Person: BÜLBÜLOĞLU, ERTAN
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Publication Metadata only Effects of Epidural-and-General Anesthesia Combined Versus General Anesthesia Alone on Femoral Venous Flow During Laparoscopic Cholecystectomy(2010-04-01T00:00:00Z) Senoglu, Nimet; Yuzbasioglu, Mehmet F.; Oksuz, Hafize; Yildiz, Huseyin; Dogan, Zafer; Bulbuloglu, ERTAN; Goksu, Mustafa; Gisi, Gokce; BÜLBÜLOĞLU, ERTANBackground and Objective: The pneumoperitoneum has been shown to decrease femoral blood flow, resulting in venous stasis. We analyzed the effects of the pneumoperitoneum and epidural analgesia on femoral vein diameter and the peak flow rate of femoral vein during laparoscopic cholecystectomy.Publication Metadata only Primary Retroperitoneal Mucinous Cystadenocarcinoma: 5th Male Case in the Literature(2015-02-01T00:00:00Z) Kos, F. Tugba; Ozkan, Fuat; Bakaris, Sevgi; Bulbuloglu, ERTAN; Gurbuz, Esma; Ozer, Nazmi; BÜLBÜLOĞLU, ERTANRetroperitoneal primary mucinous tumor is an extremely rare malignancy. To date, only 52 cases of primary retroperitoneal mucinous cystadenocarcinoma (PRMC) have been reported in the literature, with the majority being women. Our patient is the 5th known male case. A 57-year-old male patient presented with a two year history of an undefined abdominal pain. Computed tomography demonstrated a 12 x 9.5 cm cystic mass lesion extending superiorly from right iliac fossa, while localizing below the abdominal wall and close to the psoas muscle. According to the laparotomy, iliopsoas muscle was infiltrated by the mass in the retroperitoneal region. Pathological diagnosis was mucinous cystadenocarcinoma. The asymptomatic patient was followed up without applying an adjuvant chemotherapy, since the clinical course of the tumor is known to be slow and postoperative therapy is not recognized as a standardized treatment. The clinical course of PRMC is generally indolent, however, it may manifest an aggressive course, as well. It has no definitive and clear pathogenesis. The treatment is contentious, as well. Diagnosis and treatment require surgical excision but data on adjuvant chemotherapy is limited.Publication Metadata only Laparoskopik sleeve gastrektomi esnasında insidental olarak saptanan gastrik gastrointestinal stromal tümör(2017-11-10T00:00:00Z) SERTKAYA, MEHMET; EMRE, ARİF; AKBULUT, AHMET SAMİ; BÜLBÜLOĞLU, ERTAN; BÜLBÜLOĞLU, ERTANPublication Metadata only The effects of L-carnitine and N-acetylcysteine on carbontetrachloride induced acute liver damage in rats(2013-01-01T00:00:00Z) Cetinkaya, A.; Kantarceken, B.; Bulbuloglu, ERTAN; Kurutas, E. B.; Ciralik, H.; Atli, Y.; BÜLBÜLOĞLU, ERTANAim: To investigate the effects of L-carnitine (LCAR) and N-acetylcysteine (NAC) on carbon tetrachloride (CCl4)-induced acute liver damage in rats.Publication Metadata only Predictive role of neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios for diagnosis of acute appendicitis during pregnancy(2015-11-01T00:00:00Z) Yazar, Fatih Mehmet; Bakacak, Murat; Emre, Arif; Urfalioglu, Aykut; Serin, Salih; Cengiz, Emrah; Bulbuloglu, ERTAN; BÜLBÜLOĞLU, ERTANAcute appendicitis (AA) is not uncommon during pregnancy but can be difficult to diagnose. This study evaluated the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in addition to conventional diagnostic indicators of the disease to diagnose AA during pregnancy. Age, gestational age, white blood cell (WBC) count, Alvarado scores, C-reactive protein (CRP), lymphocyte count, NLR and PLR were compared among 28 pregnant women who underwent surgery for AA, 35 pregnant women wrongly suspected as having AA, 29 healthy pregnant women, and 30 nonpregnant healthy women. Mean WBC counts and CRP levels were higher in women with proven AA than in those of control groups (all p < 0.05). Among all the groups, the median NLR and PLR were significantly different in women with proven AA (all p < 0.05). Receiver operating characteristic analysis was used to determine cut-off values for WBC count, CRP, lymphocyte count, NLR and PLR, and multiple logistic regression analysis showed that NLR and PLR used with routine methods could diagnose AA with 90.5% accuracy. Used in addition to routine diagnostic methods, NLR and PLR increased the accuracy of the diagnosis of AA in pregnant women. Copyright (C) 2015, Kaohsiung Medical University. Published by Elsevier Taiwan LLC. All rights reserved.Publication Metadata only Cardia localized inflammatory fibroid polyp: A rare case report(2015-07-01T00:00:00Z) Ulutas, Perihan Ozlem Dogan; Sayar, Hamide; Bulbuloglu, ERTAN; Gurbuz, Esma; Kizildag, Betul; BÜLBÜLOĞLU, ERTANInflammatory fibroid polyp (Vanek-s tumor) is a rare benign polypoid lesion of the gastrointestinal tract. It often varies between 1-3 cm in diameter. It is usually seen in 60-70 years. Microscopically, proliferate spindle cells which localized around the vessels concentrically and eosinophil-rich inflammatory infiltrate are seen. In the differential diagnosis, many benign mesenchymal tumors of gastrointestinal tract, especially gastrointestinal stromal tumor, should be considered. 