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Öğe Analysis of risk factors affecting the development of infection in artificial vascular grafts used for reconstruction of middle hepatic vein tributaries in LDLT(Lippincott Williams & Wilkins, 2018) Koc, C.; Akbulut, S.; Isik, B.; Yologlu, S.; Yilmaz, S.[Abstract Not Available]Öğe Can Patients Who Develop Cerebral Death in Fulminant Liver Failure Despite Liver Transplantation Be Previously Forseen?(Elsevier Science Inc, 2017) Sarici, K. B.; Karakas, S.; Otan, E.; Ince, V.; Koc, C.; Koc, S.; Bayraktar, H.Background. The outcome of medical treatment is worse in fulminant liver failure (FLF) developing on acute or chronic ground. Recently, liver transplantations with the use of living and cadaveric donors have been performed in these diseases and good results obtained. In this study, we aimed to present the factors affecting the recovery of cerebral functions after liver transplantation in hepatic encephalopathy (HE) developing in FLF, to identify irreversible patient groups and to prevent unnecessary liver transplantation. Methods. In Inonu University's Liver Transplant Institute, 69 patients who made an emergency notice to the National Coordination Center for liver transplantation owing to FLF from January 2012 to December 2015 were included in the study. Patients were divided into 2 groups. Group 1 consisted of 52 patients who underwent liver transplantation and recovered normal brain function, and group 2 had 17 patients who underwent liver transplantation and did not recover normal brain function and had cerebral death. All patients were evaluated before surgery for clinical encephalopathy stage, light reflex, and convulsions. Groups were compared and assessed according to age (>40, 10-40 and <10 years), body mass index, etiologic factor, preoperative laboratory values, transplantation type, mortality, and encephalopathy level. Multivariate analysis was done for specific parameters. Results. Prothrombin time (PT), international normalized ratio (INR), and total bilirubin values were significantly different between the groups. There was no significant difference between the groups regarding ammonia and lactate levels. There was a statistically significant difference between the groups regarding sodium and potassium levels from serum electrolytes. However, the averages of both groups were within normal limits. pH and total bilirubin levels were meaningful for multivariate analysis. Conclusions. HE reversibility, mortality, and morbidity are important in patients with HE who undergo liver transplantation. Therefore, West Haven clinical staging and serum INR, PT, and total bilirubin level may be helpful in predicting the reversibility of FLF patients with HE before liver transplantation. It was determined that West Haven encephalopathy grading is important in determining the reversibility of HE after transplantation in FLF; especially the probability of reversibility of stage 4 HE decreases significantly. High PT and INR levels, hyperbilirubinemia, and serum sodium and potassium concentrations were risk factors for the reversibility of HE in this study.Öğe Chronic Graft-Versus-Host Disease After Liver Transplantation: A Case Report(Elsevier Science Inc, 2012) Yilmaz, M.; Ozdemir, F.; Akbulut, S.; Ersan, V.; Koc, C.; Koc, S.; Yilmaz, S.Graft-versus-host disease (GVHD) after orthotopic liver transplantation pun is a rare but significant complication, occuring in 1%-2% of cases with a mortality rate of 85%-90%. It occurs when donor passenger lymphocytes mount an alloreactive response against the host's histocompatibility antigens. It presents as fever, rash, and diarrhea with or without pancytopenia. Between March 2002 and September 2011, among 656 OLT patients 1 (0.15%) had acute GVHD. A biopsy at the 7th posttransplantation month revealed chronic GVHD. Consequently, in the cases that had fever, rash, and/or desquamation of the any part of body after liver transplantation, GVHD must be considered and skin biopsies must be planned for the diagnosis.Öğe Comparison of standard and modified standart organ procurement technique for deceased donors(Lippincott Williams & Wilkins, 2018) Koc, C.; Akbulut, S.; Yilmaz, S.[Abstract Not Available]Öğe Isolated recurrence of early-stage cervical cancer in the abdominal wall with suboptimal surgery(I r o g canada, ınc, 4900 cote st-luc, apt#212, montreal, quebec h3w 2h3, canada, 2018) Yilmaz, E.; Coskun, E., I; Koc, C.; Sahin, N.; Isik, B.; Ciplak, B.In this report, the authors present the case of a 47-year-old woman with an isolated recurrence of early-stage cervical cancer treated with suboptimal surgery of the abdominal wall and that subsequently underwent radiotherapy.Öğe Isolated recurrence of early-stage cervical cancer in the abdominal wall with suboptimal surgery(I R O G Canada, Inc, 2018) Yilmaz, E.; Coskun, E., I; Koc, C.; Sahin, N.; Isik, B.; Ciplak, B.In this report, the authors present the case of a 47-year-old woman with an isolated recurrence of early-stage cervical cancer treated with suboptimal surgery of the abdominal wall and that subsequently underwent radiotherapy.Öğe Seconder Primary Malignencies in Patients with Hepatocellular Carcinoma after Liver Transplantation: Single Center Experiences(Lippincott Williams & Wilkins, 2017) Ince, V; Koc, C.; Otan, E.; Aydin, C.; Kayaalp, C.; Yilmaz, S.[Abstract Not Available]Öğe Should We Use an Orphan Graft?(Avicenna Organ Transplant Center, 2017) Baskiran, A.; Ozdemir, F.; Barut, B.; Ince, V.; Koc, C.; Ersan, V.; Karakas, S.[Abstract Not Available]Öğe Unusual cause of post-liver transplant insufficient portal in-flows in patient with low portal stream: splenic venous steal(Lippincott Williams & Wilkins, 2018) Koc, C.; Ince, V; Otan, E.; Aydin, C.; Yilmaz, S.[Abstract Not Available]
