- Is Previous Abdominal Surgery an Obstacle to Laparoscopic Bariatric Surgery? Indian Journal of Surgery, 2021
- The Effects of Laparoscopic Sleeve Gastrectomy on Metabolic Syndrome, Bariatric Surgical Practice and Patient Care, 2019
- Is Sleeve Gastrectomy or Roux-en-Y Gastric Bypass Better in Terms of Quality of Life? Bariatric Surgical Practice and Patient Care, 2021
- Helicobacter pylori Increases Gastric Compliance on Resected Stomach After Laparoscopic Sleeve Gastrectomy, Obesity Surgery, 2021
- Is It Possible to Estimate the Liver Left Lobe Volume Using Preoperative Data Before Bariatric Surgery? Obesity Surgery, 2022
- Does laparoscopic-guided transversus abdominis plane block have an effect on postoperative pain and recovery after sleeve gastrectomy? European Review for Medical & Pharmacological Sciences, 2022
- The impact of splenectomy on human lipid metabolism, Upsala Journal of Medical Sciences, 2022
- Changes in ghrelin, leptin and ınsulin levels after laparoscopic sleeve gastrectomy., Ege Tıp Dergisi, 2019
- Complications and management of natural orifice specimen extraction in colorectal cancer: a narrative review., Annals of Laparoscopic and Endoscopic Surgery, 2022
- Galectin-3 levels and inflammatory response in patients undergoing bariatric surgery., Cytokine, 2022
- Splenic surgery: a ten years experience of a tertiary center in Turkey., Annali italiani di chirurgia, 2022
- The Role of The Spleen in Atherosclerosis., Medical Science and Discovery, 2022
- Laser ablation in fistula-in-ano treatment: A single-center experience., Laparoscopic Endoscopic Surgical Science, 2022
- Acute appendicitis in pregnancy; A single center experience: Appendicitis in Pregnancy., Aegean Journal of Obstetrics and Gynecology, 2022
- Retrospective Analysis of 53 Cases who Developed Colon Fistula., International Archives of Medical Research, 2022
- Can revision of RYGB to sleeve gastrectomy be a solution to inadequate weight loss treatment?, Cirugía y cirujanos, 2022
- Management of the staple line bleeding in laparoscopic sleeve gastrectomy: monopolar cautery versus oversewing., Cirugía y cirujanos, 2022
- The association between psoas muscle area index and morbidity/mortality in laparoscopic gastric cancer surgery., Medicine, 2022
- Ten years single center bariatric surgery experience., Laparoscopic Endoscopic Surgical Science, 2021
- Primary Aortoduodenal Fistula in Patients with Rheumatoid Arthritis., Clinical and Experimental Health Sciences, 2017
- Rare Isolated Necrosis of the Cecum., Medicine Science, 2016
- The best treatment option in colorectal foreign bodies; simplicity: Experience of two centers., Acta Medica Mediterranea, 2014
A Comparative Analysis of the Liver Retraction with Long Surgical Gauze in Three-Port Sleeve Gastrectomy and the Four-Port Nathanson Retractor Technique
By
Ertekin, SC (Ertekin, Suleyman Caglar) [1] , [2] ; Onsal, U (Onsal, Ufuk) [3] ; Turgut, E (Turgut, Emre) [2] ; Akyol, H (Akyol, Huseyin) [1] ; Unver, M (Unver, Mutlu) [2] , [3] ; Demirpolat, MT (Demirpolat, Muhammed Taha) [4] ; Akbulut, G (Akbulut, Gokhan) [2]
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Source
DOI
10.1007/s11695-024-07663-x
Early Access
JAN 2025
Indexed
2025-01-13
Document Type
Article; Early Access
Jump to
Abstract
Background This study evaluated the long surgical gauze (SurG) technique as a liver retraction method in laparoscopic sleeve gastrectomy (LSG). Traditional methods involve the Nathanson retractor, associated with ischemia and necrosis complications. In addition, these techniques require an additional trocar with an incision that increases postoperative pain. Our aim, therefore, was to reduce such complications through the use of SurG and evaluate recovery and outcome implications. Methods In this retrospective study, patients who underwent laparoscopic sleeve gastrectomy (LSG) between January and December 2023 were divided into two groups based on the liver retraction method used: NR or SurG. Demographic data, surgery times, postoperative liver enzyme levels (AST, ALT), C-reactive protein (CRP), pain scores, and analgesic use (VAS) were collected from medical records and statistically analyzed. Results The SurG group demonstrated significantly lower postoperative pain scores and reduced analgesic use compared to the NR group (p < 0.001). Additionally, liver enzyme levels (AST, ALT, CRP) were lower in the SurG group, indicating less liver stress. Early mobilization was achieved more quickly in the SurG group, aligning with Enhanced Recovery After Surgery (ERAS) protocols. However, the SurG method showed some limitations during the dissection of the greater curvature due to the narrower field of view. Conclusions The long surgical gauze method provides a viable alternative to the Nathanson retractor, offering advantages such as less postoperative pain, reduced liver stress, and quicker mobilization. Despite some technical limitations, this method can improve patient outcomes in sleeve gastrectomy.
