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Zekeriya İlçe

Ümraniye Eğitim ve Araştırma Hastanesi

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Turan Yıldız

Inonu University

Sinan Celayir

Istanbul University-Cerrahpaşa

Zeliha Akış Yıldız

Ümraniye Eğitim ve Araştırma Hastanesi

Ergun Erdoğan

Ludwig-Maximilians-Universität München

Sevim Yener

Sağlık Bilimleri Üniversitesi

Aysel Yucak

Sakarya University

Mehmet Arpacık

Sağlık Bilimleri Üniversitesi

Daver Yeker

Istanbul University

CŞ

Ceyhan Şahin

Ümraniye Eğitim ve Araştırma Hastanesi

Sevim Yener

Ümraniye Eğitim ve Araştırma Hastanesi

Cooperative Institutions

Sağlık Bilimleri Üniversitesi

Istanbul University

Ümraniye Eğitim ve Araştırma Hastanesi

Istanbul University-Cerrahpaşa

University of Health Science

Sakarya University

University of Health Sciences

Düzce Üniversitesi

Bolu Abant İzzet Baysal University

Kocaeli Üniversitesi

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A Rare Cause of Chylothorax in Children: Gorham-Stout Syndrome

Turkish Journal of Pediatric Disease (2018)

Engin Aydın Aysel Yucak Turan Yıldız Zekeriya İlçe Bahri Elmas

Gorham-Stout disease is a complex disease in which lytic lesions of bone tissue are accompanied by chylothorax and abdominal lymphangioma.The etiology is still unknown.The diagnosis is made by the patient's clinical and laboratory findings and biopsy results.It may be fatal depending on the organs involved.Although many treatments have been described, successful results have been reported with interferon alpha 2b in recent years.We discuss the clinical diagnosis and treatment of a 5-year-old female patient with osteolytic lesions in the bones after she was referred with chylothorax.

Chylothorax

10.12956/tjpd.2018.375

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Boynunda Enfekte Kistle Başvuran Çocuk Olgu

Online Türk Sağlık Bilimleri Dergisi (2017)

Turan Yıldız Zekeriya İlçe

Bu olgu sunumunda boynunda şişlik ve üzerinde kızarık ile başvuran dört yaşındaki kız çocuğunu sunmayı amaçladık.

10.26453/otjhs.336236

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Effect of Urtica Dioica on bacterial translocation in mechanic icter model.

Saudi Medical Journal (2006)

