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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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    A medical approach to the treatment of atraumatic spontaneous spleen ruptures
    (2017) Dogan, Serhat; Gundes, Ebubekir; Donder, Yunus; Gulcan, Huseyin; Baburoglu, Mehmet
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    A rare case from a young surgeon: Dermofibrosarcoma protuberans
    (2017) Dogan, Serhat; Gundes, Ebubekir; Baz, Vahide
    We present a rare case of Dermatofibrosarcoma protuberans (DFSP) as a case report. A 65 years old man has been admitted with complaints of swelling in the left arm region for approximately five years. Local excision was performed with preliminary diagnosis of lipoma. The pathology was reported as DFSP. The borders of the surgery were positive. Call back the patient to the hospital and re excision was done. Surgical borders are reported as clean. As a new surgeon, we wanted to present this rare case to medical literature. We understand that how importantis to follow patihology of each patients and recards
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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.