Keywords
Author Keywords
Obesity surgery Liver retraction Long surgical gauze Liver enzymes ERAS
Evaluation of Veress Needle as a Liver Retraction Technique in Laparoscopic Sleeve Gastrectomy
By
Ertekin, SC (Ertekin, Suleyman Caglar) [1] , [2] ; Akbulut, G (Akbulut, Gokhan) [3] ; Turgut, E (Turgut, Emre) [3] ; Akyol, H (Akyol, Huseyin) [1] ; Ergenç, M (Ergenc, Muhammer) [4] ; Yegen, C (Yegen, Cumhur) [4]
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Source
Volume
32
Issue
2
Page
85-93
DOI
10.1177/15533506241305894
Published
APR 2025
Early Access
DEC 2024
Indexed
2024-12-13
Document Type
Article
Jump to
Abstract
Background; Liver retraction management in laparoscopic sleeve gastrectomy (LSG) is challenging for surgeons, especially in patients with enlarged livers. Traditional methods, such as the Nathanson retractor (NR), often necessitate additional incisions, potentially increasing liver enzymes and increasing the risk of complications. The aim of this study was to evaluate the efficacy of the use of a Veress needle (VN), an alternative liver retraction technique, in LSG surgery compared with NR. Materials and Methods: This study was conducted at a university-affiliated hospital between May 2022 and December 2022. Patients who underwent LSG were divided into two groups: one utilizing the NR and the other employing the VN for liver retraction. Parameters such as operation duration, retraction time, liver laceration, trocar-induced hemorrhage, subxiphoid trocar site infections, pain scores measured via the visual analog scale (VAS) at various time points, pre- and postoperative liver enzyme levels (AST, ALT, GGT, ALP) and CRP levels were analyzed. Results: Data from 151 patients were analyzed. The AST/ALT elevations (P < 0.001) were significantly lower in the VN group (73 patients) than in the NR group (78 patients), while there was no significant difference in GGT/ALP levels. Retraction-related bleeding was significantly greater in the NR group than in the VN group (6.4% vs 0%, P = 0.035). Postoperative infection rate was lower in the VN group but not statistically significant (0% vs 3.8%, P = 0.135). CRP differences were significant on the first postoperative day (P < 0.001). Postoperative VAS scores were significantly lower in the VN group at all measured time points except at the 48th hour and 10th day. Conclusions: The VN technique in LSG significantly reduces liver enzyme elevation and the need for an extra trocar and incision, potentially lowering complication risk and enhancing patient outcomes.
Keywords
Author Keywords
veress needle obesity surgery liver enzymes liver retraction
Can revision of RYGB to sleeve gastrectomy be a solution to inadequate weight loss treatment?
By
Okut, G (Okut, Gokalp) [1] , [2] ; Turgut, E (Turgut, Emre) [1] ; Kaplan, K (Kaplan, Kuntay) [1] ; Sumer, F (Sumer, Fatih) [1] ; Kayaalp, C (Kayaalp, Cuneyt) [1]
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Source
Volume
90
Page
25-30
Supplement
1
DOI
10.24875/CIRU.21000458
Published
JUL 2022
Indexed
2022-11-15
Document Type
Article
Abstract
We aimed to discuss the weight loss success of the revision of RYGB to sleeve gastrectomy (SG). Between January 2019 and June 2020, four patients' files were analyzed retrospectively. Post-RYGB mean minimal BMI was 27.4 +/- 9.47 kg/m2, be-fore SG the mean BMI was 43.41 +/- 4.16 kg/m2. Post-operative gastric fistula developed in two patients. The mean follow-up time after revision surgery was 17.25 +/- 6.89 months, mean excess weight loss (EWL) was 74.77 +/- 8.94%, and mean BMI was 32.65 +/- 2.9 kg/m2. Despite high rate of major complications, revision of RYGB to SG is successful in weight loss and resolving certain complications of RYGB.
Keywords
Author Keywords
RYGB Revision surgery Weight regain Sleeve gastrectomy
Management of the staple line bleeding in laparoscopic sleeve gastrectomy: monopolar cautery versus oversewing
By
Okut, G (Okut, Gokalp) [1] , [3] ; Turgut, E (Turgut, Emre) [1] ; Kaplan, K (Kaplan, Kuntay) [1] ; Karahan, M (Karahan, Mehmet) [1] ; Bag, YM (Bag, Yusuf M.) [1] ; Sumer, F (Sumer, Fatih) [1] ; Kayaalp, C (Kayaalp, Cuneyt) [2]
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Source
Volume
90
Page
115-120
Supplement
1
DOI
10.24875/CIRU.21000835
Published
JUL 2022
Indexed
2022-11-15
Document Type
Article
Abstract
Objective: Staple line bleeding control (SLBC) after laparoscopic sleeve gastrectomy (LSG) is a serious problem. Cauterization alone is generally not preferred because of concerns about weakening the staple line. The aim of this study was to compare the suturing and monopolar cauterization methods for SLBC in LSG. Methods: 212 patients were divided into two groups as cautery and suture groups. Demographic characteristics, intraoperative, and post-operative results were analyzed. Results: Post-operative complications were seen in seven patients, four of them staple line bleeding (three patients were in the cautery group and one patient was in the suture group), and three of them leakage (all patients were in the suture group) from the staple line. There was no significant difference between the groups in terms of staple line bleeding (p = 0.35), staple line leakage (p = 0.09), blood loss (p = 0.12), intraoperative complications (p = 0.16), post-operative hemoglobin decrease (p = 0.63), and length of hospital stay (p = 0.35), but the operation time was longer in the suture group. Conclusion: This is the first study in literature comparing monopolar cauterization with another technique. Monopolar cauterization can be used for SLBC in LSG. It is a safe and efficient method as well as inexpensive.
