Browsing by Author "Kotan, M.Ç."

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Benign Gastric Outlet Obstruction Surgery: a Tertiary Center Experience
(Yuzuncu Yil Universitesi Tip Fakultesi, 2021) Iliklerden, Ü.H.; Kalayci, T.; Kotan, M.Ç.
Gastric outlet obstruction (GOO) is a clinical diagnosis that includes abdominal pain, postprandial nausea with or without vomiting, early satiety, and abdominal discomfort. In chronic cases, weight loss can also be added to the symptoms. In this study, it was aimed to examine the characteristics of gastric outlet obstructions underwent surgery for benign reasons in a single tertiary center. Patients who were operated due to benign gastric outlet obstruction between 2010 and 2018 in the Van Yuzuncu Yil University Departmant of General Surgery were selected retrospectively. Preoperative, intraoperative and postoperative data of the patients were collected from hospital records. The diagnosis process and treatment approaches of the patients were evaluated in the light of the literature. Average age of 9 patients participating in the study was 47.4 ± 12.18 years (26-58) and the male/female ratio was 2. The most common symptom was abdominal pain (77.8%), while the most common symptom was d ehydration (66.7%). In endoscopy, 8 patients had stenosis and 5 had ulcers. Billroth II gastrectomy was the main surgical procedure performed (n=7, 77.7%). Chronic gastritis (66.7%) was the main diagnosis in the pathological samples. In addition, Helicobac ter pylori positivity was observed in 7 (77.8%) of 9 patients. Morbidity and mortality rates of the study were 33.3% and 22.2%, respectively. GOO due to benign diseases is a rare problem. Endoscopic methods and symptomatic treatments should be tried primarily in the treatment of GOO. If there is no improvement in symptoms and signs despite symptomatic treatments, surgical treatment should be applied. © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.
Outcomes of Splenectomy for Hematologic Diseases-A Single Center Experience
(Yuzuncu Yil Universitesi Tip Fakultesi, 2021) Çalli, I.; Aslan, F.; İliklerden, Ü.H.; Kiziltan, R.; Kotan, M.Ç.
Splenectomy is a standard, effective and approved approach to the treatment of patients with failed medical treatment who develop recurrent, refractory or chronic diseases. The leading indications for elective splenectomy are benign and malignant hematologic diseases. We present here the findings of a retrospective analysis of the splenectomies performed in a single center for the treatment of hematologic diseases, and the associated outcomes . A retrospective examination was made of 64 patients who underwent splenectomy for the treatment of hematologic diseases at our clinic between 2010 and 2018. The patients were assessed for gender, age, hematologic disease, spleen size, presence of hepatomegaly, presence of accessory spleen, type of surgery (laparoscopic or open), wound site infection, preoperative and postoperative platelet counts, intraoperative and/or postoperative blood replacement, and length of hospital stay. The study sample comprised 23 (36%) male and 41 (64%) female patients, with a mean age of 40.4 years. Of the patients, 51 underwent laparoscopic splenectomy and 13 underwent splenectomy with laparotomy. Of the total, 57 (89%) patients responded fully to the splenectomy, six (9%) patients recorded a partial response and one (2%) patient had no response. Following the splenectomy procedure, one patient developed wound site infection and two patients died due to sepsis. Splenectomy should be considered a good treatment option in hematologic splenic diseases that are resistant to medical treatment, being also associated with low mortality and morbidity. © 2021, Yuzuncu Yil Universitesi Tip Fakultesi. All rights reserved.