Yazar "Karakaya, Ali Erdal" seçeneğine göre listele

Listeleniyor 1 - 3 / 3
  • Küçük Resim
    Öğe
    Analysis of risk factors for appendicitis in children: A multicenter epidemiological study
    (Dicle Üniversitesi Tıp Fakültesi, 2016) Arslan, Serkan; Aydoğdu, Bahattin; Arslan, Mehmet Şerif; Zeytun, Hikmet; Okur, Mehmet Hanifi; Basuguy, Erol; Karakaya, Ali Erdal; Uygun, İbrahim; Otcu, Selcuk
    Objectives: In our study, the assessment of age, gender, incidence and seasonal differences in the regions related to appendicitis were investigated. Methods: 676 patients that received an operation following a diagnosis of appendicitis in 3 hospitals from 3 different regions of Turkey occurring at different dates were examined retrospectively after being categorized by region. The differences among groups were compared to each. Results: The mean age of male (63%) (n = 426) and female (37%) (n = 250) patients (total = 676) was 10.8 years (range, 1–18 years). The percentage of female patients in the The Black Sea Region (BR) group was significantly higher (48%) than that in the other two groups (%33 for SR, 30% for MR) (P = 0.001). The frequency of appendicitis was higher (36%) in the spring and winter (25%) than that during summer or fall. The number of cases increased the most in the BR group in spring (47%) (P < 0.001). When the types of appendicitis in the different age groups were compared with season, acute appendicitis (P < 0.02) was more frequently (93%) seen in the child-adolesan (CA) group in the spring; however, perfore apandicitis (45%) was greater in the Infant-Preschool (IPS) group (P < 0.02). Acute appendicitis comprised 55% and perforated appendicitis comprised 45% of cases in the IPS group, whereas acute appendicitis comprised 78% and perforated appendicitis comprised 22% in the CA group. Conclusion: According to the results of our study, appendicitis was most frequently seen in the spring and winter seasons and more frequent in boys between the ages of 10-13 years. As age decreases, the frequency of perforated appendicitis increases. Appendicitis is affected by environmental factors. Reducing the incidence of appendicitis may be possible by establishing regional and specific studies related to this subject and the etiologies of the disease.
  • Küçük Resim
    Öğe
    Our experience with esophageal atresia and tracheoesophageal fistula
    (Eskişehir Osmangazi Üniversitesi, 2021) Karakaya, Ali Erdal; Güler, Ahmet Gökhan; Doğan, Ahmet Burak; Arslan, Serkan
    To evaluate the treatment results of patients who were operated with the diagnosis of esophageal atresia and tracheoesophageal fistula (EA and TEF) in our clinic. The results of patients who were operated with the diagnosis of esophageal atresia and tracheaesophageal fistula between April 2017 and November 2019 were retrospectively evaluated. The patients were evaluated in terms of gestational age, birth weight, gender, atresia type, surgical approach, and duration of treatment. Postoperative mechanical ventilator follow-up was examined in terms of the transition time to nasogastric tube and oral feeding, and complications. A total of 24 patients, 20 (83%) boys and 4 (17%) girls, were included in the study. The mean age at surgery was 3.9 days. The gestational age of the patients was 35 weeks and the mean birth weight was 2391 grams. Distal tracheaesophageal fistula + proximal atresia were detected in 22 (92%) patients. Congenital heart disease was detected in 14 (58%) patients. The follow-up time in the ventilator was 27 hours, and the average oral feeding time was 11 days. Three (12.5%) patients died. Hospital stay was 16 days. During their follow-up, anastomotic stenosis was observed in 5 (21%) patients, and anastomotic leakage was observed in one (4%) patient. EA and TEF are anomalies that can be highly cured with surgical treatment. The follow-up of patients with EA by the neonatal team is important for the follow-up and treatment of additional anomalies. Therefore, these patients should be followed up with a multidisciplinary approach. Families should be informed about the frequent postoperative anastomotic stenosis.
  • [ X ]
    Öğe
    The Danger Close to Home: Foreign body aspiration in the children, prevention, diagnosis and treatment evaluation
    (Kahramanmaraş Sütçü İmam Üniversitesi, 2021) Karakaya, Ali Erdal; Güler, Ahmet Gökhan; Doğan, Ahmet Burak; Ural, Dilan Altıntaş; Arslan, Serkan
    Background and Aims: Foreign body aspiration (FBA) is frequently seen in children, and progresses with symptoms related to airway obstruction, leading to serious complications. The aim of this study was to discuss the diagnosis and treatment principles of patients who underwent bronchoscopy for suspected foreign body aspiration (FBA), and to emphasize its preventability. Method: A retrospective review was made of the records of patients who underwent bronchoscopy for evaluation of FBA in the Pediatric Surgery Clinics of two hospitals where the authors work from January 2017 to February 2020. Age, gender, history of FBA, clinical symptoms, chest radiography findings, bronchoscopy findings, complications, and outcome were recorded for each patient. A history of FBA, physical examination findings, and radiological study results were analyzed statistically to determine the most accurate diagnostic tool to differentiate cases with and without FBA. Results: Bronchoscopy was performed in 102 patients with suspected FBA. A foreign body was detected in 51% (52/102) of the patients. No statistically significant difference was determined in respect of age and gender (p>0.005). There was a statistically significant difference in respect of history and time of presentation, but no difference in terms of physical examination and radiological findings. Of the foreign bodies aspirated, 87% were nuts. No life-threatening complications occurred in any patient due to bronchoscopy. Conclusion: Nuts are the most frequently aspirated foreign bodies in childhood. History, physical examination, and radiological findings may not be available for all patients. Preventive measures are important as FBA can lead to fatal consequences. Careful evaluation of the patient is necessary to reduce the negative bronchoscopy rate.