Browsing by Author "Güven, B."

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Repeated Bougie Dilation With Savary-Gilliard Dilators in the Treatment of Pediatric Esophageal Strictures: How Effective Is It
(Galenos Publishing House, 2019) Avci, V.; Güven, B.
INTRODUCTION: Data on pediatric esophageal strictures is limited. The aim of this study was to investigate the efficiency of repeated bougie dilation with Savary-Gilliard dilators in the treatment of pediatric esophageal strictures caused by various etiologies METHODS: The retrospective study included patients who underwent bougie dilation with Savary-Gilliard dilators due to esophageal strictures between January 2012 and July 2018. Demographic and clinical characteristics including age, gender, stricture length, etiology and localization, mean diameter of endoscopic dilators, mean number of endoscopies, and long-term outcomes and complications were reviewed for each patient. RESULTS: The 25 patients comprised 15 (60%) boys and 10 (40%) girls with a median age of 24 (range, 5-132) months. Dysphagia was the only presenting symptom in all the patients. The most common etiology was primary repair of esophageal atresia (n=18; 72%). Mean dilator diameter was 11,4±2,32 (range, 5-15) mm and the mean number of endoscopies performed was 2,2 (range, 1-7) per patient. The mean length of the narrow esophageal segment was 15,84±7,97 (range, 5-32) mm. The complaints were completely resolved in 21 (84%) patients over a one-year follow-up period. No complication occurred in any patient. DISCUSSION and CONCLUSION: Endoscopic bougie dilation is an ideal treatment method for pediatric esophageal strictures. Repeated bougie dilation with Savary-Gilliard dilators is a simple, practical, cost-effective,and effective technique. © 2019, Galenos Yayincilik,. All rights reserved.
Response To Letter: Effectivity of Pancreatic Enzyme Replacement Therapy in Malnourished Children
(Lippincott Williams and Wilkins, 2020) Güven, B.; Mis, M.D.; Karaman, K.; Yaşar, A.Ş.
Should Examinatıons Be Performed in Each Child With Constipation
(Pamukkale University, 2019) Güven, B.
Purpose: Constipation is a common problem in childhood. There are many causes of constipation in children from congenital anomalies to metabolic diseases. Many examinations are required to exclude organic causes from each patient. In this study, laboratory tests and necessity of them of the patients admitted to the pediatric gastroenterology clinic with constipation complaints were investigated. Materials and Methods: Total 200 patients, aged between 0-18 years who were admitted to the Pediatric Gastroenterology Clinic with the complaint of constipation, were retrospectively reviewed. Patients’ age, sex, glucose, calcium, phosphorus, magnesium, potassium, free thyroxine (fT4), thyroid stimulating hormone (TSH) values, and duration of treatment were analyzed. Results: Of the 200 patients included in the study, 105 (52.5%) were female and 95 (47.5%) were male. The mean age of the patients was 4.91±4.63 years (range 0-18 years). None of the patients had hyperglycemia or hypokalemia. Only one patient had high TSH whose fT4 was normal. Calcium, phosphorus, and magnesium was found to be high level in thirty-one (15.5%), one (0.5%), and one (0.5%) of the patients, respectively. Of the 31 patients with hypercalcemia, 19 were under one, seven were 1-2 years old. Conclusion: The testing for thyroid function, calcium, phosphorus, potassium and glucose are not suitable for all children with constipation considering the cost. However, it may be beneficial to send calcium in children under 2 years of age in our region. Further research is needed. © 2019, Pamukkale University. All rights reserved.