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    Effects of Intragastric Balloon on Body Mass Index, Lipid Profile and Blood Glucose Regulation: A Prospective Study
    (Dicle Üniversitesi, 2016) Erdem, Hasan; Aziret, Mehmet; Çetinkünar, Süleyman; Aktimur, Recep; Özdaş, Sabri; Yürekli, Banu; Yetişir, Fahri
    Objective: Obesity remains an increasing public health and socioeconomic problem. Life style changes including healthy diet and physical activity are the first-line therapy for successful weight loss. The intragastric balloon has been considered as an effective and reversible, non-surgical method for weight loss. In this study, we aimed to investigate the effects of Intragastric balloon on weight loss, lipid profiles and blood glucose regulation in obese patients Methods: 75 consecutive Intragastric balloon patients (55 Female, 20 Male) with a mean age of 35.2±9.6 years were included in this study. The study was conducted prospectively and an air-filled intragastric balloon was introduced in ambulatory settings. In this study, patients’ pre-intervention body mass index, peripheral blood parameters such as HbA1c, lipid profiles were recorded and compared with post-intervention values. Results: The median intervention time for intragastric balloon application was 13 min (8-19). After follow-up period of median 186 days (180-211), BMI was reduced significantly, 41.6±6.7 vs. 34.9±6.4 kg/m2 (p<0.001). The median excess weight loss was found to be 33.2% (14- 81.1). There is no statistically significant difference between pre-intervention and post-intervention valuables in terms of low-density lipoprotein, high-density lipoprotein, cholesterol and triglycerides levels (p>0.05). On the other hand, only pre and post-intervention HbA1c level was to be statistically significant (p=0.001) Conclusion: There was significant change in BMI and HbA1c level with the intervention of intragastric balloon after follow-up period. For long-term benefit of balloon, further studies are needed.
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    Presakral dev schwannom: Olgu sunumu ve literatür derlemesi
    (Dicle Üniversitesi, 2015) Erdem, Hasan; Çetinkünar, Süleyman
    Schwannoma, periferik sinir kılıfından kaynaklanan, oldukça yavaş büyüyen benign tümördür. Akut apandisit teşhisiyle servise yatırılan 34 yaşındaki erkek hastanın dijital rektal muayenesinde rektum posterior kısmında ekstraluminal kitle tespit edildi İlk operasyonda appendektomi ve kitleden biopsi yapıldı. 1 ay sonra tekrar laparotomi yapılarak kitle tamamen çıkarıldı. Presakral bölge tümörlerinde optimal tedavi cerrahi ekstirpasyon olmakla birlikte, yaklaşım ve operasyon şekli konusu tartışmalıdır.