Person: COŞKUN, HALIL
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Publication Normal 0 21 Analysis of Safety and Effectiveness of Two Different Liquid-Filled Intragastric Balloon (Bioenterics (R) Vs Silimed (R))(2011-08-01T00:00:00Z) BOZKURT, SÜLEYMAN; COSKUN, HALİL; Kadioglu, HÜSEYİN; ERSOY, Y. E.; MUSLUMANOGLU, M.; BOZKURT, SÜLEYMAN; COŞKUN, HALIL; KADIOĞLU, HÜSEYİNPublication Psychometric properties of the Turkish version of the Yale Food Addiction Scale among bariatric surgery patients(2015-04-01T00:00:00Z) SEVİNÇER, GÜZİN MUKADDES; Konuk, Numan; BOZKURT, SÜLEYMAN; SARAÇLI, ÖZGE; COŞKUN, Halil; BOZKURT, SÜLEYMAN; COŞKUN, HALILObjective: The aim of this study was to examine validity and reliability of Turkish version of Yale Food Addiction Scale (YFAS) among Turkish bariatric surgery patients. Methods: The YFAS scale was administered to obese patients (n=171) who were seeking or underwent bariatric surgery. Construct validity of the scale was evaluated with factor analysis and reliability was evaluated with item-total score correlation and repeatability were tested by intraclass correlation (ICC) analysis between test-retest results. Results: Internal concistency was found adequate Kuder-Richardson Formula 20 coefficient (KR-20) 0.822, and Cronbach-s alpha 0.859 for the entire 25-item YFAS. As Bartlett-s Test of Sphericity was significant, the factor model developed in the present study was decided appropriate. Factor analysis extracted six factor in Turkish YFAS that explained for 67.51% of the total variance. Item total correlation coefficients of scale ranged from 0.214-0.666. Conclusion: Our findings support the use of the Turkish YFAS as a reliable measure of food addiction among bariatric surgery patients.Publication Adölesan Çağı Obezitesinde Uyguladığımız Bariatrik Cerrahi Ameliyatlarının Sonuçları(2021-11-01T00:00:00Z) Yapalak, Yunus; Ayan, Furkan; İskurt, Yiğit; Coşkun, Halil; Yardımcı, Erkan; AYAN, FURKAN; İSKURT, YİĞİT; COŞKUN, HALIL; YARDIMCI, ERKANAMAÇ: Çocukluk çağı morbid obezitesi özellikle gelişmiş ve gelişmekte olan ülkelerde son iki dekatta iki kat artış göstermiş olup tedavide bariatrik cerrahi etkili bir yöntem olarak uygulanmaktadır (1). Laparoskopik sleeve gastrektomi (LSG) günümüzde en sık uygulanan bariatrik cerrahi yöntemidir (1,2). Adölesan çağı obezitesinin tedavi yönetimi multidisipliner yaklaşım gerektirmektedir (3). Çalışmamızda, adölesan çağı obezitesinde uyguladığımız bariatrik cerrahi sonuçlarımızı göstermeyi amaçladık. YÖNTEM: Retrospektif olarak 2018-2021 yılları arasında Bezmialem Vakıf Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı’na bariatrik ve metabolik cerrahi uygulanan 634 hastadan; adölesan çağında (≤18 yaş) morbid obezite nedeniyle (VKİ≥40kg/m2), çocuk endokrinoloji ve çocuk psikiyatristi tarafından yönlendirilen ve LSG uygulanan 32 hasta çalışmaya dahil edildi. Hastaların demografik verileri (yaş, cins, ek hastalık, vücut kitle indeksi (VKİ), komorbid hastalıkları, ilaç kullanım öyküsü) incelendi. Postoperatif dönemde komplikasyon, fazla kilo kaybı oranları, komorbid hastalıkların remisyon durumu değerlendirildi. BULGULAR: Çalışmadaki toplam 32 hastanın ortalama yaşı 16,1±1,07 yıl idi. Hastaların 24’ü (%75) kız ve 8’i (%25) erkek idi. Preoperatif ortalama VKİ 47,4±7,56 kg/m2 idi. Hastaların 22’sinde (%66,6) tip 2 diyabet, 7’sinde (%21,8) hipertansiyon ve 4’ünde (%12,5) obstrüktif uyku apne sendromu vardı. Tüm hastalara LSG uygulandı. Ortalama ameliyat süresi 71,2±17,3 dakika ve yatış süresi 4,3±0,7 gün idi. Peroperatif ve postoperatif herhangi bir komplikasyon izlenmedi. Mortalite izlenmedi. Postoperatif takiplerinde ortalama % EWL değerleri 3.ayda %27,7, 6.ayda %48,05 ve 12.ayda %72,1 idi. Komorbid hastalıklardaki remisyon oranların tip 2 diyabet için %86,3, hipertansiyon için %71,4 ve obstrüktif uyku apne sendromu için %100 olarak saptandı. SONUÇ: Adölesan çağı obezitesinde endikasyona uygun olarak seçilmiş hastalarda LSG tekniği güvenli ve etkili bir tedavi yöntemidir. Anahtar Kelimeler: Adölesan, Obezite, Sleve GastrektomiPublication The