Person: DESTEK, SABAHATTİN
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Publication Metadata only Effectiveness of conservative approach in right colon diverticulitis(2019-07-01T00:00:00Z) DESTEK, SABAHATTİN; Gul, Vahit Onur; DESTEK, SABAHATTİNBACKGROUND: Approximately 10%-25% of patients with colon diverticular disease experience colonic diverticulitis during their lives. Right-sided diverticulosis is a rare condition in Western countries, but it is common among Asian countries. The aim of this study was to evaluate the clinical and treatment outcomes in our patients with right colon diverticulitis.Publication Metadata only Diffuse idiopathic necrobiosis lipoidica: case report(2018-01-01T00:00:00Z) Destek, SABAHATTİN; Gul, Vahit Onur; Ahioglu, Serkan; DESTEK, SABAHATTİNNecrobiosis lipoidica is a granulomatous skin disease whose etiology and pathogenesis are not fully explained. The association of necrobiosis lipoidica with diabetes mellitus is frequently discussed and it is thought that microangiopathy plays an important role. Although there are many treatment options, there is no standard treatment model. In this study; a 43-year-old female patient with common skin lesions and punch biopsy and necrobiosis lipoidica diagnosis was presented. The patient was found to have concomitant diabetes mellitus with necrobiosis lipoidica. After treatment, diabetes mellitus clinic resolves but the necrobiosis lipoidica does not fully recover; Autoimmune hepatitis was detected and immunosuppressive treatment was given and the patient-s treatment was provided. In this case report, etiology and treatment of necrobiosis lipoidica have been discussed based on this case.Publication Metadata only Mide Kanserleri(2019-05-01T00:00:00Z) Akçakaya, Adem; Destek, Sabahattin; AKÇAKAYA, ADEM; DESTEK, SABAHATTİNMide kanseri tedavisin de etkin yöntem radikal cerrahidir. D2 lenf nodu diseksiyonu (LND) ile gastrektomi standart tedavidir. Erken evre mide kanserlerinde (Evre IA) endoskopik tedavi yapılabilir. Evre IB-II-IIIA mide kanserlerinde radikal cerrahi yapılır. R0 rezeksiyon sağlamak ana hedeftir. Evre IIIB-IV gibi lokal ileri mide kanserlerinde genişletilmiş rezeksiyonla beraber D2 LND yapılabilir. Bu durumda cerrahi palyatif kalabilmekte ve prognoz üstüne etkisi olmamaktadır. Bursektominin surviye katkısı net olarak gösterilmemiştir. Rutin LND-nin bir parçası olarak splenektomi büyük ölçüde terk edilmiştir. Minimal invaziv cerrahi için genel olarak kabul edilen endikasyon erken mide kanserleridir. Laparoskopik ve Robotik yöntemlerle mide kanserinin cerrahi tedavisi gün geçtikçe artmaktadır. Tümörün lokalizasyonu, yaygınlığı, merkez ve cerrahın tecrübesine göre tercih edilme oranı değişmektedir. Radikal cerrahiye rağmen, ileri evre mide kanseri için uzun dönem sonuçları tatmin edici değildir. Tanı amaçlı laparoskopi ameliyat öncesi akılda tutulmalıdır. Neoadjuvan tedavi özellikle ileri evre kanserlerde önerilmektedir. Adjuvan kemoradyoterapi cerrahinin tamamlayıcısı olarak yerini korumaktadır.Publication Metadata only A Rare Disease of the Digestive Tract: Esophageal Melanosis(2016-06-01T00:00:00Z) Destek, SABAHATTİN; Gul, Vahit Onur; Ahioglu, Serkan; Erbil, Yesim; DESTEK, SABAHATTİNEsophageal melanosis which is characterized by melanocytic proliferation in the squamous epithelium of the esophagus and melanin accumulatin of esophageal mucosa (EM) is a rare disease of the digestive system. Although esophageal melanosis is considered to be a benign disease, its etiology is not cleared and has been reported to be the precursor lesion of esophageal primary melanomas. In this report, we aimed to note esophageal melanosis in a 55-year-old female case who applied to our clinic with difficulty in swallowing, burning behind the breastbone in the stomach, heartburn, indigestion, and pain in the upper abdomen after endoscopic and pathologic evaluation. Complaints dropped with anti-acid therapy and case was followed by intermittent endoscopic procedures because of precursor melanocytic lesions.Publication Metadata only Minimally Invasive Surgical Approach to Complicated Recurrent Pilonidal Sinus(2015-01-01T00:00:00Z) Gul, Vahit