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    Clinicopathologic features of operated gastric cancer patients, single center nine years experience
    (2020) Yol, Sinan; Uzun, Orhan; Senger, Aziz Serkan; Dincer, Mursit; Polat, Erdal; Duman, Mustafa; Deger, Kamuran Cumhur; Cigiltepe, Huseyin; Gundes, Ebubekir; Cetin, Durmus Ali; Aday, Ulas
    Aim: Gastric cancer is one of most common malignancies in the world. In developed countries including Europe and United States, despite the advanced technology, advanced stages of gastric cancer are still common with a poor survival. In this study, we aimed to describe clinicopathological characteristics and outcomes of gastric cancer in patients who were operated in our clinic.Material and Methods: We respectively evaluated a total of 200 patients who underwent gastrectomy, D2 lymph node dissection due to gastric cancer between November 2006 and December 2015. Data including clinicopathologic features, postoperative complications, overall survival and prognostic factors affecting prognosis were analyzed and statistical analysis was performed. Data including clinicopathologic features, postoperative complications, overal survival and prognostic factors affecting prognosis were analyzed and statistical analysis was performed.Results: Of the patients, 134 (67%) were males and 66 (33%) were females. The mean age was 61.36±11.92 (28-91) years. Tumor localization was frequently low (57%). The most common postoperative complication, regardless of the type of gastrectomy, was the surgical site infection. The major of the patients had Stage 3 disease. The median overall survival was 24.9 (0.07-116.3) months and overall survival was 43.7%.Conclusion: Except for early stage, the chance of curative treatment is low in gastric cancer. Early diagnosis and treatment can yield improved outcomes for this patient population. Therefore, it is important to develop national programs for early diagnosis and to develop experienced endoscopists
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    Incidental ectopic pancreas during upper gastrointestinal endoscopy
    (2018) Cetin, Durmus Ali; Ciyiltepe, Huseyin; Aday, Ulaş; Gundes, Ebubekir; Deger, Kamuran Cumhur; Duman, Mustafa
    Aim: Ectopic pancreas is a rare developmental anomaly which is detected incidentally in general. Frequently, it is an incidental finding and can be detected in various regions of gastrointestinal system. It can be readily recognized by its crater-like appearance at gastric antrum adjacent to pylori during upper gastrointestinal endoscopy. Here, we presented characteristics of cases with ectopic pancreas which was detected incidentally during upper gastrointestinal endoscopy performed for other reasons. Material and Methods: We retrospectively reviewed upper gastrointestinal endoscopy evaluations performed in our endoscopy unit between January 2012 and December 2015. Age, gender, endoscopy indication, endoscopic findings, and histopathological findings, if available, were recorded in all patients with ectopic pancreas. Results: Overall, 9850 patients underwent upper gastrointestinal endoscopy between January 2012 and December 2015; of these, findings compatible to ectopic pancreas were observed in 14 patients (0.14%). Those were 4 males (28.5%) and 10 females (71.5%). Mean age was 49 years (29-69 years) in these patients. Ectopic pancreas tissue was detected at gastric antrum of all patients. Mean size was 8.5 mm (5-15 mm) in lesions detected. Histopathological examination was performed in 9 patients (64.2%) and chronic gastritis was observed in all of these patients. Conclusion: Ectopic pancreas should be kept in mind in the differential diagnosis of several gastrointestinal submucosal lesions although it is rarely seen.
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    Operative and conservative treatment of right colon diverticulitis
    (2021) Uylas, Ufuk; Gundogdu, Ramazan; Cetin, Durmus Ali; Oztop, Burak; Demirli Atici, Semra; Calik, Bulent
    Aim: This study assessed the results of conservative and surgical treatment of right colon diverticulitis. Right colon diverticula contain all layers of the colon and are called true diverticula. Perforation of these diverticula is observed less frequently due to their full thickness.Materials and Methods: 150 patients treated for colonic diverticulitis between 2015-2020 were retrospectively screened. Following exclusions, a total of 26 patients data were assessed. The patients were divided into two groups as conservative or surgical treatment. The outcomes for these two groups were compared and analyzed.Results: Most patients in the sample were female (n=18, 69%). The average age was 47 (22-83). Data from the conservative treatment group (n=17, 65%) and the surgical treatment group (n=9, 35%) were examined. Comorbidity, recurrence, and white blood cell count were all greater following conservative treatment (p> 0.05). In the surgical group, two (22% of the group) patients developed wound infections. Patients with fever at admission were in the surgical group (p 0.01). All patients in the conservative group had a Hinchey classification of 1a, while those in the surgical group were Hinchey 1a, 1b, and 3 (p 0.05). The median hospital stay was higher for the surgical group (p 0.05). No mortality was observed.Conclusion: Right colon diverticulitis has low complications and it can be treated conservatively. The differential diagnosis of rightsided colonic diverticulitis should be kept in mind when relevant symptoms present to prevent unnecessary surgeries. Surgical treatment is inevitable in instances of recurrent diverticulitis, generalized peritonitis, and suspected malignancy.
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    A rare foreign body during colonoscopy: Headpiece of enema kit
    (2018) Patmano, Mehmet; Cetin, Durmus Ali; Gumus, Tufan; Yildirim, Sumeyra
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    A rare submucosal gastric tumor: Gastric schwannoma
    (2018) Cetin, Durmus Ali; Ciyiltepe, Huseyin; Aday, Ulaş; Gundes, Ebubekir; Bozdag, Emre; Uzun, Orhan
    Schwannomas, which arise from the Schwann cells of the neural plexus on the gastric wall, are slow-growing, generally asymptomatic and frequently benign neoplasms. Gastric schwannomas account for only 0.2% of all gastric tumors. Gastrointestinal stromal tumors (GIST) should firstly be taken into consideration in the differential diagnosis of submucosal mass lesions originating from the gastric wall. Gastric schwannomas and GISTs are generally seen in middle-aged patients and they have similar clinical characteristics. Surgical resection is the selected treatment method for gastric schwannomas. Definitive diagnosis is achieved through histopathological and immunohistochemical analyses. The aim of this study was to present the case of a patient who had presented with anemia symptoms, received laparoscopic resection because of gastric submucosal mass lesion, and diagnosed with gastric schwannoma.
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    Two rare cases; primary soft tissue hydatid cyst mimicking soft tissue tumor
    (2019) Yenigul, Ali Erkan; Cetin, Durmus Ali
    Hydatid cyst is a parasitic disease caused by Echinococcus granulosus, most commonly located in the liver and lung. Our country is an endemic region for this disease. While many involvement have been reported in the literature; isolated soft tissue or intramuscular involvement is rare. The liver, which acts as the first filter after the entry into the body, is the most frequently involved organ. It can reach all organs and systems with systemic circulation and lymphatics. Soft tissue and intramuscular involvement are rarely seen. Intramuscular involvement is more often seen in peripheral muscles. Soft tissue and intramuscular hydatid cysts constitute 3-5% of all cases. The recommended treatment for soft tissue hydatid cysts is extensive surgical excision. In this study, we aimed to present two cases with gluteal region and vastus lateralis muscle involvement.