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Objectives The aim of the study was to investigate the effectiveness of clinical Pilates exercises in patients with idiopathic scoliosis. Materials and Methods The study included patients aged 15 to 30 years with adolescent idiopathic scoliosis. Patients were randomly separated into the following two groups: the clinical Pilates exercise group (n = 16) and the control group (n = 18). The clinical Pilates exercise group received 16 sessions of exercise. Angle of trunk rotation (scoliometer), sagittal plane alignment of the spine (inclinometer), posture (PostureScreen Mobile program), quality of life (Scoliosis Research Society-23), pain (Numerical Pain scale), and cosmetic deformity perceptions (spinal appearance questionnaire) were assessed twice. Statistical Analysis Data obtained in the study were analyzed statistically using IBM, SPSS v. 22 software. The Shapiro–Wilks test was used to assess the conformity of data to normal distribution. In the group comparisons of angle of rotation, kyphosis and lordosis angle, and anterior shift values obtained at baseline and in the 8th week, the independent sample t-test were applied to variables with normal distribution, and the Mann–Whitney U test to variables not showing normal distribution. Results The change in the pain score from baseline to 8 weeks was determined to be significantly superior in the Pilates group (p Conclusions The results of this study showed that Pilates exercises did not have a significant effect on deformity, quality of life, and perception of deformity in scoliosis, but significantly reduced back and low back pain and contributed to improvements in posture.

Background: The clinical significance of gastrointestinal wall thickening (GWT) on abdominal computed tomography (CT) is not certain, yet. Despite the need for clinical guidelines describing the importance and evaluation of GWT on a CT scan, there have been few studies evaluating these incidental imaging abnormalities. The aim of this study is to endoscopically evaluate certain etiologies that cause incidental GWT found on CT. Methods: This retrospective cohort study was carried out with patients who had incidentally detected GWT on a CT scan at the Kanuni Sultan Suleyman Training and Research Hospital between February 2016 and December 2018. Results: A total of 129 patients (62 males and 67 females; mean age 57.5 years, range: 26-87 years) were included in the study. Abnormalities observed during endoscopy at the exact site of the GWT noted on a CT image were found in 114 patients (99%): upper endoscopy revealed malignancy in 33 (29%), gastritis in 63 (52%), hiatal hernia in 19 (16%), a gastric ulcer in 7 (6%), and alkaline gastritis in 3 (2%). Colonoscopy revealed malignancy in 4 (33%), benign polyps in 5 (35%), colonic ulcer in 2 (16%), and 2 patients (16%) had normal findings. Malignancy was detected more frequently in the cardioesophageal region compared with the antrum (P=0.020). Conclusion: In this study, detection of GWT on CT often indicated pathologies which were subsequently confirmed endoscopically. Pathological findings were detected in 83% of these patients, with approximately 30% determined to be malignant. Endoscopic evaluation is recommended when GWT is reported on a CT scan.