70 year old male patient, admitted with epigastric pain, nausea, fever after eating, had normal laboratory values except anemia. Contrast-enhanced computed tomography revealed a polypoid mass about 4 cm in diameter in the cardia and he was operated on suspicion of gastrointestinal stromal tumor. In the microscopic examination of excision material, numerous small and large vein structures, spindle cell proliferation and eosinophil-rich inflammatory infiltrate were observed. Immunohistochemically, CD117, CD34, smooth muscle actin, desmin, S-100, cytokeratin, DOG 1 were negative, Vimentin was strongly positive and Ki-67 proliferation index was 2%. The diagnose was -inflammatory fibroid polyp-. The case is presented because of the unusually localization, large diameter, its rare occurrence and the potential risk of confusion with gastrointestinal stromal tumor.Publication Metadata only Protective effects of intravenous anesthetics on kidney tissue in obstructive jaundice(2014-03-01T00:00:00Z) Hatipoglu, Sinan; Yildiz, Huseyin; Bulbuloglu, ERTAN; Coskuner, Ismail; Kurutas, Ergul Belge; Hatipoglu, Filiz; Ciralik, Harun; Berhuni, Mehmet Sait; BÜLBÜLOĞLU, ERTANAIM: To evaluate the protective effects on kidney tissue of frequently used intravenous anesthetics (ketamine, propofol, thiopental, and fentanyl) in rats with obstructive jaundice.Publication Metadata only Efficacy of the Evaluation of Inflammatory Markers for the Reduction of Negative Appendectomy Rates(2018-02-01T00:00:00Z) Yazar, Fatih Mehmet; Urfalioglu, Aykut; Bakacak, Murat; Boran, Omer Faruk; Bulbuloglu, ERTAN; BÜLBÜLOĞLU, ERTANUnnecessary appendectomy can cause complications; ways of reducing negative appendectomy rates (NAR) using biochemical and imaging methods are desirable. We retrospectively examined 640 patients who underwent appendectomy for suspected AA. Patients with histologically confirmed appendicitis were designated the positive appendectomy group (n = 565), whereas those with unconfirmed appendicitis were designated the negative appendectomy group (n = 75). The positive appendectomy group was subdivided into the non-perforated (n = 511) and perforated (n = 54) appendectomy groups according to pathology reports. We compared the age, sex, lymphocyte count, neutrophil percentage, pathologic positivity or negativity for appendicitis, C-reactive protein (CRP) level, neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) of the patients. When the perforated, non-perforated, and negative appendectomy groups were compared, the highest CRP level, NLR, and PLR were evident in the perforated appendectomy group (p = 0.001), whereas the lowest neutrophil percentage was found in the non-perforated appendectomy group (p = 0.001). Multiple logistic regression analysis identified neutrophil percentage, CRP value, and NLR as independent variables and demonstrated that AA could be diagnosed with 88.9 % accuracy using the cutoff values determined. In patients with suspected AA, particularly in rural areas with limited access to advanced imaging modalities, the evaluation of neutrophil percentage, CRP level, and NLR, in combination with the findings of a physical examination, may aid diagnosis and reduce NAR.Publication Metadata only A rare disease mimics postoperative bile leakage: Invasive aspergillosis(2016-09-01T00:00:00Z) Yazar, Fatih Mehmet; Urfalioglu, Aykut; Boran, Omer Faruk; Sayar, Hamide; Kanat, Burhan Hakan; Emre, Arif; Cengiz, Emrah; Bulbuloglu, ERTAN; BÜLBÜLOĞLU, ERTANAspergillus fungi can cause serious infections, including intra-abdominal infection, particularly in patients with compromised immune system. Described in the present report is case of 46-year-old female patient who had undergone laparoscopic cholecystectomy (LC) at another healthcare facility. In early postoperative period, she had increasing complaints of swelling, nausea, and vomiting. On postoperative 19th day, she was referred to our clinic with diagnosis of acute abdomen. Surgery was performed with suspected possibility of bile leakage. However, pathological examination of soft, yellow-green mass found in subhepatic space determined it was fungus ball caused by fungi of the genus Aspergillus. Patient was diagnosed postoperative intra-abdominal aspergillosis (IAA).Publication Metadata only Splenic hydatic cyst as a cause of sinistral portal hypertension and isolated gastric variceal bleeding(2010-09-01T00:00:00Z) Kantarceken, Bulent; Cetinkaya, Ali; Bulbuloglu, ERTAN; Demirpolat, Gulen; BÜLBÜLOĞLU, ERTANA 60-year-old male, living in a rural area, presented with recurrent upper gastrointestinal bleeding. Isolated fundal varices were seen on endoscopy. A lesion similar to cyst hydatid was seen in the spleen on abdominal ultrasonography and computerized tomography scanning. Also, sinistral (left-sided) portal hypertension and collaterals were seen due to the compression of the splenic vein by the cyst. Indirect hemagglutination antibody test for Echinococcus granulosus was positive. By screening, no other cyst was found in any other site of the body. The patient underwent open abdominal surgery, and the anterior wall of the cyst was resected partially; within it were multiple daughter cysts and hydatid fluid. After decontamination of the daughter cysts and hydatid fluid, germinative membrane omentoplasty was performed with apart of the omentum. However, the patient suffered from recurrent gastrointestinal bleeding postoperatively and he was re-evaluated. Later, splenectomy was performed in order to relieve left-sided portal hypertension. The patient did not experience further bleeding and gastric varices disappeared following splenectomy.