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Are radiological modalities really necessary for the long-term follow-up of patients having blunt solid organ injuries? A single center study

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World Journal of Emergency Medicine 2019年第3期10卷 177-181页

作者： Mehmet Ilhan Recep ercin sonmez Abdullah Kut Safa Toprak Ali Fuat Kaan Gok Mustafa Kaylhan Günay Cemalettin Ertekin Department of General Surgery Istanbul University Istanbul Medical Faculty Istanbul Turkey Department of General Surgery Istanbul Medeniyet University Istanbul Turkey

Dear editor, During the past two decades, management of blunt solid organ injuries had shifted from conventional surgery to more conservative approach, namely nonoperative management (NOM).[1] The non-operative approach mainly depends on the trauma experience of surgeons and the institution, quality of radiographic imaging and its interpretation.[2-5] If the surgeon decides to observe the patients by NOM, close monitoring of vital signs and frequent physical examinations must be done accordingly with radiological evaluations if needed.

关键词： Dear editor two decades namely nonoperative management

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Is Outpatient Follow-Up of Epiploic Appendagitis with NSAIDs Alone and Noantibiotics Possible?

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Open Journal of Gastroenterology 2014年第4期4卷 170-174页

作者： Mehmet ?lhan ercin sonmez Kaan Gok Hakan Yanar Recep Güloglu Kayhan Günay Cemalettin Ertekin Department of General Surgery Istanbul University School of Medicine Istanbul Turkey

Purpose: To assess the clinical course of patients diagnosed as having “epiploic appendagitis” who are given only NSAIDs without antibiotic treatment. Materials and Methods: Between December 2010 and November 2013, twelve patients were presented to the Emergency Surgery Department, Istanbul Medical Faculty, Istanbul University with abdominal pain and were diagnosed having “epiploic appendagitis”. The diagnoses were made using the information gathered from patients’ complaints, physical examination, biochemical results, and radiologic images (Abdominal X-Ray, Abdominal Ultrasonography [USG], and Contrast-Enhanced Computerized Tomography [CT]). We evaluated and recorded the patients’ age distribution, sex difference, laboratory results, radiologic images, length of hospital stay, and control exams after discharge. Results: Twelve out of 35,574 (0.033%) patients who were presented to our Emergency Surgery Department with abdominal pain and were hospitalized as “epiploic appendagitis”. Of these 12 patients, 7 were male (58.3%), and 5 were female (41.7%). The mean age of the patients was 43.5 (range: 22 to 60). The mean time passed between the beginning of the symptoms and presentation to the hospital was 1 day. The length of hospital stay was 1 to 2 days with a mean of 1.3 days. All patients were followed-up non-invasively under NSAID treatment without antibiotherapy. No complications were observed throughout the hospitalization period. The follow-up period of the patients was between 2 to 31 months with a mean of 16 months. Conclusion: Epiploic appendagitis is a self-limiting, benign disease, but differential diagnosis should be done carefully. Patients who are diagnosed with epiploic appendagitis may be followed-up with NSAIDs alone without hospitalization or antibiotherapy.

关键词： Epiploic Appendagitis Acute Abdomen Acute Diverticulitis Acute Appendicitis

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Levels of serologic markers of celiac disease in patients with reflux esophagitis

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World Journal of Gastroenterology 2006年第41期12卷 6707-6710页

作者： Sait Bagcl C Nuri ercin Zeki Yesilova Ayhan Ozcan Bulent Degertekin Kemal Dagalp Department of Gastroenterology Gulhane School of MedicineAnkaraTurkey Department of Pathology Gulhane School of Me-dicineAnkaraTurkey

AIM： TO investigate the prevalence of celiac disease serologic markers （antigliadin IgA, IgG, and antiendomysial IgA） in patients with reflux esophagitis and to detect the relationship between reflux esophagitis and celiac disease （CD）. METHODS： This study was performed prospectively between January 2003 and January 2004. Sixty-eight adult reflux esophagitis patients and 40 people as control group for symptoms related with gastrointestinal system were enrolled in this study. The diagnostic work-up induded an accurate medical history with gastrointestinal symptoms, routine laboratory measurements, the detection of antibodies against gliadin （IgA and IgG） and endomysium （IgA）, and an upper endoscopy with postbulbar biopsy. RESULTS： IgA-AGA and IgG-AGA were positive at 8.8% and 10.3% in patients with reflux esophagitis. In control group, it was found that 10% people had positive IgA-AGA, and 7.5% people had positive IgG-AGA. There was no significant relationship between patients and control group regarding positive IgA-AGA and IgG- AGA. The patients and persons in control group had no positive IgA-EMA. On postbulbar biopsies, no finding was detected concerning celiac disease. There were no symptoms and signs for gluten enteropathy in patients and control group. CONCLUSION： This review supports that an association does not exist between celiac disease and reflux esophagitis. We think these diseases exist independently from each other.

关键词： Celiac disease Reflux Esophagitis

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