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    Effects of olive oil applied to the nonfunctional distal colon on atrophic changes in patients undergoing ostomy
    (2019) Celikkaya, Mehmet Emin; Gursoy, Didar; Atici, Ahmet; Akcora, Bulent
    Aim: Temporary colostomy is commonly performed for diseases requiring multi-stage surgery in pediatric surgical practice such as for anal atresia and Hirschsprung’s disease. Through this study, we aimed to decrease the diameter difference between the proximal and distal colon and subsequently provide surgical ease and to investigate the effect of 1-month application of pure olive oil, which is considered a trophic factor, to prevent distal colonic atrophy. Materials and Methods: In total, 24 pediatric patients who were treated at our clinic between June 2017 and November 2018 and who were scheduled to undergo colostomy closure were prospectively followed up. The patients were grouped into the following two groups: control group (n = 10), patients who were administered 5 cc 0.9% physiological saline solution twice a day for a month and olive oil group (n = 9), patients who were administered 5 cc pure olive oil as a trophic agent twice a day for a month. Results: There were significant differences in terms of mucosal thickness, muscular thickness, wall thickness, and colonic lumen diameter between the proximal and distal colon in the control group. On the other hand, in the olive oil group, there was no significant difference between the proximal and distal colon. However, there was a significant difference between the two groups in terms of first bowel movement and discharge times. Conclusion: Administration of olive oil from the distal colon opening prior to performing colostomy closure can decrease the diameter difference between the proximal and distal colons and provide easier surgical performance.
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    Infants with vitamin B12 deficiency-related neurological dysfunction and the effect of maternal nutrition
    (2019) El, Cigdem; Celikkaya, Mehmet Emin
    Aim: Studies linked vitamin B12 deficiency in infancy are most commonly in patients with hematological and dermatological complaints rather than infant with neurodevelopmental retardation. In our study we aimed to evaluate the data of infants who presented with various neurological complaints and determined neurodevelopmental retardation due to vitamin B12 deficiency and also effects of maternal diet on the infants.Material and Methods: Infants who were admitted with various neurological complaints due to vitamin B12 deficiency between the dates of September 2016 and March 2018 were included in this study. Patients were retrospectively analyzed according to age, growth and development, clinical and laboratory findings (neurological, hematologic), continuation of breastfeeding, age at onset of complemantary food. During the pregnancy and lactation, the amount of feeding with animal foods, intake of vitamin supplements, duration of breastfeeding and vitamin B12 levels were examined.Results: The most common complaints were fatigue, pallor, no eye contact, apathy, vomiting, constipation, diarrhea, refusal to feed, retardation to growth and development, undeveloped or lost of ability (ability to tonic neck reflex, ability to sit supported and unsupported ability to sit). In the neurological examination of infants; iIn 13 infants, there was hypotonia, undeveloped ability to tonic neck reflex and ability to sit (supported and unsupported). Fifteen, in 15 infants just undeveloped ability to sit (supported and unsupported) and also in 6 infants had swallowing disorders.Conclusion: Vitamin B12 routinely to all pregnant women like folic acid and iron supplementation. In addition, developmental stages of infants should be evaluated and vitamin supplements should be given to infants when necessary.Keywords: Breastfeeding; Infant; Neurological Findings.
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    Is fixation suture necessary in undescended testicle surgery?
    (2019) Atici, Ahmet; Celikkaya, Mehmet Emin; Akcora, Bulent
    Aim: It is still controversial whether or not testicular fixation is required for undescended testes surgery. In this study, we aimed to compare the results of the patients with undescended testis in a single center, who underwent orchiopexy with or without transfixation suture.Material and Methods: The medical records of the patients with undescended testes who were operated at our tertiary pediatric surgery department were retrospectively analyzed between July 2015 and November 2018. Patients were divided into two groups as fixation performed (Group 1) and not performed (Group 2). Group 1 included n=30 patients (40 testes) and Group 2 included n=41 patients (49 testes). The age of the patients, type of undescended testis, surgical technique and complication rates were determinedResults: The mean age of the patients was 37.2 (12-104) months in Group 1 and 41.2 (12-110) months in Group 2. In both groups, complications such as recurrence, testicular atrophy, testis torsion, and hernia or hydrocele formation were not observed. One patient in Group 2 developed wound infection, which was recovered with antibiotic treatment.Conclusion: As a result of the short-term follow-up of our study, there was no clinically significant difference between the two groups. Therefore, we recommend the use of other techniques that do not include parenchymal suture fixation during orchiopexy, and avoiding the routine use of testicular parenchymal sutures if possible. Keywords: Undescended testis; orchiopexy; fixation.
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    Is there a predictive association between vitamin D concentrations and lower respiratory tract infections in infants?
    (2019) El, Cigdem; Celikkaya, Mehmet Emin
    Aim: Vitamin D deficiency have been estimated to be endemic in the worldwide and in each age group and also it is reported that vitamin D has important effects on both natural and acquired immunity and there may be a relationship between deficiency and predisposition to infections The aim of this study is to investigate whether serum vitamin D level are effective in infant lower respiratory tract infection which is one of the most mortal infectious diseases in worldwide. Material and Methods: In our study, between October 2016 and January 2018 in Department of Pediatrics, the data of 418 infants with LRTI and their ages ranging from 5 to 24 months and were examined retrospectively. Vitamin D levels were studied in 106 of this patients. Results: In group-1, the mean duration of vitamin D supplementation was 4.9 months, while the mean in group-2 was 8.6 months. Breastfeeding time was 3.27 months in group 1 while it was 5.71 months in group 2. Both the duration of breastfeeding and the duration of vitamin D supplementation were shorter in group 1 than in group 2.Those difference between the groups was in terms of statistically significant (p< 0.05) Conclusion: Vitamin D deficiency in infants may be associated with LRTI, and even vitamin D deficiency may be a predisposing factor for severe LRTIs and also the frequency and severity of LRTIs can be reduced with optimal serum levels of vitamin D.
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    A significant danger to children: Foreign body ingestion
    (2018) Celikkaya, Mehmet Emin; Atici, Ahmet; El, Cigdem
    Aim: The most important way for children to communicate with their surroundings is to take every substance that they keep in hand to their mouths. Foreign bodies that are ingested can be found anywhere in the gastrointestinal tract. Especially foreign bodies in esophagus may be the cause of morbidity and mortality. For this reason, the ingestion of foreign bodies in children is one of the most important health problems. Material and Methods: Between January 2014 and June 2017, 119 patients, admitted to Mustafa Kemal University [MKÜ] Faculty of Medicine, Department of Pediatric Surgery with foreign body ingestion diagnosis, were retrospectively studied. Patients were evaluated in terms of age, gender, complaints of arrival, ingested foreign body quality, location in the gastrointestinal tract and treatment approaches. Results: Of the patients, 74 were males [62%] and 45 were females [38%]. The mean age of the patients was 4.3 years [6 months-15 years]. Foreign bodies most commonly seen in the esophagus first stenosis in 73 patients [61%].Most commonly complaint at presentation was parental recognition of the ingested object and hypersalivation. The most commonly ingested foreign bodies included coins. Conclusion: Esophagoscopy must be performed foreign bodies in the esophagus should be treated conservatively, in case of clinical suspicion, the possibility of foreign body ingestion must be kept in mind. Education of the parents and taking some precautions where the children play are the most important protective factors.