Onur; Destek, SABAHATTİN; Ozer, Serhat; Etkin, Ergin; Ahioglu, Serkan; Ince, Mehmet; Cimin, Vedat; Sen, Deniz; Erbil, Yesim; DESTEK, SABAHATTİNPilonidal sinus is considered as a simple and frequently occurring disease localized at the sacrococcygeal area. However, at the intergluteal region, it can often turn into a chronic and complicated disease. In some cases, it can fistulize up to the gluteal region and appear at the secondary orifices. Minimally invasive surgical techniques are becoming widespread in recent years due to the increased experience and development of new instruments. Limited excision of the pilonidal sinus tract can be a better treatment option compared with large excisions in terms of recovery time and patient-s comfort. This case study reports the singlephase surgical treatment of complicated and recurrent pilonidal sinus localized at the gluteal area, with minimal tissue loss and inflammation.Publication Open Access Pituitary Adenoma and Hyperprolactinemia Accompanied by Idiopathic Granulomatous Mastitis.(2017-01-01T00:00:00Z) Destek, SABAHATTİN; GUL, VO; AHIOGLU, S; SERIN, KR; DESTEK, SABAHATTİNPublication Metadata only Fibroepitelyal Anal Polipler Ve Eşlik Eden Anal Hastalıklar(2019-10-01T00:00:00Z) Destek, Sabahattin; DESTEK, SABAHATTİNPublication Metadata only A variety of gene polymorphisms associated with idiopathic granulomatous mastitis(2016-09-01T00:00:00Z) Destek, SABAHATTİN; Gul, Vahit Onur; Ahioglu, Serkan; DESTEK, SABAHATTİNIdiopathic granulomatous mastitis (IGM) is a rare and chronic inflammatory disorder. IGM mimics breast cancer regarding its clinical and radiological features. Etiology of IGM remains unclarified. Our patient was 37-year-old and 14 weeks pregnant. There was pain, redness and swelling in the right breast. The mass suggestive of malignancy was detected in sonography. Serum CA 125 and CA 15-3 levels were high. Genetic analysis was performed for the etiology. methylenetetrahydrofolate reductase (MTHFR) C 677 TT, beta-fibrinogen-455 G>A, plasminogen activator inhibitor (PAI)-1 5 G/5 G, angiotensin-converting enzyme (ACE) I/D mutation was found. IGM was diagnosed by cor biopsy. An association was also reported between breast cancer and mutations in MTHFR-C 677 T, PAI-1, ACE genes. Genetic polymorphisms may involve in the development of IGM as it was seen in our case. Further studies should be conducted to better clarify this plausible association.Publication Metadata only Comparison of Lichtenstein Repair and Mesh Plug Repair Methods in The Treatment of Indirect Inguinal Hernia(2018-07-01T00:00:00Z) Destek, SABAHATTİN; Gul, Vahit Onur; DESTEK, SABAHATTİNObjective: The lifetime risk to develop an inguinal hernia is 27%-43% for men and 3%-6% for women. Methods of hernia repair currently involve prosthetic mesh applications. The aim of this study is to compare the Lichtenstein repair and Mesh-plug repair methods in the surgical treatment of indirect inguinal hernias and to identify which of these two techniques is superior regarding its conferred advantages.Publication Metadata only Clinical and Pathological Evaluation of Benign Skin Lesions(2019-12-01T00:00:00Z) Destek, Sabahattin; Gül, Vahit Onur; DESTEK, SABAHATTİNSkin lesions are commonly benign in nature. The present study aims to evaluate the prevalence and clinicopathological characteristics of a large series of benign skin lesions (BSLs) excised in our clinic. Patients with skin lesions who underwent total excisional biopsy at the general surgery clinic between 2012 and 2016 were reviewed. A total of 551 patients with BSLs were included in the study. Of these, 43.7% were females and 56.7% were males. The age range was between 2 and 98 years with a mean of 39.7 years. The most commonly occurring group of BSLs was of the appendageal tumors (33.3%), and this finding was statistically significant. The most common keratinocytic BSL (13.6%) was verruca vulgaris. In the present study, various types of BSLs and their occurrences were evaluated. Benign skin tumors can turn into malignant types. A biopsy should be performed to establish the exact diagnosis. We performed an excisional biopsy to confirm the diagnosis.