Browsing by Author "Guler, O."

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The Effect on Anastomotic Leakage of Serum Zn, Cu Levels and Cu-Zn Ratio
(1997) Aydin, M.; Guler, O.; Karaayvaz, M.; Sekeroglu, R.
This study evaluated the influence of serum Zn and Cu levels on postoperative complication, following manual anastomosis of the alimentary track. Fifty seven vases of alimentary tract malignancy were included (22 stomach and 35 esophagus). Serum 2n and Cu levels were measured preoperatively and on the third, fifth and seventh postoperative days. Postoperative serum Zn levels were low in patients with anastomotic leakage, and there were significant differences in Zn levels between those with and without anastomotic leakage. However, there was no significant change in Cu levels. In the light of these findings, we conclude that Zn plays an effective role in anastomotic healing.
The Role of Octreotide Versus Placebo in the Prevention of Post-Ercp Pancreatitis
(H G E Update Medical Publishing S A, 2007) Kisli, E.; Baser, M.; Aydin, M.; Guler, O.
Background/Aims: To evaluate the effectiveness of a single administration of intravenous octreotide infusion in preventing post-ERCP pancreatitis and progressing hyperamylasemia. Methodology: One hundred and twenty (71 female, 59 male) patients who had been diagnosed with pancreaticobiliary pathology were included in this study. 100 microgram (0.1mg) octreotide diluted in 60mL normal saline solution administered intravenously 60 minutes prior to the procedure and continued during the procedure and after the procedure. Placebo was given in 87 patients. Patients were assessed clinically and serum amylase level was also measured before the procedure and 3, 12, and 24 hours after the procedure. We define clinical pancreatitis as serum amylase level greater than 4-5 times in conjunction with clinical assessment. Results: Hyperamylasemia was assessed in 14 of 33 (42.4%) administered octreotide patients. Clinical findings of pancreatitis were observed in 5 of these 14 (11.5%) patients. Hyperamylasemia was also assessed in 41 of 87 (47.1%) administered placebo patients. Clinical findings of pancreatitis were observed in 10 of these 41 (11.5) patients. There were no significant differences between the groups, statistically (p > 0.05) (Pearson chi-square test). Conclusions: The results of this trial indicate that a single administration of intravenous octreotide infusion does not prevent ERCP-induced pancreatitis and effect serum amylase level.