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    Öğe
    Nadir rastlanan bir trikobezoar olgusu: Rapunzel sendromu
    (2011) Karabulut, Koray; Böyük, Abdullah; Bülbüller, Nurullah; Aygen, Erhan; Kırkıl, Cüneyt
    Uzun bir kuyruğa sahip olan bezoarların neden olduğu klinik durum Rapunzel sendromu olarak adlandırılır. Bu makalede, Rapunzel sendromlu bir olguyu mevcut literatürü kısaca gözden geçirerek sunduk. Karın ağrısı ve kilo kaybı şikayetleri olan yirmi bir yaşında bayan hastada tüm mideyi dolduran ve duodenum 4. kısmına kadar uzanan trikobezoar saptadık. Kitle laparotomi ve gastrotomi ile çıkarıldı.
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    Öğe
    Prognostic Value of Preoperative CEA and CA 19-9 Levels in Patients with Colorectal Cancer
    (H G E Update Medical Publishing S A, 2011) Basbug, Murat; Arikanoglu, Zulfu; Bulbuller, Nurullah; Cetinkaya, Ziya; Aygen, Erhan; Akbulut, Sami; Satici, Omer
    Aims: This study evaluated the prognostic value of the preoperative CEA and CA 19-9 levels on the survival time and TNM staging in patients with colorectal cancer. Methodology: We retrospectively analyzed 172 patients who underwent potentially curative resection of colorectal cancer (TNM I-III) between 2002 and 2007. Clinical data were obtained from medical charts, including age, gender, tumor location, TNM stage, mortality, follow-up duration, and preoperative CEA and CA 19-9 levels. A CEA >= 5ng/mL was defined as abnormal (CEA+), while the cutoff for the CA19-9 was set at 37U/mL (CA19-9+). Patients were categorized into Groups I-IV according to the preoperative serum CEA and CA 19-9 levels [CEA/CA 19-9: (-/-), (+/-), (-/+), and (+/+)]. Results: Follow-up was longest for Group I (p<0.001). Mortality rates were higher in Groups V' (p<0.001) and II (p<0.008). On comparing patients according to CEA levels, survival was longer in the CEA-negative group (p=0.0001). On comparison according to CA 19-9 levels, survival was greater in the CA 19-9-negative group (p=0.0001). While CEA (p<0.016) and CA 19-9 (p<0.001) were independent prognostic factors according to the logistic regression analysis, TNM (p=0.002), CEA (p<0.001), and CA 19-9 (p<0.001) were prognostic factors in the ROC curve analysis. Conclusions: Colorectal cancer patients with elevated levels of both CEA and CA 19-9 have a significantly poorer prognosis than those with normal levels of these tumor markers.
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    Öğe
    A rare case of trichobezoar: Rapunzel's syndrome
    (Aves Press Ltd, 2011) Kirkil, Cuneyt; Boyuk, Abdullah; Bulbuller, Nurullah; Aygen, Erhan; Karabulut, Koray
    The clinical condition caused by bezoars with long tail named as Rapunzel's syndrome. We present a case with the Rapunzel's syndrome, and also briefly review the relevant literature in this article. We diagnosed a gastric trichobezoar that filling the entire stomach and extending to the forth part of duodenum in a 21 years-old-girl who complained about abdominal pain and weight loss. The bezoar removed by coeliotomy and gastrotomy.