftcibası / Soyer, Ozlem Mutluay / Karaca, Cetin / Demir, Kadir / Besisik, Selman Fatih / Poyanli, Arzu / Akyuz, Filiz / Kaymakoglu, Sabahattin

Hepatology forum

2023 Volume 4, Issue 3, Page(s) 103–107

Abstract: Background and aim: Radioembolization (RE) is a one of the palliative treatments that have been used to down stage and/or increase the survival time in intermediate-advanced stages of HCC. We aimed to evaluate the clinical impact of RE and the clinical ... ...

Abstract	Background and aim: Radioembolization (RE) is a one of the palliative treatments that have been used to down stage and/or increase the survival time in intermediate-advanced stages of HCC. We aimed to evaluate the clinical impact of RE and the clinical use of the albumin-bilirubin (ALBI) score as a predictor for survival in HCC patients. Materials and methods: Fifty-nine unresectable hepatocellular carcinoma (HCC) patients were enrolled. RE was performed in 28 of them (group 1) and 31 patients were followed up in the natural course (NC) (group 2). Patients were classified according to the Child-Pugh score (only cirrhotic patients), Barcelona clinic liver cancer (BCLC) staging, and ALBI scores were also calculated. Results: All patients in Group 1 were cirrhotic and their BCLC stages were as follows: 60.7% stage B and 39.3% stage C. In Group 2, 83.9% of patients were cirrhotic and their BCLC stages were as follows: 9.7% stage B, 51.6% stage C, and 38.7% stage D. Mortality rates were 82% and 100% in Groups 1 and 2, respectively. The median overall survival (OS) was 13.5 months (95% CI: 10.4-16.6 months) and 4.5 months (95% CI: 3.5-5.5 months) in Groups 1 and 2, respectively (p=0.000). When RE was applied to patients with ALBI Grade 1 and 2, the median OS was statistically higher than in the NC group, respectively (p<0.001, p<0.001). Conclusion: RE is an effective treatment method at the advanced stages of HCC. The ALBI score is a more useful and practical than the other prognostic tools.
Language	English
Publishing date	2023-06-16
Publishing country	Turkey
Document type	Journal Article
ISSN	2757-7392
ISSN (online)	2757-7392
DOI	10.14744/hf.2022.2022.0036
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Article: Malignant Tumors Misdiagnosed as Liver Hemangiomas.

Yıldırım, Murat Baki / Şahiner, İbrahim Tayfun / Poyanlı, Arzu / Acunaş, Bülent / Güllüoǧlu, Mine / İbiş, Cem / Tekant, Yaman / Özden, İlgin

Frontiers in surgery

2021 Volume 8, Page(s) 715429

Abstract: Background and Aim: ...

Abstract	Background and Aim:
Language	English
Publishing date	2021-08-11
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2773823-1
ISSN	2296-875X
ISSN	2296-875X
DOI	10.3389/fsurg.2021.715429
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Article ; Online: Clinical course of abdominal aortic aneurysms in Behçet disease: a retrospective analysis.

Sahutoglu, Tuncay / Artim Esen, Bahar / Aksoy, Murat / Kurtoglu, Mehmet / Poyanli, Arzu / Gul, Ahmet

Rheumatology international

2019 Volume 39, Issue 6, Page(s) 1061–1067

Abstract: Arterial aneurysms are rare manifestations of Behçet Disease (BD) with high morbidity and mortality. This study aimed to investigate the clinical course of BD patients with abdominal aortic aneurysms (AAA). We retrospectively searched charts of BD ... ...