Keywords
Author Keywords
Laparoscopy Sleeve gastrectomy Monopolar cautery Staple line Hemostasis
Complications and management of natural orifice specimen extraction in colorectal cancer: a narrative review
By
Zengin, A (Zengin, Akile) [1] ; Okut, G (Okut, Gokalp) [2] ; Turgut, E (Turgut, Emre) [3]
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Source
ANNALS OF LAPAROSCOPIC AND ENDOSCOPIC SURGERY
Volume
7
DOI
10.21037/ales-22-18
Published
JUL 2022
Early Access
JUN 2022
Indexed
2022-07-20
Document Type
Review
Abstract
Background and Objective: Surgery is the principal treatment for colorectal cancer today. As minimally invasive surgical approaches develop, the mini-laparotomy has been used for specimen extraction. To reduce the pain and incision-related complications associated with mini-laparotomy incisions, the technique of natural orifice specimen extraction (NOSE) has been developed and gained popularity over the years. In colorectal surgery, depending on the tumor location and gender of the patient, transanal, transrectal, transcolonic or transvaginal (TV) NOSE routes can be chosen as an addition to laparoscopic surgery. While the advantages of the NOSE technique are well documented, complications, the management of complications and postoperative outcomes can still be challenging. The purpose of this review article is to analyze complications of nose in colorectal cancer surgery and their treatment.Methods: A literature review of the last 11 years in English was researched using PubMed and Google Scholar databases to identify articles on NOSE complications in colorectal cancer surgery.Key Content and Findings: Perioperative complications of NOSE in colorectal cancer surgery include anastomotic leakage, fecal incontinence, intra-abdominal contamination, intraoperative iatrogenic organ injuries, dysperonia, rectovaginal fistula (RVF), and recurrence at the specimen extraction site.Conclusions: To minimize complications, an experienced surgical team is essential. Also, patient selection is of utmost importance. Other important steps to consider are the diameter of the tumor, depth of invasion, and physical characteristics of the patient, as well as strict compliance to the rules of intraoperative asepsis, irrigation of the tissue with the appropriate solution before opening the distal rectal/colonic stump, and the use of a protective specimen sheath before removing the specimen.
Keywords
Author Keywords
Natural orifice leakage haemorrhage dyspareunia incontinence malignancy
Is It Possible to Estimate the Liver Left Lobe Volume Using Preoperative Data Before Bariatric Surgery?
By
Okut, G (Okut, Gokalp) [1] ; Turgut, E (Turgut, Emre) [1] ; Kaplan, K (Kaplan, Kuntay) [1] ; Bag, YM (Bag, Yusuf Murat) [1] ; Sumer, F (Sumer, Fatih) [1] ; Kayaalp, C (Kayaalp, Cuneyt) [1]
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Source
Volume
32
Issue
8
Page
2696-2705
DOI
10.1007/s11695-022-06143-4
Published
AUG 2022
Early Access
JUN 2022
Indexed
2022-06-22
Document Type
Article
Jump to
Abstract
Y Purpose Retraction of the left lobe of the liver (LLL) is an important step in bariatric surgical procedures. A good liver retraction will both facilitate the operation and reduce complications. The aim of the study is to identify patients with large LLL with preoperative anthropometric and laboratory data, and to reveal complications due to large LLL.
Materials and Methods The data of 245 patients who underwent bariatric surgery in our department between April 2019 and March 2021 were retrospectively analyzed. The patients were divided into two groups according to the visibility of the caudate lobe of the liver, the left diaphragmatic artery-vein, and the fat pad on the esophagus after liver retraction.
Results Univariate analyses revealed significant differences in BMI, waist and hip circumferences, TG, DM, and HbA1c values, but only BMI (p = 0.001) and the presence of DM (p = 0.017) were found to be independent predictors of LLL size. BMI >= 42.1 kg/m(2) indicates the size of LLL with 83% sensitivity and 49% specificity. Retractor-related complications were significantly higher in the large LLL group (p = 0.036). There was no difference between the two groups in terms of complications related to trocar insertion (p = 0.014) and postoperative liver enzyme levels (p = 0.714). The operation time (laparoscopic sleeve gastrectomy [LSG]; p = 0.021) (laparoscopic Roux-N-Y gastric bypass [LRYGB]; p = 0.020) and the amount of bleeding (LSG; p < 0.001) (LRYGB; p = 0.011) are higher in patients with large LLL.
