The effect of CO2 pneumoperitoneum on bacteremia in experimental escherichia coli peritonitis in rabbits

Uludağ Üniversitesi Deney Hayvanlan Merkezinde toplam 25 adet Yeni Zelanda tip tavşanda 14-15mmHg basıncında C02 pnömoperitoneumunun bakteriyemiye olan etkisini araştırmak için bu çalışma planlanmıştır. Kontrol grubu 8, laparotomi grubu 8, pneumoperitoneum grubu 8 olmak üzere 3 grupta çalışıldı. 1 denek ilk saatte eks olduğu için hiçbir gruba alınmadı. 109 CFU E.koli ile oluşturulan peritonit sonrası kontrol grubuna hiçbir cerrahi girişim uygulamadan 3. ve 6. saatte kanda bakterinin büyüme değerleri saptanmıştır. Laparotomi grubuna inokülasyon sonrası 2. saatte 1 saat süreyle orta hat laparotomisi, pnömoperitoneum grubunaysa 14-15 mmHg basıncında C02 pnömoperitoneumu oluşturuldu. Kanda bakteri üremeleri için bakterinin ürettiği C02 miktannın ölçülmesi esasına göre çalışan Bactec NR 730 sistemi kullanıldı, istatistiksel değerlendirmede kana bakteri geçişinde anlamlı bir fark bulunamamıştır. Ölen deneklerin 3. saatteki kanda saptanan büyüme değerleri yaşayan deneklere göre istatistiksel olarak anlamlı derecede yüksek bulunmuştur. Sonuç olarak tavşanlarda 109 CFU E.koli ile oluşturulan peritonitte 14-15 mmHg basıncında C02 pnömoperitoneumu, kontrol grubu ve laparotomi grubuna göre kana bakteri geçişini arttırmamaktadır. Mortalite kana geçen bakteri miktanyla direkt ilişkilidir

Laparoscopic gastric banding: A review of first 25 patients after 5 years

Bu çalışma, 28-31 Ağustos 2013 tarihleri arasında İstanbul[Türkiye]’da düzenlenen 18. World Congress of the International-Federation-for-the-Surgery-of-Obesity-and-Metabolic-Disorders (IFSO)’da bildiri olarak sunulmuştur.Int Federat Surg Obes & Metab Disorders (IFSO

Turkish primary care physicians' attitudes and knowledge of obesity and bariatric surgery: A survey study

Objective: This survey study attempted to determine Turkish primary care physicians' (PCP) knowledge, attitudes, and perceptions of obesity treatment and bariatric surgery. Moreover, the relationship between the duration of practice as a physician, and especially the indications for bariatric surgery and referral to surgery were investigated.Material and Methods: A survey of 27 questions was administered via social media and the internet using the SurveyMonkey platform. The physicians who responded to the survey were grouped based on the duration of working life. Among these groups, the responses to the questions about bariatric surgery were compared using univariate analysis.Results: A total of 1044 physicians responded to the survey. The number of physicians who strongly agreed that a PCP should play role in the treatment of obesity was 743 (71.1%). The most important reason for not undertaking this treatment was reported as the requirement for a multidisciplinary approach to obesity treatment (51.5%, n = 537). The percentage of those who thought that patients with a body mass index (BMI) above 40 kg/m(2) should be referred to surgery was 72.3%,while the percentage of those referring patients with a BMI of 35-40 kg/m(2) and comorbidities to surgery was 53.3%, and the percentage of those referring patients with a BMI of 35-40 kg/m(2) and uncontrolled diabetes to surgery was 35.9%. Physicians who were new to the profession were found to evaluate surgical indications more positively (p level of knowledge of bariatric surgery was higher, but their attitudes towards patient referral were similar

Acute chylous peritonitis: Report of a case

AbstractINTRODUCTIONAcute chylous peritonitis, a rare condition, is defined as an abrupt chylous fluid accumulation in the peritoneal space in the absence of a significant underlying pathology. Diagnosis is difficult due to abrupt onset and accompanying acute abdomen signs.PRESENTATION OF CASEHere we presented the case of a 32-year-old female patient who underwent laparoscopy due to acute abdomen findings and was diagnosed with acute chylous peritonitis. No underlying pathologies were detected, and only irrigation and drainage were applied. She was discharged unproblematically with a low-fat diet and somatostatin administration. No recurrence occurred, and no other pathologies were encountered during her 9-month visit.DISCUSSIONChylous fluid accumulation is reported to arise from various etiological factors such as trauma, chronic liver diseases, tuberculosis, filariasis, radiation, abdominal aorta surgery, different peritoneal infection and extended lymph node dissections. We have presented an acute chylous peritonitis case that was admitted with acute abdomen findings and followed up and treated with laparoscopy.CONCLUSIONIn conclusion, this case demonstrates the effectiveness of laparoscopy in acute abdomen cases in which a specific preoperative diagnosis cannot be made. Aspiration of the fluid and drainage comprise a sufficient therapy if a focus cannot be found. Postoperative somatostatin use may be beneficial

Our experience on feeding ostomies

Purpose: The aim of the present study is to assess patient's profiles and complications related to the tube placement in patients undergoing Percutaneous Endoscopic Gastrostomy and surgical feeding ostomies.Materials and Methods: The retrospective data of 114 consecutive hospitalized patients who underwent enteral feeding ostomy procedures was evaluated by dividing patients into two separate groups as Percutaneous Endoscopic Gastrostomy Group and Surgery Group.Results: Of the 114 patients, 57 patients underwent surgical feeding ostomy procedures, and other 57 underwent Percutaneous Endoscopic Gastrostomy. The mean age of the patients requiring surgical ostomy was greater than that of the patients with Percutaneous Endoscopic Gastrostomy. All procedures in the surgical group were performed in the operating theater, but procedures in the endoscopy group were performed in intensive care unit (61.5 %), endoscopy suit (34.6 %), or patient wards (3.8 %). The number of patients having cancer in the surgical ostomy group was higher than the Endoscopy group significantly, p<0.001. On the contrary, 93 % of the patients in the Endoscopy group had neurologic problems. Total complication rates in PEG group, surgical gastrostomy and jejunostomy groups were 26.3 %, 25 % and 24.3 %, respectively.Conclusion: In conclusion, PEG procedure has some advantages such as simplicity, low complication rates, lower cost, long term enteral nutrition. For that reason, recently, there is an increase in use of PEG procedure. However, the situation in which the use of PEG is impossible, surgical enteral tube placement techniques are still valid alternatives