effects of different mechanisms on the development of post-ERCP pancreatitis in an ERCP model in rats(2013-12-01T00:00:00Z) Bozkurt, SÜLEYMAN; GUNER, Ali; Kadioglu, HÜSEYİN; KECE, Can; REIS, Erhan; COSKUN, HALİL; BOZKURT, SÜLEYMAN; KADIOĞLU, HÜSEYİN; COŞKUN, HALILBackground/aims: To investigate the effects of different mechanisms on the development of pancreatitis after endoscopic retrograde cholangiopancreatography. Material and Methods: 40 male rats were randomly divided into four groups. After laparotomy, in Group 1, only duodenum was reached by a 24G cannula without performing any other procedure. In Groups 2, 3, and 4, biliopancreatic duct was cannulated transduodenally. Group 2 received no additional intervention after the cannulation. Group 3 received saline, whereas Group 4 received contrast agent into the duct. After a period of 24 hours, all rats were sacrificed. Laboratory tests for blood samples were performed and pancreatic tissue was also evaluated histopathologically. Results: Leukocyte, blood sugar, serum glutamic oxaloacetic transaminase, lactate dehydrogenase, amylase, C-reactive protein, and base excess parameters were evaluated. The values in Groups 2, 3, and 4 were found to be significantly higher than those in the control group, except for leukocyte count and base excess (p=0.551, p=0.031, p=0.0001, p=0.0001, p=0.0001, p=0.0001, p=0.683, respectively). Histopathological results demonstrated significant differences between the groups. Highest pathological damage scores were observed in Groups 3 and 4. Conclusion: Among different theories for the pathogenesis of post-endoscopic retrograde cholangiopancreatography pancreatitis, elevated intraductal hydrostatic pressure was observed to be the main underlying cause.Publication Spontaneous Perforation of Pyometra; a Rare Cause of Acute Abdomen: Report of a Case(2016-01-01T00:00:00Z) BOZKURT, SÜLEYMAN; Atak, Tuba; COŞKUN, Halil; BOZKURT, SÜLEYMAN; COŞKUN, HALILPyometra is defined as pooling of purulent material in the uterine cavity. We report a perforated pyometra presented with acute abdomen who was initially diagnosed as gastrointestinal perforation. A 68 year old woman was admitted as an emergency having developed sudden lower abdominal pain. Plain abdominal X-ray revealed free air in the peritoneal cavity. At laparotomy, enlarged perforated uterus of 12x7x4 cm in size was revealed. Hysterectomy and bilateral salpingooophorectomy was performed. Postoperative period was uneventful. Patient was discharged at thirteenth day. Although rare, perforation of pyometra should be considered in the differential diagnosis in an elderly woman with an acute abdomen.Publication Comparison of Results of Laparoscopic Gastric Banding and Consecutive Intragastric Balloon Application at 18 Months: A Clinical Prospective Study(2011-07-01T00:00:00Z) Peker, Yasin; COŞKUN, Halil; BOZKURT, SÜLEYMAN; Cin, Necat; Atak, Tuba; Genc, Hudai; COŞKUN, HALIL; BOZKURT, SÜLEYMANBackground: Obesity is a serious health problem that leads to serious physical and psychological problems. The methods used in treating obesity include diet and behavioral changes, pharmacotherapy, and surgery. Laparoscopic adjustable gastric banding (LAGB) and intragastric balloon (IGB) applications are two of the methods used to treat obesity. The aim of this study was to compare the effects of LAGB with those of two consecutive IGB applications in weight loss management of obese patients.Publication Laparoscopic sleeve gastrectomy at 2 or 4 cm from the pylorus: Does it change outcomes, if any?