Metin Aydın İsmet Özaydın Zekeriya İlçe İdris Şahın İrfan Şencan

S and renal, hepatic and multi organ failure syndrome, due to bacterial translocation, if the operations were carried out for mechanic icter, still cause high morbidity and mortality.1 It is known that obstructions of the extra hepatic bile ducts increase the translocation of bacteria in the gastrointestinal system. It was reported that bacterial translocation causes sepsis and multiple organ failure syndrome.2 Urtica Dioica (UD) is a perennial plant with stinging hairs belonging to the plant family Urticaceae with a height of 30-100 cm. It is endemic in many parts of Turkey, and seeds have been widely used in folk medicine, particularly in advanced cancer patients, for a long time.3 In some studies, an anti proliferative effect in prostate cancer, an anti inflammatory effect in chronic inflammatory events such as rheumatoid arthritis, a mitogenic effect on the T lymphocytes, and an antidiuretic and hypotensive effect has been reported.4 It was also reported that UD prevents the toxic effect of carbon tetrachloride on the liver.3 The aim of the present study was to investigate the efficiency of UD on bacterial translocation in an experimental model. This investigation conformed to the ʻGuide for the Care and Use of Laboratory Animals published by the United States National Institutes of Health (NIH publication No; 86-23, revised 1985). The seeds were prepared by processing in a pharmacology laboratory. The peels of the seeds (200 mg) were broken into pieces by electric blender. Thereafter, 500 ml of ether (sigma), previously purified from peroxide, was poured over the particulated seeds and left for an hour. During the next stage, the ether was decomposed by aspiration. A pose and oil mixture, which was the residue after aspiration, was filtered through glass cotton. The oil obtained from the filtering process was poured into a Schilder box. The oil obtained from the process was 18% of the total seeds. The Schilder box was stored in a dark room at +4°C by filling with nitrogen. In the experiment, 45 male rats, with a weight of 230-300 gram from the Wistar-Albino families, were used. The rats were arranged into 3 groups. The first group was sham (n=15), choledochal ligation (CL) was carried out in the second group (n=15), and in the last group (n=15) the CL was carried out and UD was applied. The rats were fed with standard laboratory feed and tap water at room temperature. All the groups were anesthetized with ether after being left hungry 12 hours before the operation. After shaving the abdominal skin, the rats were cleaned with antiseptic solution. The abdomen was opened by median incision and closed after laparotomy in group I. The choledochus was ligated in groups II and group III. The rats were observed for 3 days after CL. Over the following days, the UD extract (l mg/kg/day, subcutaneous) was injected into group III for 10 days. The liver, spleen, lymph node cultures, peritoneal swab, and blood culture were taken under aseptic conditions by re laparotomy for all groups on the 14th day after the first operation. The cultures were examined at the microbiology laboratory. The blood and peritoneal cultures, which were taken under aseptic conditions, were inoculated into 5% sheep blood agar and eosin methylene blue (EMB) agar. The samples taken from liver, spleen and lymph nodes were scaled with 0.1 mg sensitively. The samples were homogenized by sterile saline. The blood and peritoneal swab samples were evaluated for bacterial growth. The growth in liver, spleen, and lymph node cultures were quantitatively evaluated by considering dilution factor in terms of cfu/gr/tissue (Log10). All isolates obtained on the subculture plates were identified by conventional microbiological procedures. Gram positive coccus was identified according to colony morphology on blood agar, catalase and coagulase tests, effect of the gram positive cocci to mannitol and trehalose in the medium. Gram negative bacilli were identified with api 20 E (bioMeʼrieux). In the present study, only total bacterial growth was evaluated. For statistical analysis, Studentʼs Ttest and Mann Whitney-U test were used. The differences among the groups significant if p<0.05. The growth rates in the samples obtained from the experimental groups are summarized in Table 1. There was no growth in the blood samples of the sham group, whereas it was observed in group II and III. However, the growth rate in group III was less than in group II. These differences were statistically significant. Despite the highest growth rate in the peritoneal samples obtained from group II, it was equally observed in group I and III. However, the growth rates in group I and III were significantly lower than group II. For the liver cultures, the significant differences were seen in group I when compared to group II and III. The quantitative growth rate in group

Urtica dioica

Urticaceae

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Percutaneous Endoscopic Gastrostomy; Experience of two clinics

Sakarya Medical Journal (2014)

M. Akay Derya Yayla Levent Elemen Necla Gürbüz Gülşen Ekíngen

Amaç: Perkütan endoskopik gastrostomi ( PEG ) gastrostomi yöntemleri içinde en sık ve en basit uygulanan minimal invaziv yötemdir.Çalışmamızda PEG uygulanan hastaların sonuçları ve reflü hastalığı ile ilişkisi

10.5505/sakaryamj.2014.52244

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Intestinal Volvulus and Perforation Caused by Multiple Magnet Ingestion: Report of a Case

Surgery Today (2006)

Zekeriya İlçe Hakan Samsum Emil Mammadov Sinan Celayir

Perforation

Emergency Surgery

10.1007/s00595-006-3330-6

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Citations (33)

Intrapancreatic Peristaltic Duodenal Duplication Cyst; Presenting with Acute Pancreatitis and Intraabdominal Bleeding

International Journal Of Medical Science And Clinical Invention (2022)

Sevinç Kalın Zeliha Akış Yıldız Canan Hasbal Akkuş Seher Erdoğan Gürkan Atay

Congenital anomalies and variations should be kept in mind when evaluating diseases in the pediatric patient group. A 12 years old girl presented with findings of acut abdomen. Clinical and laboratory data were consistent with acute pancreatitis. Imaging findings showed a peristaltic cystic tissue with a thick wall and central lumen in the head of the pancreas. In the operation, it was shown that this cystic lesion was associated with the accessory pancreatic duct and had no duodenal connection. In the pathology report, the presence of duodenal intestinal tissue compatible with a duplication cyst located in the head of the pancreas was proven. By sharing this rare case, keeping in mind the underlying congenital anomalies in any pathology in children and emphasizing the importance of ultrasonographic dynamic real-time examination in abdominal imaging.