Conclusion Large LLL can be predicted and complications may be reduced with the help of preoperative data.
Keywords
Author Keywords
Bariatric surgery Liver volume Liver retraction
The impact of splenectomy on human lipid metabolism
By
Gunes, O (Gunes, Orgun) [1] ; Turgut, E (Turgut, Emre) [2] ; Bag, YM (Bag, Yusuf Murat) [3] ; Gundogan, E (Gundogan, Ersin) [4] ; Gunes, A (Gunes, Ajda) [5] ; Sumer, F (Sumer, Fatih) [6]
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Source
UPSALA JOURNAL OF MEDICAL SCIENCES
Volume
127
Issue
1
DOI
10.48101/ujms.v127.8500
Article Number
e8500
Published
JUN 7 2022
Indexed
2022-06-26
Document Type
Article
Jump to
Abstract
Background: Splenectomy impacts hematological, immunological, and metabolic functions of the patient. Since our understanding of its metabolic effects, in particular effects on lipid metabolism, is limited, this study aims to investigate the effects of splenectomy on lipid metabolism.
Methods: The data from 316 patients undergoing splenectomy between 2009 and 2019 were retrospectively analyzed. Thirty- eight patients whose serum lipid values were measured both preoperatively and 1 year after surgery were included in this study.
Results: Significantly higher levels of total cholesterol, low-density lipoprotein (LDL), and non-high-density lipoprotein (HDL) lipid profile were found in the postsplenectomy measurements. However, no significant differences were recorded in levels of triglyceride, HDL, or very-LDL.
Conclusion: We determined that splenectomy does impact lipid metabolism, and that the metabolic effects of splenectomy should further be investigated.
Keywords
Author Keywords
atherosclerosis hyperlipidemia autotransplantation homeostasis coronary lipoprotein
Galectin-3 levels and inflammatory response in patients undergoing bariatric surgery
By
Aksit, MZ (Aksit, Merve Zeytinli) [1] ; Arslan, FD (Arslan, Fatma Demet) [1] ; Karakoyun, I (Karakoyun, Inanc) [1] ; Aydin, C (Aydin, Cengiz) [2] ; Turgut, E (Turgut, Emre) [2] ; Parildar, H (Parildar, Hulya) [3] ; Gokbalci, U (Gokbalci, Umut) [3] ; Basok, BI (Basok, Banu Isbilen) [1] ; Duman, C (Duman, Can) [1] ; Emiroglu, M (Emiroglu, Mustafa) [2]
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Source
Volume
151
DOI
10.1016/j.cyto.2022.155793
Article Number
155793
Published
MAR 2022
Early Access
JAN 2022
Indexed
2022-06-17
Document Type
Article
Jump to
Abstract
Purpose: Obesity, a low-grade systemic inflammatory disease, causes inflammation in metabolic tissues. Galectin3(Gal-3) is one of the lectin molecules involved in inflammatory processes. We evaluated the possible relationship between Gal-3 level and the metabolic inflammatory process before and after obesity surgery.
Methods: One hundred participants were included in the study and classified as normal weight, overweight, Class I, II, and III obese. Class III obese group underwent bariatric surgery and evaluated in the 3rd and 6th months after surgery. Glucose, insulin, glycated hemoglobin A1c (HbA1c), homeostatic model assessment of insulin resistance (HOMA-IR), high sensitivity C-reactive protein (hsCRP), Gal-3, interleukin (IL)-6, IL-10, adiponectin, and leptin levels were determined.
Results: Gal-3 levels were higher in Class III obese compared to the normal weight group. Postoperative leptin and hsCRP levels were decreased significantly, but the decrease in IL-6 and Gal-3 levels were not significant. Postoperative increased adiponectin and IL-10 levels were significant. Gal-3 was found significantly higher in insulin resistant group. The correlation between Gal-3 with BMI, adiponectin, leptin, hsCRP levels, and HOMA-IR was found weak.
Conclusion: These findings might support the fact that Gal-3 is one of the molecules involved in the linkage between insulin resistance and meta-inflammation in morbid obese.
Keywords
Author Keywords
Bariatric surgery Obesity Inflammation Insulin resistance Galectin-3
Splenic surgery: a ten years experience of a tertiary center in Turkey
By
Gunes, O (Gunes, Orgun) [1] ; Bag, YM (Bag, Yusuf Murat) [2] ; Turgut, E (Turgut, Emre) [3] ; Gunes, A (Gunes, Ajda) [4] ; Sumer, F (Sumer, Fatih) [3] ; Kayaalp, C (Kayaalp, Cuneyt) [3]
(provided by Clarivate)
Source
Volume
93
Issue
1
Page
59-64
Article Number
PII S0003469X22037307
Published
JAN-FEB 2022
Indexed
2022-12-14
Document Type
Article
Abstract
AIM: Splenectomy has been performed for various indications. In this study, we aimed to present the experience of a tertiary center on splenic surgery and analyze what has changed in the last 10 years.
