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Öğe An unusual and serious cause of gastritis: Emphysematous gastritis(Elsevier Masson, Corporation Office, 2015) Uysal, F.; Akbal, E.; Gunes, F.; Sacar, S.; Ozdemir, H.[Anstract Not Available]Öğe Diverticular disease and posture during defecation : a prospective comparative study(Univ Catholique Louvain-Ucl, 2018) Ozturk, O.; Koklu, H.; Akbal, E.; Aksoy, E. K.; Altan, E.; Basar, O.; Yuksel, O.Background and study aims : Although several factors are thought to be responsible for the development of colonic diverticulosis the underlying pathogenesis is still obscure and needs clarification. The aim of this study was to determine the prevalence, location and clinical features of CD and especially to detect whether there is an association between CD and postures during defecation. Patients and methods : This prospective study enrolled 757 patients. The subjects were divided into two groups as a diverticulosis group (D group, n:95) and non-diverticulosis group (non-D group, n:662). Results : The median patient age was 54.9 +/- 13.2 years. CD frequency was 12.5% (n:95). The most commonly involved part of the colon was the sigmoid colon (56.8%). Diverticula location was on the left in 45.3% (n:43), on the right in 24.2% (n:23) and on both sides of the colon in 30.5% (n:29). Patients in the D group were older (p<0.001) and were predominantly female (p:0.04). The frequency of sitting during defecation (Western type toilet) was higher in the D group compared to the non-D group (72.2% vs 53.5%; p:0.007). The use-time of a Western-type toilet was longer in the D group compared to the non-D group (p:0.04). In multivariable logistic regression analysis, age and toilet type were independent risk factors for the development of diverticulosis. Conclusion : Sitting during defecation seems to increase the risk of CD.Öğe Diverticular disease and posture during defecation: A prospective comparative study(Universa Press, 2018) Ozturk, Omer; Koklu, H.; Akbal, E.; Aksoy, E.K.; Altan, E.; Basar, O.; Yuksel, O.Background and study aims: Although several factors are thought to be responsible for the development of colonic diverticulosis (CD), the underlying pathogenesis is still obscure and needs clarification. The aim of this study was to determine the prevalence, location and clinical features of CD and especially to detect whether there is an association between CD and postures during defecation. Patients and methods: This prospective study enrolled 757 patients. The subjects were divided into two groups as a diverticulosis group (D group, n:95) and non-diverticulosis group (non-D group, n:662). Results: The median patient age was 54.9±13.2 years. CD frequency was 12.5% (n:95). The most commonly involved part of the colon was the sigmoid colon (56.8%). Diverticula location was on the left in 45.3% (n:43), on the right in 24.2% (n:23) and on both sides of the colon in 30.5% (n:29). Patients in the D group were older (p<0.001) and were predominantly female (p:0.04). The frequency of sitting during defecation (Western type toilet) was higher in the D group compared to the non-D group (72.2% vs 53.5%; p:0.007). The use-time of a Western-type toilet was longer in the D group compared to the non-D group (p:0.04). In multivariable logistic regression analysis, age and toilet type were independent risk factors for the development of diverticulosis. Conclusion: Sitting during defecation seems to increase the risk of CD. © 2018, Universa Press. All rights reserved.Öğe Endoscopic sphincterotomy for the treatment of recurrent pyogenic liver abscess(Edizioni Minerva Medica S.p.A., 2014) Başar, O.; Çoban, Ş.; Akbal, E.; Tuna, Y.; Erbiş, H.; Köklu, S.[No abstract available]Öğe Timing of Lidocaine Spray for Upper Gastrointestinal System Endoscopy and Effect on Quality for Patients(Georg Thieme Verlag Kg, 2014) Binnetoglu, E.; Akbal, E.; Kocak, E.; Koklu, S.; Gunes, F.Background: During the esophagogastroduodenoscopy the comfort of both the patient and the doctor performing the endoscopy topical anesthetic are used. However some discomfort from the use of topical anesthetics to suppress the gag reflex may be observed. We aimed to compare the effects of local spray given immediately with that given in the endoscopy waiting room in terms of oropharynx anesthesia, gag reflex, amount of secretion, endoscopy duration, and quality of the procedure. Methods: The patients were devided into two groups; Group 1 was anesthetized with lidocaine spray (Zylocaine spray 10 %) immediately before the procedure; while Group 2 was anesthetized in the preparation room. The patients did not use any other drugs, i.e., anti-anxiety medications, sedatives, etc. Results: The patients were randomly sorted into two groups, with 65 in the first group and 69 in the second. There was no significant difference between Group 1 and 2 in terms of age, gender, or educational level. The amount of secretion in Group 1 was significantly less compared to Group 2. There was no significant difference in terms of endoscopy duration, gag reflex, throat pain scores and the quality of the procedure. Conclusion: We showed that oropharynx anesthesia with lidocaine immediately before the procedure causes an important reduction in the amount of secretion. In this way the endoscopy practitioner can see the stomach mucosa more clearly. For this reason lidocaine administration immediately before the procedure may be safely given to patients.
