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  • Küçük Resim
    Öğe
    Comparison of carcinoid tumors with the other tumors of appendix
    (2019) Cakar, Ekrem; Gurbulak, Bunyamin; Duzkoylu, Yigit; Colak, Sukru; Bektas, Hasan
    Aim: Carcinoid tumor is the most frequent primary tumor of the appendix which may reach up to 60% of all appendiceal neoplasms. We aimed to evaluate the incidental appendiceal carcinoid tumors following acute appendicitis analyzing the demographics, clinical, laboratory, pathological features and follow-up results of the patients. Material and Methods: We evaluated the patients retrospectively who had been operated for acute appendicitis between January 2006 and May 2018 . Results: We found 29 patients with carcinoid tumor among 7122 cases (0.4%) between 2006-2018. Median size of tumors was found to be 7.5 mm (Min: 0.8, max: 20 mm). While appendectomy was sufficient for 27 of the patients, right hemicolectomy was performed for 2 cases. When labaratory values were analysed the neutrophil / WBC ratio was significantly higher and lymphocyte count in the study group was significantly lower than control group (p < 0.05). The neutrophil / lymphocyte ratio was significantly higher than control group (p < 0.05). Conclusion: Evaluation of laboratory values at admission, histopathological examination of appendiceal specimens, early diagnosis of cancer and performing the appropriate treatment are required for the survival of patients.
  • Küçük Resim
    Öğe
    Surgery of Zenker’s diverticulum; Single center experience
    (2018) Colak, Sukru; Gurbulak, Bunyamin; Cakar, Ekrem; Bektas, Hasan
    Aim: Zenker’s diverticulum is the most frequently seen esophageal diverticula. Zenker’s diverticulum should be considered that the patients have symptoms such as dysphagia, regurgitation of undigested food, turbulence sound, chronic cough, weight loss, and halytosis. We aimed to evaluate the patients whom underwent diverticulectomy and cricomyotomy due to Zenker’s diverticulum located in the proximal esophagus in terms of demographic features, operative type, postoperative complications and recurrence. Material and Methods: Between January 2013 and 2018, 10 patients (9 female and 1 male) who underwent surgery due to dysphagia because of the Zenker’s diverticulum were evaluated retrospectively. The median age of the patients was 67.5 (47-77). Because of the dysphagia was the most frequently symptom, initial evaluation was performed with upper gastrointestinal system endoscopy (UGSE). All patients were examined barium esophagography and some patients with tomography.Dysphagia levels of the patients were evaluated before and after the operation. Patients were followed-by endoscopy 1 and 6th. months after surgery. Results: Complications, mortality and morbidity were not seen in postoperative early and late periods. Only 1 patient had recurrence. When compared the dysphasia scores of the patients before and after surgery were significantly improved after operation. Conclusion: Diverticulectomy and cricomyotomy operations in Zenker’s diverticulum are effective and safe procedures.