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 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 Protective effects of laparoscopic sleeve gastrectomy on atherosclerotic and hemocytic parameters in obese patients(2018-09-01T00:00:00Z) Baykara, Murat; Yazar, Fatih Mehmet; Cengiz, Emrah; Bulbuloglu, ERTAN; BÜLBÜLOĞLU, ERTANObjectives:The aim of this study was to evaluate the effects of the change in the body mass index following laparoscopic sleeve gastrectomy on the vascular morphology structure and biochemical and hemocytic parameters. Material andPublication 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 An unusual cause of hypercalcemic crisis: Water-clear cell double parathyroid adenoma(2017-12-01T00:00:00Z) Yazar, Fatih Mehmet; Karaagac, Mustafa; Isler, Ali; Bulbuloglu, ERTAN; Ezberci, Fikret; BÜLBÜLOĞLU, ERTANObjective: To evaluate the clinical characteristics of a patient operated for water-clear cell adenoma and to discuss these in the light of relevant literature.Publication Metadata only The Role of Conventional Ultrasonography in the Evaluation of Antrum Wall Thickness in Obese Patients(2016-12-01T00:00:00Z) Yazar, Fatih Mehmet; Baykara, Murat; Karaagac, Mustafa; Bulbuloglu, ERTAN; BÜLBÜLOĞLU, ERTANBackground The objective of this study is to evaluate the utility of conventional ultrasonography (USG) in the evaluation of the stomach antrum and distal corpus lesions.Publication 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.