Abstract	Arterial aneurysms are rare manifestations of Behçet Disease (BD) with high morbidity and mortality. This study aimed to investigate the clinical course of BD patients with abdominal aortic aneurysms (AAA). We retrospectively searched charts of BD patients, followed up between 1988 and 2011, to identify those with AAA with at least 6-month clinical and radiological follow-up data. Chart review revealed 12 patients (11 males) with AAA amongst 1224 patients; follow-up data from 11 patients were available. The most common symptoms were lower back and abdominal pain. The only pre-treatment complication was a spontaneous rupture. All but one patient received corticosteroid and cyclophosphamide pulses for the induction, and corticosteroid and azathioprine for the maintenance treatment; one patient received only the maintenance treatment. Two patients had surgical graft interposition, without postoperative complications. Seven patients had endovascular stenting; five of them (71.4%) showed radiological regression after 32.5 (13.4-53.8) months, while four (57%) had clinical improvement after 11.8 (0.2-29.4) months. However, one non-responsive patient developed stent infection and exsanguinated during percutaneous drainage, and one patient developed femoral artery pseudo-aneurysm at the catheter insertion site. Another patient developed a new aneurysm under the maintenance treatment. Medical treatment alone yielded radiological regression in one of two patients. Current immunosuppressive, surgical or endovascular approaches can provide clinical and radiological improvements lately in BD patients with AAA. Furthermore, complication rates seem to be high with interventional approaches. These findings suggest an unmet need for safer alternative treatments.
MeSH term(s)	Abdominal Pain ; Adrenal Cortex Hormones/therapeutic use ; Adult ; Aneurysm, False/epidemiology ; Aortic Aneurysm, Abdominal/etiology ; Aortic Aneurysm, Abdominal/therapy ; Aortic Rupture ; Azathioprine/therapeutic use ; Behcet Syndrome/complications ; Behcet Syndrome/therapy ; Cyclophosphamide/therapeutic use ; Endovascular Procedures ; Female ; Femoral Artery ; Humans ; Immunosuppressive Agents/therapeutic use ; Induction Chemotherapy ; Low Back Pain ; Maintenance Chemotherapy ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Prosthesis-Related Infections/epidemiology ; Retrospective Studies ; Stents ; Vascular Grafting ; Young Adult
Chemical Substances	Adrenal Cortex Hormones ; Immunosuppressive Agents ; Cyclophosphamide (8N3DW7272P) ; Azathioprine (MRK240IY2L)
Language	English
Publishing date	2019-03-19
Publishing country	Germany
Document type	Journal Article
ZDB-ID	8286-7
ISSN	1437-160X ; 0172-8172
ISSN (online)	1437-160X
ISSN	0172-8172
DOI	10.1007/s00296-019-04283-y
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Article: Preoperative adrenal artery embolization followed by surgical excision of giant hypervascular adrenal masses: report of three cases.

Sormaz, Ismail Cem / Tunca, Fatih / Poyanlı, Arzu / Şenyürek, Yasemin Giles

Acta chirurgica Belgica

2017 Volume 118, Issue 2, Page(s) 113–119

Abstract: Background: Transcatheter arterial embolization (TAE) is an effective minimally invasive adjunct to surgery for the management and/or palliation of adrenal tumors.: Methods: In this case study, we reported three patients who underwent preoperative ... ...

Abstract	Background: Transcatheter arterial embolization (TAE) is an effective minimally invasive adjunct to surgery for the management and/or palliation of adrenal tumors. Methods: In this case study, we reported three patients who underwent preoperative TAE before adrenalectomy for large hypervascular adrenal tumors. All patients underwent preoperative embolization 24 h before the operation and were then followed up at the intensive care unit surgery. Results: The largest diameter of the adrenal lesions ranged between 8 and 17 cm. Hypertensive attack occurred in one patient with pheochromocytoma during embolization. No other complications associated with the procedure was noted. The adrenal tumors were totally excised in all patients. The major intraoperative findings associated with preoperative embolization were marked reduction in hypervascularity and the decrease in the size of collateral vessels. No major hemorrhage necessitating blood transfusion were noted during surgery. Conclusions: Preoperative embolization of large hypervascular adrenal masses could reduce perioperative blood loss by reducing tumor vascularity.
MeSH term(s)	Adrenal Gland Neoplasms/blood supply ; Adrenal Gland Neoplasms/diagnosis ; Adrenal Gland Neoplasms/surgery ; Adrenalectomy ; Adult ; Angiography, Digital Subtraction ; Arteries ; Embolization, Therapeutic/methods ; Female ; Humans ; Pheochromocytoma/blood supply ; Pheochromocytoma/diagnosis ; Pheochromocytoma/surgery ; Preoperative Care/methods ; Young Adult
Language	English
Publishing date	2017-04-07
Publishing country	England
Document type	Case Reports ; Journal Article
ZDB-ID	210274-2
ISSN	0001-5458
ISSN	0001-5458
DOI	10.1080/00015458.2017.1312080
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