Browsing by Author "Surmeli, Neslihan"
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Article Course of Acute Pancreatitis in the Elderly Evaluated With Computed Tomography Scan(Gunes Kitabevi Ltd Sti, 2020) Konur, Sevki; Surmeli, Neslihan; Gunduz, Ihsan; Iliklerden, Umit Haluk; Dertli, Ramazan; Kayar, YusufIntroduction: In our study, we aimed to evaluate how age affects the severity and course of acute pancreatitis according to the modified Balthazar scoring system. Materials and methods: 354 patients diagnosed with acute-pancreatitis and followed-up in our hospital between July/2013-February/2019 were included our study. Demographic data, comorbid diseases and mortality rates of all patients were documented. Patients with aged 65 and over were assessed as geriatric population. All patients included in the study underwent contrast enhanced abdominal computed-tomography within the first 12 hours and on days 3 to 7. According to the modified Balthazar score, patients with mild, moderate and severe acutepancreatitis respectively. The relationship between age and computed-tomography findings was analyzed. Results: 206 (58.2%) of the patients included in the study were women. Mean age was 54.8 +/- 17.9 years (18-100 years). Geriatric population consisted of 129(36.5%) patients. There was no statistically significant difference between the two groups according to the modified Balthazar classification on the initial computedtomographies on admission (p>0.05). However, on computed-tomography scans taken after the third day, severe acute-pancreatitis was detected significantly more frequently in the elderly (p<0.05). Additionally, in comparing the disease progression on computed-tomography scans, disease progression was significantly higher in the elderly group (p <0.05). In addition, comorbidity score and mortality rate were found to be significantly higher in the elderly group (p<0.001, p:0042, respectively). Conclusion: In acute pancreatitis, age may have an effect on the severity of the disease. For this reason, multidisciplinary approach and close follow-up with monitoring is crucial in geriatric patients.Article Evaluation of Obesity With Vitamin D Levels and Related Parameters(Erciyes Univ Sch Medicine, 2019) Kayacan, Aybike Gizem; Surmeli, Neslihan; Sogut, Mehtap Unlu; Yilmaz, ElanurObjective: This study aimed to investigate the relationship between vitamin D levels, biochemical findings, and body analysis data of adult individuals, and effects of seasonal vitamin D level differences on these relationships. Materials and Methods: In this retrospective study, medical records of 159 individuals who applied to Samsun Buyuk Anadolu Hospital Nutrition and Dietary Polyclinic were examined. The serum 25(OH)D levels were defined as <10 ng/ml vitamin D deficiency; 10-20 ng/ml vitamin D insufficiency; and >20 ng/ml normal vitamin D level. Vitamin D levels were also divided into two according to seasons: summer and winter. Results: Of the 159 participants included in the study, 42 were overweight and 94 were obese. Vitamin D deficiency was found in 21.4% and vitamin D insufficiency was found in 35.2% of the patients. Winter vitamin D levels were significantly lower than summer vitamin D levels. Vitamin D levels decreased with increasing body fat mass and percentage, abdominal fat mass and percentage. Individuals with vitamin D deficiency had higher body mass index than individuals with vitamin D insufficiency. Vitamin B12 levels of individuals with vitamin D deficiency were found to be significantly lower. Aspartate aminotransferase levels of individuals with vitamin D deficiency were higher than individuals with vitamin D insufficiency. Conclusion: Vitamin D deficiency and insufficiency varies according to sunbathing times in summer and winter season and it is quite common in obese patients. Strategies should be developed to prevent and control obesity and to combat the inadequacy of vitamin D nutritional status.Article The Severity of Acute Pancreatitis According To Modified Balthazar Classification in Patients With Pancreatic Cancer(Sage Publications Ltd, 2020) Konur, Sevki; Ozkahraman, Adnan; Surmeli, Neslihan; Gunduz, Ihsan; Iliklerden, Umit Haluk; Dertli, Ramazan; Kayar, YusufObjective: Although acute pancreatitis (AP) is a self-limited disease under supportive and medical treatment, it can have life-threatening potential in some patients. Results of studies reporting outcomes of AP-associated pancreatic malignancy are controversial. The aim of this study was to evaluate the severity and prognosis of pancreatic cancer (PC)-related AP by modified Balthazar score. Methods: A total of 354 patients hospitalized and followed up in our clinic between 2013 and 2019 were included in the study. Demographic data of all patients were recorded. The etiology of all cases was determined. According to the etiology, the cases were divided into 2 groups: AP related to pancreatic malignancy and AP due to nonmalignant causes. The patients underwent computed tomography of the abdomen within the first 12 hours of admission and after 3 to 7 days. Patients were evaluated and classified by modified Balthazar classification. Results: Malignancy-related AP was detected in 18 (5.1%) patients. A total of 336 cases (94.9%) were related to nonmalignant causes. There was no statistically significant difference in the severity of AP in both groups at admission and after 3 days (p> 0.05). The changes (regression, progression, or no change) in the disease severity at the first and the subsequent imaging were examined. There was no significant relationship between the 2 groups (p> 0.05). Conclusion: AP may be the clinical manifestation of PC or PC may induce AP in various ways. It was shown that the underlying malignancy did not adversely affect the severity and course of AP.