Person: BÜLBÜLOĞLU, ERTAN
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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 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 Laparoscopic Sleeve Gastrectomy in Situs Inversus Totalis: a Case Report and Comprehensive Literature Review(2016-04-01T00:00:00Z) Yazar, Fatih Mehmet; Emre, Arif; AKBULUT, AHMET SAMİ; Urfalioglu, Aykut; Cengiz, Emrah; Sertkaya, Mehmet; Yildiz, Huseyin; Bulbuloglu, ERTAN; BÜLBÜLOĞLU, ERTANThe aim of this study is to review the reliability of laparoscopic obesity operations in patients with situs inversus totalis(SIT). A new case of SIT was presented together with a literature review of published English language studies on laparoscopic gastric banding (LAGB), laparoscopic gastric bypass (LRYGB), laparoscopic sleeve gastrectomy (LSG), laparoscopic obesity surgery (LOS), and SIT, accessed via PubMed and Google Scholar databases. The case is presented of a 21-year-old female patient who underwent LSG due to SIT. A total of 12 publications in literature matched the search criteria for LAGB, LRYGB, LSG, LOS, and SIT, which reported LAGB in five cases, LRYGB in four cases, and LSG in four cases. In the rare event of SIT, LOS can be safely used following good evaluation.Publication Metadata only Idiopathic Granulomatous Mastitis: Overcoming this Important Clinical Challenge(2018-05-01T00:00:00Z) Emre, Arif; AKBULUT, AHMET SAMİ; Sertkaya, Mehmet; Bitiren, Muharrem; Kale, Ilhami Taner; Bulbuloglu, ERTAN; Yurttutan, Nursel; BÜLBÜLOĞLU, ERTANThe aim of this study was to determine possible risk factors for recurrence development in patients with idiopathic granulomatous mastitis (IGM). Demographic, clinical, radiologic, and histopathologic characteristics of 34 consecutive patients with IGM were retrospectively reviewed. Also, 32 patients who were informed about recurrence status were divided into non-recurrent (n = 27) and recurrent (n = 5) groups. Both groups were compared for demographic and clinical parameters. This study included 34 female patients with IGM aged between 26 and 70 years (median: 38 years). During the follow-up period, no recurrence occurred in 27 patients whereas recurrence developed in 5 patients. No significant difference was found between the groups with respect to age, lesion size, breast-feeding, number of child, marital status, use of oral contraceptive, familial or personal tuberculosis history, PPD test, smoking, lesion side, lesion location on the breast, and treatment choice. The diagnostic tools of the IGM as follows: tru-cut (n = 18); incisional (n = 6); tru-cut + incisional (n = 5); tru-cut + excisional (n = 2); tru-cut + FNAB (n = 1); FNAB + excisional (n = 1) and FNAB (n = 1). Treatment options were as follow: antibiotics + drainage (n = 10); antibiotics + drainage + corticosteroid (n = 9); wait and watch (n = 6); corticosteroid (n = 3); antibiotics + antituberculous (n = 1); antituberculous (n = 1); antibiotics + breast conserving surgery + chemotherapy (n = 1); modified radical mastectomy+ chemotherapy+ radiotherapy (n=1); and no available (n = 2). This study shows that no demographic and clinical data contributes to the development of recurrence disease. To give a strong message, this study should be supported by other high volume and prospective studies.Publication Metadata only Self-expandable metallic stent application for the management of upper gastrointestinal tract disease(2018-06-01T00:00:00Z) Emre, Arif; Sertkaya, Mehmet; AKBULUT, AHMET SAMİ; Erbil, Ozan; Yurttutan, Nursel; Kale, Ilhami Taner; Bulbuloglu, ERTAN; BÜLBÜLOĞLU, ERTANObjective: The aim of the present study was to share our experiences of the use of self-expandable metallic stent for the upper gastrointestinal tract disease.Publication Metadata only Assessment of risk factors affecting mortality in patients with colorectal cancer(2018-01-01T00:00:00Z) Emre, Arif; AKBULUT, AHMET SAMİ; Sertkaya, Mehmet; Bitiren, Muharrem; Kale, Ilhami Taner; Bulbuloglu, ERTAN; BÜLBÜLOĞLU, ERTANIntroduction: The most important risk factors for colorectal cancer are age, high ASA score, anemia, low albumin, tumor stage, histopathological properties, tumor-s relationship with adjacent tissues, positivity of surgical borders and timing of the surgical procedure.Publication Metadata only Assessment of clinical and pathological features of patients who underwent thyroid surgery: A retrospective clinical study(2018-03-01T00:00:00Z) Emre, Arif; AKBULUT, AHMET SAMİ; Sertkaya, Mehmet; Bitiren, Muharrem; Kale, Ilhami Taner; Bulbuloglu, ERTAN; ÇOLAK, CEMİL; BÜLBÜLOĞLU, ERTANAIMPublication Metadata only Diagnosis and management of early gastric band slip after laparoscopic adjustable gastric banding(2016-01-01T00:00:00Z) Sertkaya, Mehmet; Emre, Arif; Yazar, Fatih Mehmet; Bulbuloglu, ERTAN; BÜLBÜLOĞLU, ERTANLaparoscopic adjustable gastric banding (LAGB) used to be a very popular bariatric procedure at a certain time for the treatment of obesity as it has many advantages and is associated with low morbidity and mortality rates. Complications are often late and are rarely seen by general surgeons due to the limited number of patients, and physicians should be aware of the symptoms. We present a case of a 40-year-old female patient who underwent LAGB and was admitted for a huge gastric pouch dilatation on postoperative day 5. She had a history of food consumption on the fourth day after surgery. She was diagnosed with early gastric band slippage (EGBS). The band was repositioned and gastrogastric sutures were placed to prevent reprolapse of the band. The EGBS is an immediate postoperative complication. Diagnosis of EGBS can be made with oral contrast X-ray studies, and surgical intervention is necessary.