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    Öğe
    Acute Acalculous Cholecystitis due to Viral Hepatitis A
    (Hindawi Ltd, 2013) Kaya, Safak; Eskazan, Ahmet Emre; Ay, Nurettin; Baysal, Birol; Bahadir, Mehmet Veysi; Onur, Arzu; Duymus, Recai
    Inflammation of the gallbladder without evidence of calculi is known as acute acalculous cholecystitis (AAC). AAC is frequently associated with gangrene, perforation, and empyema. Due to these associated complications, AAC can be associated with high morbidity andmortality. Medical or surgical treatments can be chosen according to the general condition of the patient, underlying disease and agent. Particularly in acute acalculous cholecystitis cases, early diagnosis and early medical treatment have a positive effect on the patient and protect them from surgical trauma. ACC is a rare complication of acute viral hepatitis A. Herein, we present an adult patient of acalculous cholecystitis due to acute viral hepatitis A. She responded to the conservative management.
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    Öğe
    Böbrek Transplantasyonu Verilerimiz; Diyarbakır'da Tek Merkez Deneyimi
    (2017) Bahadır, Mehmet Veysi; Kaya, Şafak; Ay, Nurettin; Çiçek, Neslihan
    Amaç: Bu çalışmanın amacı, ülkemizde 1975 yılında uygulamaya geçen ve hastanemizde ancak 2012 yılında başlatılan böbrek nakli programının sonuçlarını retrospektif olarak değerlendirmektir.Yöntemler: Eylül 2012-Aralık 2016 tarihleri arasında Organ Nakli Merkezimizde böbrek transplantasyonu uygulanan 115 hasta demografik veriler, immunsüpresif protokolü, rejeksiyon durumu, greft kaybı, hasta kaybı, postoperatif cerrahi komplikasyonlar, BK viremi (BKV) ve nefropatisi (BKN), cytomegalovirus (CMV) infeksiyonu, tüberküloz (TBC) ve posttransplant malignensi açısından değerlendirildi. Bulgular: On iki olguya (%10,4) kadavradan, 103 olguya (%89,6) canlı donörden böbrek transplantasyonu uygulandı. Alıcıların ve donörlerin ortalama yaşı sırası ile 34.65 (12-68) ve 42 (23-72) idi. Erkek/Kadın oranı alıcı ve donörlerde sırası ile 65/50 ve48/67 idi. Postoperatif median ve çeyreklerarası aralık (ÇAA) taburculuk kreatini 1.03 [0.55-1.48] mg/dl idi. Yedi (%6) olgu akut rejeksiyon tanısı aldı. Dört olguda (%3,4) greft kaybı gözlendi. Mortalite gözlenmedi.Sonuç: Böbrek transplantasyonu programımız gelişim aşamasındadır. Ancak kısa dönem sonuçlar literatür ile uyumlu görünmektedir. Uzun süreli takip sonuçları ile daha anlamlı sonuçlar elde edilebilir.
  • Küçük Resim
    Öğe
    Böbrek transplantasyonu verilerimiz; Diyarbakır’da tek merkez deneyimi
    (Dicle Üniversitesi Tıp Fakültesi, 2017) Ay, Nurettin; Kaya, Şafak; Çiçek, Neslihan; Bahadır, Mehmet Veysi
    Amaç: Bu çalışmanın amacı, ülkemizde 1975 yılında uygulamaya geçen ve hastanemizde ancak 2012 yılında başlatılan böbrek nakli programının sonuçlarını retrospektif olarak değerlendirmektir. Yöntemler: Eylül 2012-Aralık 2016 tarihleri arasında Organ Nakli Merkezimizde böbrek transplantasyonu uygulanan 115 hasta demografik veriler, immunsüpresif protokolü, rejeksiyon durumu, greft kaybı, hasta kaybı, postoperatif cerrahi komplikasyonlar, BK viremi (BKV) ve nefropatisi (BKN), cytomegalovirus (CMV) infeksiyonu, tüberküloz (TBC) ve posttransplant malignensi açısından değerlendirildi. Bulgular: On iki olguya (%10,4) kadavradan, 103 olguya (%89,6) canlı donörden böbrek transplantasyonu uygulandı. Alıcıların ve donörlerin ortalama yaşı sırası ile 34.65 (12-68) ve 42 (23-72) idi. Erkek/Kadın oranı alıcı ve donörlerde sırası ile 65/50 ve 48/67 idi. Postoperatif median ve çeyreklerarası aralık (ÇAA) taburculuk kreatini 1.03 [0.55-1.48] mg/dl idi. Yedi (%6) olgu akut rejeksiyon tanısı aldı. Dört olguda (%3,4) greft kaybı gözlendi. Mortalite gözlenmedi. Sonuç: Böbrek transplantasyonu programımız gelişim aşamasındadır. Ancak kısa dönem sonuçlar literatür ile uyumlu görünmektedir. Uzun süreli takip sonuçları ile daha anlamlı sonuçlar elde edilebilir.
