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AKÇAKAYA, ADEM

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ADEM
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AKÇAKAYA
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Now showing 1 - 10 of 90
  • PublicationMetadata only
    Editörden
    (2019-10-01T00:00:00Z) Akçakaya, Adem; AKÇAKAYA, ADEM
  • PublicationOpen Access
    Report of a Case of Signet Ring Carcinoma Presenting as Gastric Mucosal Thickening: A Diagnostic Dilemma
    (2021-01-01T00:00:00Z) Karatoprak, Cumali; Akçakaya, Adem; Şentürk, Hakan; Çoban, Ganime; Şahin, Nurhan; Türk, Hacı Mehmet; KARATOPRAK, CUMALİ; AKÇAKAYA, ADEM; ŞENTÜRK, HAKAN; ÇOBAN, GANİME; ŞAHİN, NURHAN; TÜRK, HACI MEHMET
    The number of cancer cases has been increasing worldwide. Early diagnosis and tumor resection remain as the most effective treatments for gastric cancer. However, early diagnosis is not always possible as it is frequently not possible to make treatment decisions without pathologic diagnosis in patients with clinically suspected cancer. This causes delays in diagnosing cancer. We presented a 58 years old woman with gastric signet ring cell carcinoma that could not be diagnosed despite using four different methods of stomach biopsies. We aimed to emphasize that despite the use of advanced methods, if clinical cancer in non-diagnosed cases is suspected, we should be more aggressive for early diagnosis.
  • PublicationMetadata only
    Clinicopathological features of gastroenteropancreatic neuroendocrine neoplasms: a retrospective single-center experience
    (2021-03-01T00:00:00Z) ŞEKERCİ, ABDÜSSELAM; TÜRK, HACI MEHMET; DEMİR, Tarık; ŞEKER, Mesut; AKÇAKAYA, Adem; ARICI, Dilek Sema; ŞEKERCİ, ABDÜSSELAM; TÜRK, HACI MEHMET; DEMİR, TARıK; ŞEKER, MESUT; AKÇAKAYA, ADEM; ARICI, DILEK SEMA
  • PublicationMetadata only
    Untitled
    (2016-12-01T00:00:00Z) Akcakaya, ADEM; AKÇAKAYA, ADEM
  • PublicationMetadata only
    Metabolic and inflammatory responses after ERCP.
    (2013-12-01T00:00:00Z) ADAS, G; KEMIK, A; ADAS, M; KOC, B; GURBUZ, E; Akcakaya, ADEM; KARAHAN, S; AKÇAKAYA, ADEM
  • PublicationOpen Access
    Diffusion MRI on lymph node staging of gastric adenocarcinoma
    (2015-06-01) HASBAHCECI, Mustafa; Akcakaya, ADEM; Memmi, NAİM; TURKMEN, Ihsan; Cipe, Gokhan; Yildiz, PELİN; Arici, DİLEK SEMA; MUSLUMANOGLU, Mahmut; AKÇAKAYA, ADEM; MEMMİ, NAİM; YILDIZ, PELİN; ARICI, DILEK SEMA
    Objective: The purpose of this study was to evaluate the accuracy of diffusion weighted magnetic resonance imaging (MRI) in preoperative assessment of metastatic lymph nodes of gastric cancer. Methods: A total of 23 gastric cancer patients with a mean age of 59.4±10.9 years were analyzed. Lymph nodes were grouped as perigastric lesser curvature (Group Ia), perigastric greater curvature (Group Ib), D1+/D2 lymph nodes (Group II). Identification of histologically metastatic lymph nodes by diffusion weighted MRI was regarded as the main outcome. Results: A total of 1,056 lymph nodes including 180 histologically proven metastatic lymph nodes were dissected. Although diffusion weighted MRI could identify the metastatic lymph nodes in 18 out of 23 patients (77.8%), only 69 of total 1,056 nodes (6.53%), either metastatic or non-metastatic, could be detected. There was no correlation between histopathology and diffusion weighted MRI with regard to lymph node groups (P>0.05 for all). Overall accuracy was calculated as 69.56, 65.21 and 52.17 for Groups II, Ib and Ia lymph nodes, respectively. Apparent diffusion coefficient (ADC) values could not be helpful to differentiate metastatic lymph nodes (P=0.673). Conclusions: Diffusion weighted MRI has low accuracy to detect or to differentiate metastatic and non-metastatic lymph nodes based on their ADC values in gastric cancer.
