Yazar "Korkmaz, Oezguer" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • [ X ]
    Öğe
    Complications of Meckel's diverticulum in adults
    (Ortadogu Ad Pres & Publ Co, 2007) Korkmaz, Oezguer; Yilmaz, H. Guelsen; Keles, Celalettin
    Objective: Meckel's diverticulum is the most common congenital anomaly of the small intestine, with an estimated incidence of approximately 1-3% in the general population. We present Our experience over the past 20 years with this condition, unusual in the adult population. Material and Methods: From 1986 to 2006 at the Dicle University, Medical Faculty, General Surgery Department, Meckel's diverticulum were removed from 30 patients older than 16 years of age. We reviewed the age, sex, indication for removal, diagnosis techniques, pathological findings, postoperative complications, and hospitalization periods in those cases. Results: Fourteen of the patients were male and 16 were women. The mean age was 29.7 +/- 12.2 years. The complications of the Meckel's diveiticulitis were diverticulitis in 16 patients (53.3%), intestinal obstruction in 13 patients (43.3%), and lower gastrointestinal bleeding in I case (3.3%). The mean diverticle length was 2.98 +/- 0.7 cm. In 19 cases Wedge resection-primary Suturing was performed. Eleven cases underwent intestinal resection; anastomosis was performed in 10 of them, whereas in a case colostomy was created. One case presented with ectopic gastric mucosa. General morbidity rate was 16.7% and the mortality rate was 3.3%. Conclusion: The complication rates for Meckel's diverticulum were comparable for both genders in this study, although data from other reports suggest the reverse. Furthermore, the rate of lower gastrointestinal tract bleeding was also lower than in the literature. Since prompt diagnosis before the operation is difficult and decision for surgery is delayed serious problems may be encountered. Although Meckel's diverticulum is a rare condition, it should be considered in the diagnosis of patients presenting with ileus, acute abdomen or lower gastrointestinal tract bleeding. Thus, early diagnosis and treatment may prevent the development of postoperative complications.
  • [ X ]
    Öğe
    Intussusception in adults
    (Turkish Assoc Trauma Emergency Surgery, 2009) Korkmaz, Oezguer; Yilmaz, Hatice Guelsen; Tacyildiz, Ibrahim Halil; Akgun, Yilmaz
    BACKGROUND Adult intussusception is an unusual entity, and its etiology differs from that in pediatric patients. The purpose of this study was to determine the causes and management of intussusception in adults. METHODS A retrospective review of patients with a diagnosis of gastrointestinal intussusception between 1986 and 2006 was conducted. All patients under the age of 18 and cases with rectal, ostomy, or gastroenterostomy prolapse were excluded. RESULTS There were 28 cases of adult intussusception. Mean age was 38.6 +/- 16.7 years. A preoperative diagnosis of intussusception was made in 53.5% of the cases. There were 23 enteric, three colonic and two ileocolic intussusceptions. A lead point was identified in 25 patients (89.3%). Invagination was due to benign causes in 19 patients, malignant causes in six patients and idiopathic in three patients. Complication was seen in three (10.3%) cases. CONCLUSION In this series, the mean age of the patients was younger than in the literature. Since intussusception was due to small bowel pathologies, the proportion of benign/malignant lesions favored benign lesions. Although it is encountered rarely in adults, physicians should be aware of invagination and consider it in each case of acute abdomen because of the wide spectrum of the clinical settings.