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    Öğe
    Comparison of anti-reflux mechanism between Double-J-Stent and standart Double-J-Stent use for risk of BK nephropathy and urinary tract Infection in kidney transplantation
    (E-Century Publishing Corp, 2015) Ay, Nurettin; Bahadir, Mehmet Veysi; Anil, Melih; Alp, Vahhac; Kaya, Safak; Sevuk, Utkan; Gul, Mesut
    Objectives: There are studies that show that double J stenting (DJS) increase BK nephropathy (BKN) 4 fold. DJS may cause vesicoureteral reflux (VUR) with normal bladder contraction. The aim of this study is to comparison risk of BKN, urinary tract infections (UTI) and postoperative urologic complications with the use DJS with anti-reflux device (ARD-DJS) and standart double J stent (St-DJS). Matherial and methods: Ninety patients (male/female: 50/40) that had undergone kidney transplantations in Diyarbakir Training and Research Hospital and Dicle University, Faculty of Medicine Hospital between January 2012 and April 2015 were enrolled in the study. Demographic data, immunosuppression protocols, presence of rejection, graft loss, postoperative urologic complications, UTI, plasma BK levels of the patients were evaluated retrospectively. Results: Median and IQR follow up time for ARD-DJS and St-DJS patients were 14 (12-18) months and 25 (16-30) months respectively. Five cases (5.5%) had BK viremia (P=0.025). All 5 cases with BK viremia were St-DJS users. Conclusion: As a result for postoperative UTI and postoperative urinary complication risk there were no statistically significant difference between ARD-DJS use and St-DJS use during ureteral anastomosis. BKN univariate analysis were significantly less than those st-DJS used. Risc factors were evaluated. But results were not statistically significant in the logistic regression analysis. We think that to demonstrate this benefit, we need randomized controlled studies with more patients and longer follow up.
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    Öğe
    DOES DOUBLE J STENT WITH ANTI REFLUX DEVICE USE DECREASE BK NEPHROPATHY RISK? A TWO CENTER EXPERIENCE
    (Wiley-Blackwell, 2015) Ay, Nurettin; BahadiR, Veysi; Anil, Melih; Alp, Vahhac; Kaya, SAfak; Sevuk, Utkan; Deniz, Unal
    [Abstract Not Available]
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    Öğe
    Hemogram parameters for predicting pulmonary embolism in patients with deep venous thrombosis reply
    (Dove Medical Press Ltd, 2015) Sevuk, Utkan; Bahadir, Mehmet Veysi; Altindag, Rojhat; Baysal, Erkan; Yaylak, Baris; Ay, Nurettin; Ayaz, Firat
    [Abstract Not Available]
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    Öğe
    Value of Platelet Indices in Identifying Complete Resolution of Thrombus in Deep Venous Thrombosis Patients
    (Springer India, 2015) Sevuk, Utkan; Altindag, Rojhat; Bahadir, Mehmet Veysi; Ay, Nurettin; Demirtas, Ertan; Ayaz, Firat
    We aimed to evaluate whether mean platelet volume (MPV) and platelet distribution width (PDW) are helpful to identify complete thrombus resolution (CTR) after acute deep venous thrombosis (DVT). Patients who had first-time episode of acute proximal DVT were included in this retrospective study. 100 patients with DVT were divided into two groups according to absence (group 1; n = 68) or presence (group 2; n = 32) of CTR on doppler ultrasonography at month 6. There were no significant difference in admission MPV and PDW levels between group 1 and group 2. MPV (p = 0.03) and PDW (p < 0.001) levels at month 6 were significantly higher in group 1 than in group 2. CTR showed a moderate negative correlation with PDW at month 6 (rho = -0.47) and a weak negative correlation with MPV at month 6 (rho = -0.26). Logistic regression analysis showed that PDW (OR, 2.2; p = 0.004) at month 6 was an independent risk factor for the presence of residual venous thrombosis in DVT patients. Receiver operating characteristics analysis revealed that a 8.4 % decrease in admission MPV at month 6 provided 62 % sensitivity and 62 % specificity (AUC: 0.64) and a 15.4 % decrease in admission PDW at month 6 provided 87 % sensitivity and 94 % specificity (AUC: 0.89) for prediction of CTR in DVT patients. Percent change in admission MPV and PDW levels at month 6 may be used to identify the patients with CTR after a first episode of acute proximal DVT.
  • [ X ]
    Öğe
    Value of serial platelet indices measurements for the prediction of pulmonary embolism in patients with deep venous thrombosis
    (Dove Medical Press Ltd, 2015) Sevuk, Utkan; Bahadir, Mehmet Veysi; Altindag, Rojhat; Baysal, Erkan; Yaylak, Baris; Ay, Nurettin; Ayaz, Firat
    Background: To date, no validated biomarkers with high sensitivity and specificity have been established for diagnosis of pulmonary embolism (PE) in patients with deep venous thrombosis (DVT). There is a need to develop simple and reliable noninvasive tests that can accurately identify patients with PE, even in small hospitals or clinics. The aim of this study was to investigate the value of mean platelet volume (MPV) and platelet distribution width (PDW) for predicting occurrence of PE in patients with DVT. Methods: Records of acute DVT patients were reviewed retrospectively. Group 1 consisted of 50 patients with acute DVT and group 2 consisted of 50 patients with acute DVT who developed PE during follow-up. The control group consisted of patients with uncomplicated primary varicose veins of the lower limbs. Venous peripheral blood samples for measurement of MPV, PDW, and platelet count were drawn on admission, before the treatment, and at the time of PE diagnosis. Results: MPV and PDW levels at the time of PE diagnosis were higher in group 2 than group 1 (P<0.001 and P=0.026, respectively). Receiver operating characteristics analysis revealed that a 5.2% increase in admission PDW during follow-up provided 70% sensitivity and 82% specificity (area under the curve, 0.80), and a 6.6% increase in admission MPV during follow-up provided 74% sensitivity and 83% specificity (area under the curve, 0.84) for prediction of PE occurrence in patients with DVT. PDW and MPV levels at the time of PE diagnosis were found to be independent risk factors for the occurrence of PE in patients with DVT. Conclusion: Serial measurements of MPV and PDW, and percent change in MPV and PDW appears to be a useful marker for predicting occurrence of acute PE in patients with a first episode of acute proximal DVT.