MATERIAL AND METHODS: Three hundred and sixteen patients who underwent splenic surgery were enrolled in the study. Demographic data, comorbidities, American Society of Anesthesiologists score, indications, operation type, postoperative complications, and mortality were analyzed retrospectively.
RESULTS: The most common indication was traumatic splenic injury. Immune thrombocytopenic purpura (ITP) and gastric cancer were the second and third. Splenectomy was performed on 300 (94.9%) patients. Splenorrhaphy, partial splenectomy, and splenopexy were the other procedures performed. Postoperative complications occurred in almost onethird of the patients (n=118, 37.3%). Most of them were grade 5 according to the Clavien-Dindo classification.
CONCLUSIONS: Splenectomy has become a less preferred treatment option with the development of non-operative management in splenic trauma, medical treatments for hematological diseases, and a better understanding of the immune, hematological and metabolic functions of the spleen. In the future, minimally invasive and spleen-sparing surgeries will be performed more frequently for patients who need splenectomy even for those with trauma.
Keywords
Author Keywords
Cyst Hematology Laparoscopy Sepsis Splenectomy Trauma
Does laparoscopic-guided transversus abdominis plane block have an effect on postoperative pain and recovery after sleeve gastrectomy?
By
Okut, G (Okut, G.) [1] ; Turgut, E (Turgut, E.) [2] ; Kaplan, K (Kaplan, K.) [3] ; Bag, YM (Bag, Y. M.) [4] ; Akbas, S (Akbas, S.) [5] ; Sumer, F (Sumer, F.) [6] ; Kayaalp, C (Kayaalp, C.) [7]
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Source
EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES
Volume
26
Issue
15
Page
5406-5412
Published
2022
Indexed
2022-10-22
Document Type
Article
Abstract
- OBJECTIVE: Postoperative pain management is thought to have an effect on pa-tient comfort, morbidity, and mortality after bar-iatric surgery. Local anesthetic agents are fre-quently used for this purpose. Local anesthetics can be used in many different ways. In this study, we aimed to investigate the effect of transversus abdominis plane (TAP) block on postoperative pain by laparoscopic method.PATIENTS AND METHODS: A prospective randomized clinical trial was performed. While TAP block was applied to one group with bupiv-acaine, no action was taken for the other group. Postoperative analgesia was given to both pa-tient groups with the "patient-controlled anal-gesia (PCA)" device. Demographic, operational, and postoperative clinical and pain data of the patients were recorded. RESULTS: TAP block and non-TAP block groups consisted of 30 patients each. Visual analog scale (VAS) scores of the patients at 6, 12, and 24 hours were lower in the TAP group compared to the non -TAP group (p=0.015, 0.018, 0.04, respectively). Ac-cording to the PCA device data, the analgesic re-quirement was lower in the TAP group at 6, 12, and 24 hours (p <0.001). Rescue analgesia was re-quired more in the non-TAP group (p=0.04). There was no statistically significant difference between the two groups in terms of gas discharge time (p=0.102), stool discharge occurred earlier in the TAP group (p=0.02). Oral intake times (p=0.554) and length of stay hospital (p=0.551) were similar.CONCLUSIONS: Laparoscopic TAP block us-ing bupivacaine can be safely administered in morbidly obese patients and reduces postoper-ative analgesic requirements. Thus, side effects that may develop secondary to the use of anal-gesics are avoided.
Keywords
Author Keywords
Sleeve gastrectomy TAP block Bupivacaine
Does laparoscopic-guided transversus abdominis plane block have an effect on postoperative pain and recovery after sleeve gastrectomy?
By
Okut, G (Okut, G.) [1] ; Turgut, E (Turgut, E.) [2] ; Kaplan, K (Kaplan, K.) [3] ; Bag, YM (Bag, Y. M.) [4] ; Akbas, S (Akbas, S.) [5] ; Sumer, F (Sumer, F.) [6] ; Kayaalp, C (Kayaalp, C.) [7]
(provided by Clarivate)
Source
EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES
Volume
26
Issue
15
Page
5406-5412
Published
2022
Indexed
2022-10-22
Document Type
Article
Abstract
- OBJECTIVE: Postoperative pain management is thought to have an effect on pa-tient comfort, morbidity, and mortality after bar-iatric surgery. Local anesthetic agents are fre-quently used for this purpose. Local anesthetics can be used in many different ways. In this study, we aimed to investigate the effect of transversus abdominis plane (TAP) block on postoperative pain by laparoscopic method.PATIENTS AND METHODS: A prospective randomized clinical trial was performed. While TAP block was applied to one group with bupiv-acaine, no action was taken for the other group. Postoperative analgesia was given to both pa-tient groups with the "patient-controlled anal-gesia (PCA)" device. Demographic, operational, and postoperative clinical and pain data of the patients were recorded. RESULTS: TAP block and non-TAP block groups consisted of 30 patients each. Visual analog scale (VAS) scores of the patients at 6, 12, and 24 hours were lower in the TAP group compared to the non -TAP group (p=0.015, 0.018, 0.04, respectively). Ac-cording to the PCA device data, the analgesic re-quirement was lower in the TAP group at 6, 12, and 24 hours (p <0.001). Rescue analgesia was re-quired more in the non-TAP group (p=0.04). There was no statistically significant difference between the two groups in terms of gas discharge time (p=0.102), stool discharge occurred earlier in the TAP group (p=0.02). Oral intake times (p=0.554) and length of stay hospital (p=0.551) were similar.CONCLUSIONS: Laparoscopic TAP block us-ing bupivacaine can be safely administered in morbidly obese patients and reduces postoper-ative analgesic requirements. Thus, side effects that may develop secondary to the use of anal-gesics are avoided.
