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34 results on '"Ergun, Orkan"'

8. The Role of Surgery in Antenatal Ovarian Torsion: Retrospective Evaluation of 28 Cases and Review of the Literature

Author

Kurtmen, Bade Toker, Divarci, Emre, Ergun, Orkan, Ozok, Geylani, and Celik, Ahmet

Subjects
Antenatal ovarian torsion, Masses, Cysts, Autoamputation, Prenatal-Diagnosis, Adnexa, Fetal ovarian cyst, Newborn, Adnexal torsion, Accuracy, Management
Abstract

Study Objective: Antenatal ovarian torsion (AOT) is rare and requires differentiating from other congenital cystic masses of the abdomen and pelvis in neonates. In this study, it was aimed to evaluate the prenatal characteristics and postnatal outcomes of AOT. Design, Setting, Participants, Interventions, and Main Outcome Measures: Hospital records of patients (n = 28) with diagnosis of AOT between 2004 and 2020 were reviewed and their prenatal characteristics, postnatal examination, imaging, operative, and histopathological findings were evaluated. Results: There were 28 patients during the study period. In most of the patients (25/28; 89.3%) AOTs were detected prenatally. All were term babies with a mean birth weight of 3010 +/- 466.6 g. Mean maternal age was 25.75 +/- 3.65 years. Prenatal history was event-free in all and none had additional anomalies. Physical examination revealed mobile intra-abdominal cystic lesions in 16 (57.1%) patients. AOTs mimicked other pathologies as intestinal duplication cyst or mesenteric cyst (n = 7), complex ovarian cyst (n = 3), mature cystic teratoma (n = 3), simple renal cyst (n = 1), and ectopic kidney (n = 1) in 15 (53.6%) patients in postnatal ultrasonography. Elective laparoscopic surgery was performed in 26 (92.8%) patients. The other 2 patients required emergency open surgery because of acute symptoms. Ovaries were autoamputated in 17 (60.7%) patients. Histopathological examination revealed necrosis and dystrophic calcification in all specimens. There was neoplastic involvement in 2 patients (serous cystadenoma and gonadoblastoma). No complication occurred in the early followup period (mean: 73.9 +/- 46.8 months). Conclusion: AOTs can be detected easily during the antenatal period. Neoplastic involvement with AOTs is rare but possible. Although AOTs might mimic other cystic pathologies, it should be one of the first diagnoses to be considered, in the presence of a palpable intraabdominal mass and complex cystic lesion in infant girls. It can be efficiently and safely managed using minimally invasive techniques.

Published
2022

12. Laparoscopic treatment of median arcuate ligament syndrome: A rare cause of chronic severe abdominal pain

Author

Divarci, Emre, Celtik, Ulgen, Dokumcu, Zafer, Celik, Ahmet, and Ergun, Orkan

Subjects
Teenage girls, Laparoscopy, Weight loss -- Care and treatment, Health
Abstract

Byline: Emre. Divarci, Ulgen. Celtik, Zafer. Dokumcu, Ahmet. Celik, Orkan. Ergun Median arcuate ligament syndrome is a rare disorder characterized by chronic postprandial abdominal pain and weight loss caused by [...]

Published
2017

16. Mass Image in Stomach

Author

Appak, Yeliz Cagan, primary, Baran, Masallah, additional, Avci, Esra, additional, Karakoyun, Miray, additional, and Ergun, Orkan, additional

Published
2018
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21. Laparoscopic Splenectomy in Children

Author

Qureshi, Faisal G., Ergun, Orkan, Sandulache, Vlad C., Nadler, Evan P., Ford, Henri R., Hackam, David J., and Kane, Timothy D.