Amaç: Bu tez çalışması; idiopatik skolyozu olan hastalarda, Klinik Pilatesegzersizlerinin gövde rotasyon açısı, omurganın sagital plan dizilimi, postür, yaşam kalitesi, ağrı, kozmetik deformite algıları, kifoz ve lordoz açıları üzerine etkilerini araştırmak için planlandı.Gereç ve Yöntem: Çalışmamıza idiopatik skolyoz tanısı almış 15 – 30 yaş arasındaki 40 birey dahil edildi. Olgular, Klinik Pilates egzersiz ve kontrol grubu olmak üzere iki gruba ayrıldı. Klinik Pilates egzersiz grubuna haftada 2 seans olmak üzere toplamda 16 seans grup tedavisi uygulandı. Kontrol grubundaki hastalara herhangi bir egzersiz önerilmedi. Sosyodemografik değerlendirme formu ile olguların; yaş, cinsiyet, özgeçmiş, soygeçmiş ve cobb açıları ile ilgili bilgiler alındı. Gövde rotasyon açısı (skolyometre), Postür değerlendirmesi (Posturescreen Mobile App (PostureCo Inc., Trinity, FL, USA), lomber lordoz ve torakal kifoz açıları (inklinometre), yaşam kalitesi (SRS-23), kozmetik deformite değerlendirmesi (SAQ) ve ağrı değerlendirmeleri (NPRS) uygulandı. Değerlendirmeler, tedavi öncesi ve ilk değerlendirmeden 8 hafta sonra yapıldı.Bulgular: Tedavi sonrasında egzersiz grubunun torakalomber rotasyon açısında, kifoz açısında ve ağrı değerlerinde anlamlı gelişme elde edildi (p=0,002, 0,014, 0,000). Gruplar arasında elde edilen değişim ortalamaları kıyaslandığında, ağrı skorlarındaki değişim klinik pilates grubunda anlamlı üstünlük sağladı (p=0,000). Kontrol grubundan istatistiksel olarak anlamlı düzeyde düşük bulundu (p=0.000). Diğer değerlendirme parametrelerine bakıldığında gruplar arasında anlamlı bir farklılık elde edilemedi.Sonuçlar: Çalışmamızın sonuçları bilateral uygulanan Klinik Pilates egzersizlerinin skolyozu olan hastalarda gövde rotasyon açısı ve postür üzerine anlamlı etkisi olmadığını ancak; ağrı skorlarının azalmasında ve kifoz açılarının fizyolojik değer aralığına gelmesinde etkili olduğunu göstermiştir.--------------------Aim of the study: The aim of this thesis was to investigate the effects of ClinicalPilates exercises on trunk rotation angle, spinal sagittal plan alignment, posture, quality of life, pain, cosmetic deformity perceptions, kyphosis and lordosis angles in patients with idiopathic scoliosis.Materials and Method: Forty individuals aged between 15-30 years who were diagnosed as idiopathic scoliosis were included in the study. Patients were divided into two groups as Clinical Pilates exercise and control groups. Clinical Pilates exercise group received group exercises 2 sessions per week for a total of 16 sessions. No exercise was recommended to the patients in the control group. Sociodemographic evaluation form of the cases; age, sex, background, surname and cobb angles. Angle of trunk rotation (scoliometer), Posture evaluation (Posturescreen Mobile App (PostureCo Inc., Trinity, FL, USA), lumbar lordosis and thoracic kyphosis angles (inclinometer) measurements, quality of life (SRS-23), cosmetic deformity (SAQ) and Pain assessments (NPRS) were performed. Evaluations were made before treatment and 8 weeks after the initial evaluation.Results: After treatment, significant improvement was observed in the thoracolumbar rotation angle, kyphosis angle and pain values of the exercise group (p=0.002, 0.014, 0.000). The mean change in pain scores in the clinical pilates group (p= 0,000) indicatedbetter improvement. Pain scores were found to be significantly lower than the control group (p= 0,000). When the other evaluation parameters were examined, there was nosignificant difference between the groups.Conclusion: The results of our study showed that bilateral Clinical Pilates exercises had no significant effect on trunk rotation angle and posture of patients with scoliosis. However it is effective in decreasing pain scores and improving kyphosis angles to the physiological range.

Background Acute biliary pancreatitis is one of the most frequently encountered diseases among general surgeons in emergency surgical diseases. Differences in diagnosis and treatment management of these patients, varying from physician to physician, are common in clinical practice. We aimed to present these differences and discuss the results in the light of current guidelines in the literature. Methods In this study, 21 questions were prepared regarding the physicians' approach in the diagnosis, follow-up and treatment of acute biliary pancreatitis (Appendix).The questionnaires were completed by face to face interviews with 94 general surgery specialists at the 20th National Surgery Congress. Results In this study, 38 (40%) of the physicians who answered the questionnaire were working in the Training and Research Hospital, 27 (29%) in the State Hospital, 19 (20%) in the University Hospital and nine in private health care was working in the establishment. 85% of the physicians were general surgery specialists with 10 years of experience. 53% (50) of the surgeons reported that they had less than five cases of acute biliary pancreatitis each month, and 35% (34) stated that they wanted amylase value daily for follow-up. Ultrasonography and computed tomography were the most commonly used imaging modalities and 15% of the respondents indicated that each patient underwent magnetic resonance cholangiopancreatography. 45% of surgeons stated that antibiotics were started at the time of diagnosis of pancreatitis. The percentage of surgeons who did not undergo cholecystectomy early in patients with mild to moderate pancreatitis was 60%. The reason for not preferring surgery in the early period was the most frequent operation difficulty with 40% and not supporting the operation in the early period. Conclusion According to the attitude survey results, there are differences between general surgery specialists in the diagnosis, follow-up and treatment of acute biliary pancreatitis.