Browsing by Author "Kisli, E."

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Calcaneal Brown Tumor With Primary Hyperparathyroidism Caused by Parathyroid Carcinoma: an Atypical Localization
(2004) Dogan, A.; Algün, E.; Kisli, E.; Harman, M.; Kösem, M.; Tosun, N.
Brown tumors are one of the characteristics of primary hyperparathyroidism, although, in some cases, they are noted with secondary hyperparathyroidism as well. The authors present a case of a 50-year-old woman with primary hyperparathyroidism caused by parathyroid carcinoma with an unusual location of a brown tumor in the calcaneus. She first presented with pain and swelling over the heel and ankle, and the diagnosis was suspected by radiographs. Biopsy of the calcaneal lesion confirmed a brown tumor. After the parathyroid lesion was removed surgically, her symptoms were relived. The calcaneal lesion was treated with immobilization of the foot.
Mediastinal and Retro-Orbital Emphysema Following an Uncomplicated Endoscopic Sphincterotomy
(2005) Aydin, M.; Kisli, E.; Ozgoren, E.; Soylemez, O.; Baser, M.; Aslaner, A.
We report a case of mediastinal and bilateral retro-orbital emphysema following an uncomplicated endoscopic sphincterotomy. The concurrent presence of these complications following endoscopic retrograde cholangiopancreatography is rare. The simultaneous occurrence of these two complications in the same patient has not been previously reported in the literature. Furthermore, we define the first case of mediastinal and bilateral retro-orbital emphysema following endoscopic sphincterotomy.
The Role of Fine-Needle Aspiration Biopsy in the Evaluation of Head and Neck Masses
(2002) Kutluhan, A.; Kisli, E.; Yakut, F.; Yurttaş, V.; Kösem, M.
Purpose: The purpose of this study is to evaluate the role of diagnostic fine-needle aspiration biopsy (FNAB) of head and neck masses and to calculate the sensitivity and specificity of this method. Materials and Methods: The records of 219 patients who had undergone an FNAB of head or neck masses were reviewed. FNAB results were correlated with the histopathologic findings observed after surgery in 96 of 219 patients. Sensitivity, specificity and positive predictive value of FNAB for the detection of malignancy were calculated. Results: Four false-negative, 4 false-positive and 22 unsatisfactory results were obtained using FNAB, according to histopathologic findings. The overall sensitivity, specificity, accuracy and positive predictive value for malignancy were 87.5, 93.8, 91 and 87.5%, respectively. Conclusions: FNAB is a useful diagnostic tool for head and neck masses. However, FNAB results by themselves could be insufficient in the management of head and neck masses; therefore, they should be combined with clinical and radiologic findings. Copyright © 2005 S. Karger AG.
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.
The Role of Peritoneal Aspiration Cytology Diagnosis of Acute Appendicitis
(2003) Kisli, E.; Ozgören, E.; Arslantürk, H.; Aydin, M.; Güler, O.; Bayram, I.
BACKGROUND: The purpose of this study is to search the role of peritoneal aspiration cytology in acute appendicitis. METHODS: Peritoneal aspiration cytology was (PAC) conducted for fifty suspected acute appendicitis patients before their operations. PAC findings was compared with histopathologic results. RESULTS: Negative appendicectomy rate according to clinical diagnosis was 20%. PAC was positive in 32 and negative in 18 patients. 93.75% PAC (+) patients had acute appendicitis, 44.4% PAC (-) patients had normal appendices. The false positive rate was 6.2% and the false negative rate was 55.6%. The sensitivity, the specificity, the positive predictive value, the negative predictive value of PAC for the diagnosis of acute appendicitis were 75%, 80%, 93.8%, 44.4%, respectively and the accuracy was 76%. CONCLUSION: PAC positive results support the diagnosis of acute appendicitis strongly. However, PAC (-) results don't exclude the diagnosis of acute appendicitis.
Sleep Quality in Patients With Hemorrhoids
(2003) Kisli, E.; Agargun, M.Y.; Inci, R.; Ozturk, T.; Baser, M.
Night symptoms such as itchy and constipation may disturb sleep and worsen sleep quality in patients with hemorrhoids. The aim of this study was examine sleep quality in these patients. Thirty patients with external hemorrhoids (15 males and 15 females) participated in the study. A control group comprised 30 healthy subjects (15 males and 15 females). The Pittsburgh Sleep Quality Index (PSQI), which is an instrument with previously established reliability and validity, was administered to assess sleep quality during previous month. Habitual sleep efficiency scores and global PSQI scores of the patients with hemorrhoids were significantly higher than the controls' scores. In patients with hemorrhoids, subjective sleep quality is poor. Constipation and pruritus may disturb sleep and worsen sleep quality. Improved sleep may be an important treatment focus in the clinical management of these patients.
Squamous Cell Carcinoma of the Lower Lip and Supra-Omohyoid Neck Dissection
(ARSMB-KVBMG, 2003) Kutluhan, A.; Kiriş, M.; Kaya, Z.; Kisli, E.; Yurttaş, V.; Içli, M.; Käsem, M.
Purpose: The aim of this study is to evaluate our approach to patients with squamous cell carcinoma of lower lip. Patients and methods: This study includes 31 lower lip squamous cell carcinomas followed up between 1994 and 2000. Primary treatment was applied to 28 patients of whom 23 were in stages I-II and five in stages III-IV. Three patients presented locoregional recurrence. Neck dissection was performed during primary lip resection in patients with palpable cervical lymph node involvement. Patients with unpalpable cervical lymph nodes were divided into two subgroups: one was submitted to elective neck dissection (n = 11) and the other had isolated lip resection (n = 8). Unilateral or bilateral selective supra-omohyoid neck dissection (SOHND) was performed according to the localisation of the disease. Radical dissection was performed in a secondary intervention, when SOHND revealed lymph node metastases. Radiotherapy and chemotherapy were applied for curative and / or adjuvant treatment in addition to surgery in patients with locoregional recurrence and metastatic lymph nodes or with perineural involvement. Results: Occult cervical metastasis within a single lymph node was found in one of the 11 No patients who underwent elective neck dissection. Delayed neck metastasis developed in one of the eight patients in whom isolated lip resection (without neck exploration) was performed. Chemoradiotherapy was administered to this patient, but he died. Neck metastasis was established histologically in four of five patients in stages III-IV. Postoperative radiotherapy was used on these patients. One of the patients in this group died due to inoperable local recurrence in the neck, another died because of distant metastasis. Local mandibular recurrence was seen in one of these patients after three years. Comment: Six patients (19%) died due to lower lip carcinoma in this series. Our findings show the importance of elective neck dissection and intact surgical resection margins.
An Unusual Choledochal Echinococcosis
(2006) Kisli, E.; Baser, M.; Kotan, Ç.; Arslantürk, H.H.; Etlik, Ö.; Bayram, I.
Hydatid disease caused by the Echinococcus granulosus is a common health problem in Turkey, Middle East and Mediterranean Countries. The most affected organs are the liver and the lungs. The other organ involvements such as spleen, kidney, brain and muscle are rare. Here we present a case of hydatid cyst of the choledochus with an inactive group of liver hydatid cyst, producing obstructive jaundice.