  • PublicationMetadata only
    Editörden
    (2020-10-01T00:00:00Z) Akçakaya, Adem; AKÇAKAYA, ADEM
  • PublicationMetadata only
    Palliative Bioresonance Therapy for metastatic cancer patients Metastatik kanser hastalarında palyatif biyorezonans tedavisi
    (2018-02-01) KIRSEVER, ESRA; KIZILTAN, HURİYE ŞENAY; YILMAZ, RABİYE; BAYIR, AYŞE GÜNEŞ; BAŞIBÜYÜK, MERYEM; ERİŞ, ALİ HİKMET; ÇAKIR, FATMA BETÜL; GÜL, KÜRŞAT; ŞİMŞEK, MUHARREM; KIZILTEPE, AYŞE; GÜMÜŞ, ASLI; KALAYCI, KÜBRA; AKÇAKAYA, ADEM; AYDIN, TEOMAN; AYDOĞDU, İBRAHİM; SÜT, PELİN ALTINOK; MAYADAĞLI, ALPASLAN; KIZILTAN, HURİYE ŞENAY; BAŞIBÜYÜK, MERYEM; ERİŞ, ALİ HİKMET; ÇAKIR, FATMA BETÜL; GÜL, KÜRŞAT; GÜMÜŞ, ASLI; KALAYCI, KÜBRA; AKÇAKAYA, ADEM; AYDIN, TEOMAN; AYDOĞDU, İBRAHİM; MAYADAĞLI, ALPASLAN
  • PublicationOpen Access
    Evaluation of medical malpractice in emergency and elective general surgery cases resulting in death
    (2016-07-01) Akcakaya, Adem; Uzun, Ibrahim; Ozdemır, Erdinc; Melez, Ipek Esen; Melez, Deniz Oguzhan; MELEZ, İPEK ESEN; AKÇAKAYA, ADEM
    Background: General surgery is one of the branches in which the distinction between complication and malpractice is difficult to distinguish. In this study, presentation of the main forensic medical parameters considered for the evaluation of medical malpractice in cases of general surgery deaths in which medical malpractice has been alleged and discussing related concepts through the literature are aimed. Methods: Allegations of medical malpractice against general surgery physicians sent to the First Forensic Expertise Board of the Council of Forensic Medicine between January 1, 2012 and December 31, 2013 for which the relation of casuality between medical malpractice and death had been determined were retrospectively evaluated. Results: Medical malpractice was ruled in 21.9% (n=23) of 105 cases. The most common primary disease diagnoses were trauma-injury (n=32, 30.5%), cholecystitis (n=25, 23.8%) and appendicitis (n=8, 7.6%). When treatment types were compared according to malpractice decision, rate of malpractice in medicine-only treatment was found to be significantly higher compared to surgery + medical treatment (p=0.003, p<0.01). No statistically significant difference was found regarding the rate of malpractice between cases of emergency and elective surgery (p>0.05). When incidence of medical malpractice was compared between cases with clinical diagnosis and diagnosis determined by autopsy, a statistically significant difference was found (p=0.031, p<0.05). Malpractice was ruled at a significantly lower rate in cases in which diagnosis was confirmed with autopsy (p=0.028, p<0.05). Discussion: It can be concluded that physicians are as successful in emergency conditions as in elective conditions and correct administration of medical treatment is of vital importance. Moreover, the Council of Forensic Medicine considers the clinical follow-up data as well as the autopsy data in medical malpractice evaluation.
  • PublicationOpen Access
    Timing of laparoscopic cholecystectomy in acute cholecystitis.
    (2021-02-01T00:00:00Z) Yuksekdag, S; Bas, G; Okan, I; Karakelleoglu, A; Alimoglu, O; Akcakaya, Adem; Sahin, M; AKÇAKAYA, ADEM
    Background: Timing of laparoscopic cholecystectomy (LC) in acute cholecystitis (AC) is still debated. Aims: The aim of this study was to investigate the effect of timing on operative results; from the first appearance of symptoms to the operation. Methods: The study included 57 sequential patients operated laparoscopically for AC. Patients operated within the first 3 days of admission (Group 1), those operated between 4th and 7th days (Group 2) and those operated after 7th day (Group 3) were evaluated and compared with respect to demographics, time from admission to operation, duration of operation, adhesion score, complications, conversion rates, duration of hospital stay, morbidity and mortality rates, bile culture results, and histopathological evaluation. Results: A total of 63% of the patients were female and 21 (37%) were male. The mean age was 48 years (range, 21-74). There was no significant difference among the groups with respect to demographics (P > 0.05, for each). The duration of operation was significantly shorter in Group 1 than both Groups 2 and 3 (P < 0.05 and P < 0.001, respectively). Duration of operation was also significantly shorter in Group 2 than Group 3 (P < 0.001). Group 1 had significantly fewer adhesions compared to Group 2 and Group 3 (P < 0.05 and P < 0.001, respectively), and no significant difference was found between Group 2 and Group 3 (P > 0.05). Duration of hospital stay was significantly shorter in Group 1 compared to Group 2 and Group 3 (P < 0.001) and also was significantly shorter in Group 2 than Group 3 (P < 0.05). Group 1 had significantly lower rate of culture proliferation than Group 3 (P < 0.001), whereas no significant differences were evident in other inter-group analyses (P > 0.05, for each). Conclusion: LC can safely be performed within 7 days of admission in cases of AC.