(2013-04-20) BOZKURT, SÜLEYMAN; COŞKUN, HALİL; ÇİPE, GÖKHAN; MEMMİ, NAİM; ERSOY, YELİZ EMİNE; KARATEPE, OĞUZHAN; HASBAHCECI, MUSTAFA; AYŞAN, MUSTAFA ERHAN; AKÇAKAYA, ADEM; MÜSLÜMANOĞLU, MAHMUT; BOZKURT, SÜLEYMAN; COŞKUN, HALIL; MEMMİ, NAİM; ERSOY, YELIZ EMINE; AYŞAN, MUSTAFA ERHAN; AKÇAKAYA, ADEMPublication MEASURABLE ONE-ANASTOMOSIS DISTAL GASTRIC BYPASS IN THE REVISIONAL SURGERY AFTER SLEEVE GASTRECTOMY: NEW PROCEDURE AND OUR RESULTS(2019-04-30T00:00:00Z) Coşkun, Halil; Yardımcı, Erkan; COŞKUN, HALIL; YARDIMCI, ERKANBACKGROUNDWeight regain and inadequate co-morbidity reducti on are the most important problems inthe long-term results aft er laparoscopic sleeve gastrectomy(LSG) and in these conditi onsrevisional surgery is considered.Our aim is to show the importance of total small bowellength and appropriate small bowel loop for determine the lenght of common channel forthe revision of LSG to distal gastric bypass.METHODSData from the pati ents who underwent measurable one-anastomosis distal gastricbypass(MOADGB) in the revision of LSG from May 2017 to January 2019 was retrospecti velyanalyzed.In the surgical technique; all pati ents’ small bowel lenght is measured from theligament of treitz to ileocecal valve and gastroenterostomy anastomosis was performed1/3 distal part of the total small bowel length.RESULTSSeventeen pati ents(female n=10) with a mean age of 41±2.3 years and a mean BMI of39.1±1.7kg/m2 were included in the study.The indicati ons for revisional surgery wereinadequate weight loss (n=5), weight regain (n=11) and inadequate co-morbidity reducti on(n=1).The mean total small bowel length was 10±0.3 meter.The mean operati on ti me was126.2±5.1 minutes.There was no mortality.Only one pati ent had bleeding(5.8%).Leakage wasobserved one pati ent(5.8%). The mean excess weight loss% was 54.1±4.8% aft er the follow-up period (mean 11.2±1.4 months).The mean values of iron,ferriti n,protein,vitaminB12and vitaminD were 59.7±5.6ug/dl, 106.7±25.1ng/ml, 6.8±0.1g/dl, 592±57.2pg/ml and24.9±3.1ng/ml, respecti vely.CONCLUSIONIn the distal gastric bypass procedure which performed in the revisional surgery aft er LSG,determining the common canal length by measuring the total small bowel length mightincerease the effi cacy and decrease the rates of complicati ons such as malnutriti on andvitamin defi ciencies.Publication Single Incision Laparoscopic Cholecystectomy in situs Inversus Totalis.(2012-07-01T00:00:00Z) BOZKURT, SÜLEYMAN; COSKUN, HALİL; ATAK, T; Kadioglu, HÜSEYİN; BOZKURT, SÜLEYMAN; COŞKUN, HALIL; KADIOĞLU, HÜSEYİNPublication Assessment of the Correlation Between Weight Status and the Frequency of Dietician Interviews in Sleeve Gastrectomy Patients(2020-07-01T00:00:00Z) Guclu, Duygu; Batar, Nazli; Kermen, Seda; SEVDİN, SEZEN; COŞKUN, Halil; COŞKUN, HALIL; GÜÇLÜ, DUYGUPurpose The aim of this study was to evaluate the relationship between the weight status of sleeve gastrectomy patients during the first two postoperative years and the frequency of dietician interviews. Materials and Methods This was a retrospective cross-sectional study, and the subjects were patients who had surgery at a special obesity clinic, Bariatriklab, in Istanbul, Turkey, between February 01, 2014, and February 01, 2018.The mean age +/- standard deviation of the participants was 38.8 +/- 11.9 years. The mean body mass index (BMI) +/- standard deviation was 44.2 +/- 6.1 kg/m(2)preoperatively. The preoperative (pre-op) and 12-, 18-, and 24-month postoperative (post-op) weights and the frequency of interviews with dieticians for 2 years after the operation were collected, and statistical analysis was performed using SPSS ver. 23.0. Results A total of 247 laparoscopic sleeve gastrectomy (LSG) patients, 161 women (65.2%) and 86 men (34.8%), were evaluated in this study. As the frequency of dietician interviews increased in the first year, the amount of excess weight loss (EWL) increased in the second year (p < 0.01). In addition, as the frequency of dietician interviews increased in the second year, the amount of EWL in the second year decreased (p < 0.01). The frequency of dietician counseling among participants who did not experience weight loss between 12 and 24 months was significantly higher than that among those who experienced weight loss (p < 0.05). Conclusion It should not be forgotten that bariatric surgery requires teamwork, and patients should be cared for with an interdisciplinary approach. Dieticians play an important role in changing nutritional habits and making them sustainable.
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