Keywords
Author Keywords
Sleeve gastrectomy TAP block Bupivacaine
Helicobacter pylori Increases Gastric Compliance on Resected Stomach After Laparoscopic Sleeve Gastrectomy
By
Kaplan, K (Kaplan, Kuntay) [1] ; Turgut, E (Turgut, Emre) [1] , [2] ; Okut, G (Okut, Gokalp) [1] ; Bag, YM (Bag, Yusuf Murat) [3] ; Sumer, F (Sumer, Fatih) [4] ; Kayaalp, C (Kayaalp, Cuneyt) [5]
(provided by Clarivate)
Source
Volume
31
Issue
11
Page
4776-4780
DOI
10.1007/s11695-021-05616-2
Published
NOV 2021
Early Access
AUG 2021
Indexed
2021-08-11
Document Type
Article
Jump to
Abstract
Background The relationship between high body mass index (BMI) and Helicobacter pylori (HP) was reported previously. But the mechanism is not clear. We aimed to evaluate the effect of HP on gastric compliance and volumes in obese patients. Materials and Methods One hundred fifty-nine patients who underwent sleeve gastrectomy due to morbid obesity were enrolled in the study and were divided into two groups as HP+ (n = 86) and HP- (n = 73) according to the HP status in resection materials. Demographics, pathological data, specimen sizes, volume, and compliance were retrospectively analyzed. Results The median age of the study group was 34 years (17-64 years) while the median BMI was 43 kg/m(2) (35-64, 3 kg/m(2)). Most of the patients (n = 134, 84.3%) were female. The median diameter of the widest point of the specimen was 22.5 cm (14-32 cm), and the median volume of the specimen was 790 cc (330-1920 cc). Both the diameter of the widest point and the volume of the specimens were significantly increased in the HP+ group compared to the HP- group (p < 0.001 and p = 0.017, respectively). In addition, the median compliance was 52.6 cc/mmHg, and the compliance was significantly higher (p < 0.001) in the HP+ group. There were no significant differences in specimen sizes between the two groups. Conclusion This is the first study showing that HP increases gastric compliance in obese patients who underwent LSG. The etiology and the effects of this increase in compliance have not been fully clarified yet. Further studies are needed to shed light on these effects.
Keywords
Author Keywords
Sleeve Gastric compliance Gastric volume Viscoelasticity Helicobacter pylori
Is Previous Abdominal Surgery an Obstacle to Laparoscopic Bariatric Surgery?
By
Turgut, E (Turgut, Emre) [1] ; Kaplan, K (Kaplan, Kuntay) [1] ; Okut, G (Okut, Gokalp) [1] ; Bag, YM (Bag, Yusuf Murat) [1] ; Sumer, F (Sumer, Fatih) [1] ; Kayaalp, C (Kayaalp, Cuneyt) [1]
(provided by Clarivate)
Source
DOI
10.1007/s12262-021-02981-1
Early Access
JUN 2021
Indexed
2021-06-27
Document Type
Article; Early Access
Jump to
Abstract
It is generally considered that a previous history of abdominal surgery can negatively impact the patient's perioperative course. But the effects of it on laparoscopic bariatric surgery have not been sufficiently documented. Therefore, our study aims to analyse the impact of previous abdominal surgery on patients undergoing bariatric surgery. Data from patients who underwent surgery between January 2011 and November 2019 was analysed retrospectively. The study population was divided into the following four groups: those with no history of previous abdominal surgery (group A), those who had previously undergone lower abdominal (group B), upper abdominal (group C) and those who had both lower and upper abdominal surgery (group D). Patients' demographic data, type of surgical procedure, operative time, length of hospitalization, perioperative and postoperative complications were recorded for each patient in the database. In the case of 4 (0.3%) patients, conversion to open surgery from a laparoscopic intervention was required. No significant difference was found between the groups with previous abdominal surgery in terms of intraoperative complications (p: 0.551). The rate of postoperative complications was higher in patients who had previously undergone upper abdominal surgery; however, the difference in this rate compared to the other groups was found to be statistically insignificant (p: 0.189). We believe that during the decision-making process, neither patients nor surgeons should see previous abdominal surgery as an obstacle to laparoscopic bariatric surgery, thus permitting more freedom in selecting the most appropriate type of surgery for the patient.