Lumen (anatomy)

Pathognomonic

10.18535/ijmsci/v9i09.03

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Primitive myxoid mesenchymal tumor of infancy presenting with an abdominal and thoracic mass misdiagnosed as neuroblastoma: A case report

Indian Journal of Pathology and Microbiology (2024)

Sevim Yener İlkay Tosun Zeliha Akış Yıldız Ebru Zemheri Zekeriya İlçe

ABSTRACT Primitive myxoid mesenchymal tumor of infancy (PMMTI) is a rare soft tissue tumor that has been recently described in only a few cases. A 10-month-old boy was admitted with a mass filling the abdomen and right hemothorax. Gross examination revealed a fragile, and occasionally gelatinous and rubbery mass. On microscopic examination, there were fibrillary off-white appearance with occasionally myxoid microcystic areas. Immunohistochemical examination results were as follows: BCOR (+), and SATB2 (+) with diffuse nuclear expression, Desmin (−), CD34 (−), S-100 (−), MyoD1 (−), Myogenin (−). The next-generation sequencing showed internal tandem duplication of the BCOR exon 15. In conclusion, PMMTI is a distinctive entity with unique characteristics. However, it can be clinically confused with other childhood malignancies such as neuroblastoma. Recurrence can be seen despite chemotherapy in patients with microscopic residue.

Desmin

Solitary Fibrous Tumor

Abdominal mass

Mesenchymal Chondrosarcoma

CD99

10.4103/ijpm.ijpm_728_23

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Attention: Lost foreign body

DergiPark (Istanbul University) (2006)

Emil Mammadov Hakan Samsum Zekeriya İlçe Sinan Celayir

Radyolojik goruntulemeler, sindirim ve solunum sistemi yabanci cisim aspirasyonlannda altin standart haline gelmistir. Ancak goruntulemelerin nasil yapilmasi gerektigi konusunun standardize edilmemis olmasi, takip sirasinda Hinisyeni yaniltabilmektedir. Bu olgu sunumunda radyolojik muayenede bronsta saptanan bir toplu ignenin cikarilma hazirligi yapilirken kisa surede yer degistirerek sindirim sistemine gecmesi sonucu orta-ya cikan Minik tablo ozetlenmistir.

10.16948/zktb.15139

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Remifentanil-based total intravenous anesthesia for pediatric rigid bronchoscopy: comparison of adjuvant propofol and ketamine

Clinics (2014)

Mefkür Bakan Ufuk Topuz Tarık Umutoğlu Gökhan Gündoğdu Zekeriya İlçe

OBJECTIVE: Laryngoscopy and stimuli inside the trachea cause an intense sympatho-adrenal response.Remifentanil seems to be the optimal opioid for rigid bronchoscopy due to its potent and short-acting properties.The purpose of this study was to compare bolus propofol and ketamine as an adjuvant to remifentanil-based total intravenous anesthesia for pediatric rigid bronchoscopy.MATERIALS AND METHODS: Forty children under 12 years of age who had been scheduled for a rigid bronchoscopy were included in this study.After midazolam premedication, a 1 mg/kg/min remifentanil infusion was started, and patients were randomly allocated to receive either propofol (Group P) or ketamine (Group K) as well as mivacurium for muscle relaxation.Anesthesia was maintained with a 1 mg/kg/min remifentanil infusion and bolus doses of propofol or ketamine.After the rigid bronchoscopy, 0.05 mg/kg/min of remifentanil was maintained until extubation.Hemodynamic parameters, emergence characteristics, and adverse events were evaluated.RESULTS: The demographic variables were comparable between the two groups.The decrease in mean arterial pressure from baseline values to the lowest values during rigid bronchoscopy was greater in Group P (p = 0.049), while the reduction in the other parameters and the incidence of adverse events were comparable between the two groups.The need for assisted or controlled mask ventilation after extubation was higher in Group K. CONCLUSION: Remifentanil-based total intravenous anesthesia with propofol or ketamine as an adjuvant drug along with controlled ventilation is a viable technique for pediatric rigid bronchoscopy.Ketamine does not provide a definite advantage over propofol with respect to hemodynamic stability during rigid bronchoscopy, while propofol seems more suitable during the recovery period.

Midazolam

Bolus (digestion)

10.6061/clinics/2014(06)01

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Citations (24)

Which patients are at risk? Evaluation of the morbility and mortality in newborn pneumothorax.

PubMed (2003)

Zekeriya İlçe Gökhan Gündoğdu Cem Kara Barboros Ilikkan Sinan Celayir

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Citations (23)