Browsing by Author "Değer, İ."

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Congenital Duodenal Obstruction: Ten-Year Results of a Tertiary Center
(Yuzuncu Yil Universitesi Tip Fakultesi, 2018) Avci, V.; Bilici, S.; Düz, E.; Beger, B.; Değer, İ.
The most common place of gastrointestinal obstruction in the newborn is duodenum. In this study, we aimed to present our 10 years of experience about patients that diagnosed with congenital duodenal obstruction by the guidence of literature. Between 2008 and 2017, patients who underwent surgery for congenital duodenal obstruction were evaluated retrospectively in terms of age, gender, birth weight, symptom-findings, additional congenital anomalies, treatment modalities, postoperative complications, average length of hospitalization and morbidity-mortality. A total of 32 patients (18 male, 14 female) with congenital duodenal obstruction were included in the study. The mean birth weight of the patients was 1920 ± 1130 grams. Vomiting (75%) was the most common symptom. Surgical intervention was performed with an average of two days; the most prefered (59%) method was duodenodeudenostomy. The most common complication after surgery was wound infections (22%). 50% of the patients had additional congenital anomalies. Down syndrome was the most common one. Two patients died due to sepsis. The average length of hospitalization was 14 ± 5 days. For a good outcome in congenital duodenal obstruction, the tips of early diagnosis and treatment should be known. © 2018, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Evaluation of the Causes of Early and Late Thrombocytopenia in the Newborn
(OrtadogÂ u Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S., 2018) Karaman, K.; Demir, N.; Çetin, M.; Geylan, H.; Değer, İ.; Başaranoğlu, M.; Öner, A.F.
Objective: Thrombocytopenia is the most common hematological disorder that is encountered in the neonatal intensive care unit (NICU). The incidence of thrombocytopenia in neonates may varies greatly depending upon admitted patients population of unit. This study was performed on neonates admitted to Yuzuncu Yil University of Dursun Odabaş Medical Center of NICU, the incidence and causes of thrombocytopenia. Material and Methods: This retrospective study was conducted on the medical records of all neonates hospitalized at our hospital between May 2012 and March 2015 and those with thrombocytopenia were included in the study. The laboratory results of these newborns were retrospectively screened from the computer program and files, and included in the study were those with a thrombocytopenia level of less than 150.000/μL. Results: About 2780 patients were admitted to our neonatal intensive care unit during the study period. Of the 2780 neonates, 117 (4.2%) had thrombocytopenia (60.7% early onset and 39.3% late onset). Seventy-two of them (61.5%) were preterm. Intrauterine growth restriction, maternal hypertension, respiratory distress syndrome and sepsis were more common causes. Severe thrombocytopenia (<50.000/µL rate was found in 27% of neonates. In addition, although the rate of thrombocytopenia in asfixia was reported in the literature as 12-14%, this rate was 6.8% in our cases. There was no relation between occurrence of thrombocytopenia and gender. Conclusion: This study reveals that the causes of neonatal thrombocytopenia may show variations. In our study, intrauterine growth restriction, maternal hypertension, respiratory distress syndrome, and sepsis seem to be important risk factors for thrombocytopenia in neonates. Copyright © 2018 by Türkiye Klinikleri.