Keywords
Author Keywords
Bariatric Obesity Laparoscopic Surgery Previous surgery
Is Sleeve Gastrectomy or Roux-en-Y Gastric Bypass Better in Terms of Quality of Life?
By
Turgut, E (Turgut, Emre) [1] ; Okut, G (Okut, Gokalp) [1] ; Kaplan, K (Kaplan, Kuntay) [1] ; Bag, YM (Bag, Yusuf Murat) [1] ; Sumer, F (Sumer, Fatih) [1] ; Kayaalp, C (Kayaalp, Cuneyt) [1]
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Source
BARIATRIC SURGICAL PRACTICE AND PATIENT CARE
Volume
16
Issue
3
Page
174-177
DOI
10.1089/bari.2020.0138
Published
SEP 1 2021
Early Access
MAR 2021
Indexed
2021-03-29
Document Type
Article
Jump to
Abstract
Introduction: Obesity has increased in frequency over recent years. Laparoscopic sleeve gastrectomy (LSG) is the most commonly used technique worldwide, followed by the laparoscopic Roux-en-Y gastric bypass (LRYGB). This study aims to compare the effects of these two techniques, LSG and LRYGB, on the patients' quality of life.
Material and Methods: All patients who underwent surgery or postoperative checkups at our obesity clinic between December 2018 and December 2019 completed two face-to-face questionnaires: the Short Form 36 Health Survey and the Obesity-related Problems Scale. Information on each patient such as demographic data, American Society of Anesthesiologists scores, any previous surgeries, preoperative and/or postoperative complications, the type of surgery, and time elapsed since surgery was compared, retrospectively.
Results: No significant statistical differences were found between the two procedures. A significant improvement in the postoperative quality of life was observed in all patients. Scores for female patients were observed to be lower than for male patients. No significant statistical difference was observed between the two age groups (50 years and older or <50 years) for either the LSG or LRYGB patients. Higher body mass index levels have prolonged hospital stay and score lower on many of the parameters.
Keywords
Author Keywords
sleeve bypass quality of life survey
Von Wahl Sign in Sigmoid Volvulus Patient with Cerebrovascular Disease
By
Uylas, U (Uylas, Ufuk) ; Gundogdu, R (Gundogdu, Ramazan) [1] ; Turgut, E (Turgut, Emre) [2]
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Source
Volume
32
Issue
3
Page
476-478
DOI
10.12996/gmj.2021.111
Published
2021
Indexed
2021-07-16
Document Type
Article
Jump to
Abstract
In addition to radiological imaging, physical examination is also of great importance in the diagnosis of sigmoid volvulus. The presence of a palpable sigmoid colon on abdominal examination is known as the von Wahl sign. A 77-year-old female patient with a history of paraplegia caused by CVD was admitted to the emergency service with abdominal pain and obstipation. Abdominal examination of the patient revealed asymmetric distension in the abdomen in inspection and von Wahl sign in palpation. The coffee bean appearance on the plain radiograph supported the sigmoid volvulus. Successful colonoscopic detorsion was applied to the patient. Six months later, sigmoid volvulus recurrence occurred in the patient who refused elective surgery. Sigmoid colon resection and Hartmann's procedure were performed. The patient, who developed respiratory failure, died on the second postoperative day. In addition to imaging in patients with neurodegenerative disease, findings such as von Wahl sign in the physical examination are supportive in the diagnosis of sigmoid volvulus.
Keywords
Author Keywords
Sigmoid volvulus colon von Wahl sign coffee bean sign endoscopy
The Effects of Laparoscopic Sleeve Gastrectomy on Metabolic Syndrome
By
Turgut, E (Turgut, Emre) [1] ; Aydin, C (Aydin, Cengiz) [2] ; Ugurlu, L (Ugurlu, Levent) [2]
(provided by Clarivate)
Source
BARIATRIC SURGICAL PRACTICE AND PATIENT CARE
Volume
14
Issue
4
Page
172-177
DOI
10.1089/bari.2019.0011
Published
DEC 2019
Early Access
AUG 2019
Indexed
2019-08-26
Document Type
Article; Proceedings Paper
Conference
Meeting
21st National Surgery Congress / 16th Surgical Nursing Congress
Location
Antalya, TURKEY
Date
APR 11-15, 2018
Abstract
Purpose: Obesity is an important component of metabolic syndrome. In this study, we aim to research the effect of laparoscopic sleeve gastrectomy (LSG) on metabolic syndrome. Methods: A total of 164 patients who had undergone LSG between January 2013 and August 2016 were included in the study. Data collected from preoperative examinations and follow-ups until the 12th month postoperation were retrospectively analyzed. Results: A total of 86.6% of patients were female and 13.4% were male. The average age was 36.6 years and average body mass index was 45.5 kg/m(2). Excess weight loss was 48.5% in month 3, 67% in month 6, and 83.7% in month 12. The number of patients diagnosed with metabolic syndrome preoperatively was 118; this number dropped to 29 by the 6th month and to 11 by the 12th month. Conclusions: LSG is a very effective procedure for treating metabolic syndrome, which is considered an important cause of mortality and morbidity.
