Browsing by Author "Köseoǧlu, B."

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Chronic Intussusception in Childhood: Report of Four Cases
(2001) Bakan, V.; Köseoǧlu, B.; Önem, Ö.; Bilici, S.; Demirtaş, I.
Intussusception is a frequent cause of bowel obstruction in infants and toddlers. Correct diagnosis in majority of the patient with acute intussusception is made by typical presentation and symptoms. However, atypical presentation and chronic symptoms may cause delay in diagnosis of chronic intussusception. Four cases of chronic intussusception are reported. There was no leading point in patients and they had mobile colon or poor fixation of colon. A typical presentation and diagnostic delay in chronic intussusception are argued.
Comparison of Bupivacaine With Bupivacaine Plus Fentanyl Administered Via Thoracic Epidural Catheter for Pain After Thoracotomy in Children
(2004) Demirel, C.B.; Kati, I.; Köseoǧlu, B.; Bakan, V.; Hüseyinoǧlu, Ü.A.; Silay, E.
In this study, we aimed to compare the analgesic and side effects of bupivacaine versus bupivacaine and fentanyl combination administered via epidural cathater. Sixty children, aged 3-12 years, ASA I or II physical status, undergoing thoracic surgery were studied. All patients were monitorized routinely. Anaesthesia induced with sevoflurane or thiopenton, atracurium and fentanyl, and meintained with O2 + air, sevoflurane, atracurium and fentanyl. At the end of the operations, epidural catheters were placed below two dermatomes of the surgical incision. In the First Group, 0.3 mL kg-1 bupivacaine 0.125 % was administered as a bolus through the catheter, and infusion in a dose of 0.3 mL kg-1 h-1 added. In the Second Group, 2 mg mL-1 fentanyl and bupivacaine 0.125% was administered as a bolus in a dose of 0.3 mL kg-1 and infusion in a dose of 0.3 mL kg-1 h-1 added. Pain scores were decreased lower than four points in all patients except two patients in the first group, and three patients in the second group. In the second group, sedation scores were higher and pupil's diameters were smaller than the first group. In conclusion, thoracal epidural analgesia seems to be favorable method for pain relief after thoracotomy. However, we must be careful for sedation if opioids will be added to local anesthetics.
Sinus Histiocytosis With Massive Lymphadenopathy (rosai-dorfman's Disease): a Case Report
(2003) Bakan, V.; Köseoǧlu, B.; Demirtaş, I.; Uǧraş, S.; Öner, A.F.
Rosai-Dorfman disease or Sinus Histiocytosis with Massive Lymphadenopathy (SHML) is an idiopathic, benign, self-limited disorder characterized by painless cervical lymphadenopathy, fever, and weight loss. The disease most commonly affects children and young adults. A 3-year-old child with Rosai-Dorfman Disease was presented. The diagnosis was made by a cervical lymph node biopsy. The disease have regressed spontaneously and 3 years follow-up was uneventful.
Splenic Abscess, Pleural Effusion and Severe Anemia Caused by Salmonella Typhi
(2000) Çaksen, H.; Öner, A.F.; Arslan, Ş.; Köseoǧlu, B.; Harman, M.; Ataš, B.; Abuhandan, M.
Various complications related to gastrointestinal system, central nervous system, and skeletal system may be observed during typhoid fever, but splenic abscess and pleural effusion are rarely encountered. A 12-year-old boy was admitted with fever, fatigue and pallor. On examination he had hepatosplenomegaly and severe anemia. He was diagnosed as having Salmonella typhi infection complicating with splenic abscess, pleural effusion and severe anemia, and successfully treated with percutaneous drainage with ultrasonography and antibiotics. In conclusion we would like to emphasize that typhoid fever should also be considered in patients with hepatosplenomegaly and severe anemia, and percutaneous drainage with ultrasonography may successfully be used in management of splenic abscess in typhoid fever.