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  • Küçük Resim
    Öğe
    Adhesiv ince bağırsak obstrüksiyonlarının görülme sıklığı
    (2004) Kisli, Erol; Söylemez, Ömer; Başer, Murat; Kotan, Çetin; Güler, Osman; Aydın, Metin
    Amaç: Abdominal cerrahi sonrası adhezyonlara bağlı gelişen ince barsak obstrüksiyon (İBO) sıklığını incelemektir. Metod: Kasım 1994 - Nisan 2000 arasında kliniğimizde abdominal cerrahi yapılan 2173 hastanın dosyaları retrospektif oiarak incelendi. Bulgular: Abdominal cerrahi yapılan 2173 olgunun 76'sında etyolojik sebep daha önce herhangi bir nedenle geçirmiş oldukları abdominal operasyona ikincil olarak gelişen adhezyonlardı. Bu olguların 66'sına bridektomi ve 10'una ise bridcktonıi ile birlikte ilave cerrahi yapıldı- Rektosigmoid operasyonu yapılan olguların %13.86'ı, kolon operasyonu yapılanların %12.19'u, kolon dışı barsak operasyonu yapılanların %3.94'ü, diğer abdominal bölge operasyonu yapılanların %2.25'i ve apendektomi yapılanların %1.5'i adhezyonlara bağlı gelişen İBO'u nedeni ile ikinci kez öpere edildiler. Sonuç: Kliniğimizde İBO'Jarının en sık sebebi geçirilmiş operasyonlara bağlı gelişen adhezyonlar idi. Poştoperatif adhezyonların en sık sebebi ise geçirilmiş kolorektal operasyonlar idi.
  • Küçük Resim
    Öğe
    Comparison of the analgesic effect of betamethasone and diclofenac potassium in the management of postoperative haemorrhoidectomy pain
    (Taylor & Francis Ltd, 2005) Kisli, Erol; Başer, Murat; Güler, Osman; Aydın, Metin; Katı, İsmail
    Background: Outpatient postoperative haemorrhoidectomy pain remains a difficult problem. The purpose of this study is to compare the results of the use of betamethasone with diclofenac potassium in postoperative pain following haemorrhoidectomy. Material and methods : Closed haemorrhoidectomy was performed on 40 patients who were diagnosed grade III, grade IV haemorrhoid on physical examination. Patients were divided equally randomized into two groups, prospectively (betamethasone was used for 20 patients and diclofenac potassium was given for 20 patients). A verbal categorical scale was used to evaluate postoperative pain (for pain intensity, none = 0, mild = 1, moderate = 2 and severe = 3). Results : The amount of narcotics required on postoperative first, second and third day were significantly less in the betamethasone group than in the diclofenac potassium group (P < 0.001) (Pearson Chi-Square test). Conclusion : Results indicate that use of betamethasone provides more effective analgesia than diclofenac potassium for postoperative pain management in the haemorrhoidectomy patient.
  • Küçük Resim Yok
    Öğe
    The role of octreotide versus placebo in the prevention of post-ERCP pancreatitis
    (H G E Update Medical Publishing S A, 2007) Kisli, Erol; Başer, M.; Aydın, Metin; Güler, O.
    Background/Aims: To evaluate the effectiveness of a single administration of intravenous octreotide infusion in preventing post-ERCP pancreatitis and progressing hyperamylasemia. Methodology: One hundred and twenty (71 female, 59 male) patients who had been diagnosed with pancreaticobiliary pathology were included in this study. 100 microgram (0.1mg) octreotide diluted in 60mL normal saline solution administered intravenously 60 minutes prior to the procedure and continued during the procedure and after the procedure. Placebo was given in 87 patients. Patients were assessed clinically and serum amylase level was also measured before the procedure and 3, 12, and 24 hours after the procedure. We define clinical pancreatitis as serum amylase level greater than 4-5 times in conjunction with clinical assessment. Results: Hyperamylasemia was assessed in 14 of 33 (42.4%) administered octreotide patients. Clinical findings of pancreatitis were observed in 5 of these 14 (11.5%) patients. Hyperamylasemia was also assessed in 41 of 87 (47.1%) administered placebo patients. Clinical findings of pancreatitis were observed in 10 of these 41 (11.5) patients. There were no significant differences between the groups, statistically (p > 0.05) (Pearson chi-square test). Conclusions: The results of this trial indicate that a single administration of intravenous octreotide infusion does not prevent ERCP-induced pancreatitis and effect serum amylase level.