Keywords
Author Keywords
sleeve gastrectomy metabolic syndrome laparoscopic
Primary Aortoduodenal Fistula in Patients with Rheumatoid Arthritis
By
Kuzukiran, D (Kuzukiran, Dilek) [1] ; Sert, I (Sert, Ismail) [1] ; Turgut, E (Turgut, Emre) [1] ; Capkis, Y (Capkis, Yahya) [1] ; Ipekci, F (Ipekci, Fuat) [1]
(provided by Clarivate)
Source
CLINICAL AND EXPERIMENTAL HEALTH SCIENCES
Volume
7
Issue
4
Page
175-177
DOI
10.5152/clinexphealthsci.2017.261
Published
DEC 2017
Indexed
2017-12-06
Document Type
Article
Abstract
Primary aortoduodenal fistula (PADF) develops between the aorta and duodenum in the presence of an aortic aneurysm. Although rare, it causes life-threatening conditions. A common clinical presentation is gastrointestinal bleeding. Palpable abdominal mass and abdominal pain are other clinical symptoms. Recently, computed tomography scan with intravenous contrast and endoscopy have been commonly used for diagnosis. Despite physical examination, endoscopy, and radiological evaluation, diagnosis can be challenging due to uncommon location of gastrointestinal bleeding. Here we present a case of PADF in combination with morgagni hernia and acute mesenteric ischemia in a patient with rheumatoid arthritis.
Keywords
Author Keywords
Aortoduodenal fistula rheumatoid arthritis gastrointestinal bleeding
THE BEST TREATMENT OPTION IN COLORECTAL FOREIGN BODIES; SIMPLICITY: EXPERIENCE OF TWO CENTERS
By
Ünver, M (Unver, Mutlu) [1] ; Öztürk, S (Ozturk, Safak) [1] ; Ölmez, M (Olmez, Mustafa) [1] ; Kumkumoglu, Y (Kumkumoglu, Yusuf) [2] ; Zalluhoglu, N (Zalluhoglu, Nihat) [1] ; Bozbiyik, O (Bozbiyik, Osman) [1] ; Kebapçi, E (Kebapci, Eyup) [1] ; Erol, V (Erol, Varlik) [1] ; Dogan, SM (Dogan, Sait Murat) [1] ; Ugurlu, L (Ugurlu, Levent) [1] ;
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Source
Volume
30
Issue
3
Page
737-741
Published
2014
Indexed
2014-12-10
Document Type
Article
Abstract
Introduction: Rectal foreign bodies often cause a serious challenge on the clinician. Objects can be inserted for diagnostic or therapeutic purposes, or self-treatment of arzorectal disease, by criminal assault and accident but most commonly, for sexual purposes. We aimed to evaluate patients with foreign bodies in rectum and review the management strategy of these patients in this paper.
Materials and methods: The data of all the patients who were treated in Tepecik Education and Research Hospital and Atatiirk Education and Research Hospital, General Surgery Departments during a 7 years period between 2006 and 2013 were retrospectively analysed.
Results: A total of 36 patients, 33 men and 3 women, were admitted with retained rectal foreign body or associated complications. The age range was from 14 to 71 years. The time to presentation and extraction of the foreign body is a range of 4 hours to 15 days. 8 of 36 patients underwent surgery.
Discussion: Colorectal foreign bodies are usually inserted for sexual activity. Physical and rectal examination, rectosigmoidoscopy and plain radiograms should be routinezed for diagnosis and localisation. The first principle in treatment is simplicity. At least 24 hours of observation while eliminating perforation with repeated physical examinations and plain abdominal x rays is necessary for cases whom the extraction of the object achieved via anus.
Keywords
Author Keywords
Colorectal foreign body simplicity
Left sided Amyand's hernia
By
Unver, M (Unver, Mutlu) [1] ; Ozturk, S (Ozturk, Safak) [1] ; Karaman, K (Karaman, Kerem) [1] ; Turgut, E (Turgut, Emre) [1]
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Source
WORLD JOURNAL OF GASTROINTESTINAL SURGERY
Volume
5
Issue
10
Page
285-286
DOI
10.4240/wjgs.v5.i10.285
Published
OCT 27 2013
Indexed
2013-10-27
Document Type
Letter
Abstract
The presence of the appendix in an inguinal hernia sac has been referred to as Amyand's hernia. Vermiform appendix located in an external hernia sac is not an uncommon condition, and the incidence of these cases is approximately 1%. In Amyand's hernias, appendices are frequently found in the hernia sac; but an incarceration particularly on the left side is a very unusual sight. In this report we present 32-year-old male with Amyand's hernia on the left side. (C) 2013 Baishideng. All rights reserved.
Keywords
Author Keywords