Subjects
Male, Purpura, Thrombocytopenic, Idiopathic, Hereditary spherocytosis, Spherocytosis, Hereditary, Length of Stay, Laparoscopic splenectomy, Scientific Papers, Splenectomy, Humans, Female, Laparoscopy, Child, Children, Retrospective Studies
Abstract

Background: Laparoscopic splenectomy is being performed more commonly in children, although its advantages are not clear. We sought to determine whether laparoscopic splenectomy was superior to open splenectomy. Methods: The records of all pediatric patients undergoing splenectomy without significant comorbidities over a 12-year period were examined. The patients were divided into those undergoing laparoscopic splenectomy and those undergoing open splenectomy. Demographics, operative time, estimated blood loss, spleen size, length of stay, and total charges were compared between the groups. Results: Eighty-one (58%) children underwent laparoscopic splenectomy, and 59 (42%) children underwent open splenectomy. The groups were similar in age and sex; hereditary spherocytosis was more common in the LS group. Operating time was longer in the laparoscopic splenectomy group (231±10 min vs 138±9 min; P

Published
2005

33. Abernethy Malformation Type 2 and Biliary Atresia Coexistence: A Rare Cause of Infantile Liver Transplant.

Author

Yangın-Ergon E, Ermis N, Colak R, Polat B, Alkan-Ozdemir S, Yıldız M, Kulalı F, Omur-Ecevit C, Ergun O, and Calkavur S

Abstract

Introduction: Abernethy malformation is a very rare condition in which mesenteric venous blood is drained into systemic circulation by an extra hepatic portosystemic shunt. Here we present a case of a female in infantile period who is a liver transplant candidate with biliary atresia and ventricular septal defect (VSD) accompanying Abernethy malformation type 2., Case Report: The patient who underwent Kasai operation at postnatal day 35 was identified as a liver transplant candidate in the postnatal month 6 due to growth retardation in the infantile period, insufficient weight gain and liver failure (portal hypertension and massive gastrointestinal bleeding)., Conclusion: Abernethy malformation is divided into two groups as type 1 and type 2; type 2 shunts, which are less common, but more common in males, are not accompanied by other congenital anomalies. Due to the female gender, having biliary atresia and VSD, the development of liver failure at an early stage despite undergoing Kasai operation at the appropriate time, our case differs from the literature. In conclusion, this case is presented in order to indicate the proper and effective use of imaging methods in neonatal cholestasis cases. How to cite this article: Ergon EY, Ermis N, Colak R, Polat B, Ozdemir S, Yildiz M, Kulali F, Ecevit C, Ergun O, Calkavur S. Abernethy Malformation Type 2 and Biliary Atresia Coexistence: A Rare Cause of Infantile Liver Transplant. Euroasian J Hepatogastroenterol, 2018;8(2):163-166., Competing Interests: Source of support: Nil Conflict of interest: None

Published
2018
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34. Propranolol as the first-line therapy for infantile hemangiomas: preliminary results of two centers.

Author

Celik A, Tiryaki S, Musayev A, Kismali E, Levent E, and Ergun O

Subjects
Adrenergic beta-Antagonists administration & dosage, Adrenergic beta-Antagonists adverse effects, Child, Preschool, Feasibility Studies, Female, Follow-Up Studies, Hemangioma pathology, Humans, Infant, Male, Propranolol administration & dosage, Propranolol adverse effects, Treatment Outcome, Adrenergic beta-Antagonists therapeutic use, Hemangioma drug therapy, Propranolol therapeutic use
Abstract

Aim: Despite a mostly self-limiting course, infantile hemangiomas can cause severe functional and/or cosmetic problems. The aim of this study was to determine the efficiency of propranolol treatment on infantile hemangiomas., Methods: Sixty-seven infantile hemangioma patients were included in propranolol protocol in two institutions from 2009 to 2011. Participants included 36 boys and 31 girls. An associate protocol with radiology and pediatric cardiology was constructed for appropriate patient selection. Patients received a dose of 2 mg/kg/day, and all were admitted for the first 24 hours of therapy., Results: Sixty-seven patients were included in the study. Mean age at the initiation of therapy was 7 months (1 to 24 months), and eleven patients were older than 12 months of age when propranolol was started. All patients showed improvement with varying responses. No side effects were detected during the treatment., Conclusion: Previously defined treatments for hemangiomas were efficient, yet had a limited usage because of side effects. Propranolol, with a high efficacy (not as total involution but stabilization and regression) and feasibility deserves to be the first line therapy for infantile hemangiomas even after the proliferation phase.

Published
2012

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