Gül Bora - Academia.edu (original) (raw)

Papers by Gül Bora

Şişli Etfal Hastanesi tıp bülteni, 2018

Hemangiomas are the most common benign primary hepatic neoplasms, often being incidentally discov... more Hemangiomas are the most common benign primary hepatic neoplasms, often being incidentally discovered. In most of the cases, they are small, asymptomatic and often require follow up. Giant hemangiomas are known as being larger than 5 cm and mostly consists of a cavernous haemangioma, is usually asymptomatic, diagnosed incidentally. In this study, we aimed to show that giant hemangiomas would be treated safely with surgical resection without transarterial embolization before the surgery. We present a 56-year-old male patient with liver hemangioma, who was diagnosed incidentally on thorax computarised tomography and consulted to thorax disease clinic with coughing complaint for a month. A case, which is rarely mentioned in literature, of a 30 cm sized asymptomatic giant cavernous hemangioma treated by surgical resection without any complication. We suggest that some patients should go through surgical treatment even if they do not have any complaint. Not only symptoms but also size and risk of rupture by trauma should be considered in these cases. However, all possible circumstances must be taken under consideration. Transarterial embolization is not the necessary.

European journal of trauma and emergency surgery : official publication of the European Trauma Society, Jan 10, 2018

Acute pancreatitis (AP) is a severe disease associated with significant morbidity and mortality. ... more Acute pancreatitis (AP) is a severe disease associated with significant morbidity and mortality. The overall outcome has improved, but specific treatment(s) remains elusive. The challenge is the early identification and treatment of patients who will develop severe acute pancreatitis. Therefore, the aim of the present study is to investigate plasma levels of tumor necrosis factor-like weak inducer of apoptosis (TWEAK) in the initial phase of predicted severe acute pancreatitis. Between June 2014 and January 2016, 64 patients with acute pancreatitis and 36 healthy individuals were included to study. Four blood samples, for serum TWEAK measurement, were taken from each individual in each group. The first measurement was taken from the admission blood sample. The subsequent three samples were taken at 12, 24, and 48 h after the hospital admission. Serum TWEAK levels were significantly higher in patients with acute pancreatitis when compared with healthy controls. TWEAK plasma concentra...

Indian Journal of Thoracic and Cardiovascular Surgery, 2017

Solitary fibrous tumor (SFT) is a rare neoplasm that generally originates in the pleura. Extraple... more Solitary fibrous tumor (SFT) is a rare neoplasm that generally originates in the pleura. Extrapleural locations are rare. In such cases, a definitive preoperative diagnosis is often difficult, because neither radiological nor cytological examinations are exhaustive. Therefore, surgical excision is frequently the only way to reach the correct diagnosis and to provide definitive treatment. The case is here described of a solitary fibrous tumor of the soft tissue in the subscapular area in a 50-year-old male.

Amac: Laparoskopik nissen fundoplikasyon gastroozofageal reflu semptomlarini cok iyi kontrol alti... more Amac: Laparoskopik nissen fundoplikasyon gastroozofageal reflu semptomlarini cok iyi kontrol altina alan ancak beraberinde bazi yan etkileri olan altin standart ameliyat teknigidir. Bu tez calismasinda laparoskopik nissen fundoplikasyon sonrasinda gelisebilen; siskinlik, ishal, agizdan gaz cikaramama, karin agrisi, flatus (asagidan sik gaz cikarma) gibi nonspesifik gastrointestinal sikayetlerin sikligi, derecesi ve bunlarin ameliyat sonrasi donemde hasta memnuniyetine olan etkilerini ortaya koymak amaclanmistir. Bu calismada literaturden farkli olarak; ayni cerrah tarafindan ve standart sekilde ameliyat edilen hastalarin, tek bir gozlemci tarafindan degerlendirmesi yapilmistir. Gerec ve yontem: Mart 2000-Mart 2007 tarihleri arasinda Ankara Universitesi Tip Fakultesi Genel Cerrahi Anabilim dalinda Laparoskopik Nissen Fundoplikasyon (LNF) yapilan 215 hasta retrospektif olarak degerlendirildi. Hastalara refluye spesifik ve nonspesifik gastrointestinal sikayetleri, bunlarin sikligi ve s...

AMAC: Bu calismanin amaci, kadin saglik calisanlarinin meme kanseri bilgi duzeylerini olcmek ve t... more AMAC: Bu calismanin amaci, kadin saglik calisanlarinin meme kanseri bilgi duzeylerini olcmek ve tarama yontemlerine yonelik inanc, tutum ve davranislari belirleyen faktorleri arastirmaktir. GEREC VE YONTEMLER: Bu calisma saglik egitimi almis, saglik egitimi almamis ve toplumdaki diger kadinlardan olusan 21 yas ustu, 850 gonullu uzerinde gerceklestirilmistir. Etik kurul onayi ve aydinlatilmis onam formu alinmistir. Gruplari karsilastirmak icin Sosyodemografik veri formu, Meme Kanseri Icin Şampiyon Saglik Inanc Modeli ve Kapsamli Meme Kanseri Bilgi Testi kullanilmistir. Istatistiksel analizler IBM SPSS Statistics for Windows, Surum 21.0 kullanilarak yapildi. BULGULAR: Kendi kendine meme muayenesi ve klinik meme muayenesi sikligi acisindan gruplar arasinda fark yoktu (p> 0.05). Yas, bilgi duzeyi ve egitim duzeyinde gruplar arasinda istatistiksel olarak anlamli bir fark vardi (p <0.05). Saglik calisanlarinin ve toplum uyelerinin egitim duzeyleri arasinda istatistiki olarak anlamli...

Bu calismanin amaci, laparoskopik sleeve gastrektomi (LSG) uygulanan hastalarda LigaSure ™ ve Har... more Bu calismanin amaci, laparoskopik sleeve gastrektomi (LSG) uygulanan hastalarda LigaSure ™ ve Harmonic® el aletinin perioperatif sonuclarini ve komplikasyon oranlarini karsilastirmaktir. Mart 2015 ile Nisan 2020 arasinda LSG uygulanan 152 morbid obez hasta calismaya dahil edildi. Intraoperatif ve postoperatif 30 gunluk komplikasyonlar kullanilan enerji cihazi tipine gore karsilastirildi. Kategorik degiskenleri karsilastirmak icin Pearson's χ2 ve Fisher’s exact test kullanildi. Surekli verisi olan iki bagimsiz grubu karsilastirmak Mann-Whitney U testi (nonparametrik) kullanildi. Postoperatif komplikasyonlarin risk faktorlerini belirlemek icin Lojistik regresyon analizi yapildi. 0.05 ten kucuk p degeri istatistiksel olarak anlamli kabul edildi. Totalde 136 hasta retrospektif olarak incelendi. Istatistiksel analiz iki grup arasinda intraoperatif ve postoperatif komplikasyon oranlarinda farklilik gostermedi (sirasiyla, p=786 ve p=0.966). Ligasure ™ 'de operasyon suresi daha kisa...

Obesity has become a worldwide epidemic and it is related with many chronic diseases such as hype... more Obesity has become a worldwide epidemic and it is related with many chronic diseases such as hypertension, type 2 diabetes, dyslipidemia, cardiovascular diseases, sleep apne etc. [1]. The obese population has different kinds of eating behaviours. They try lots of ways for losing weight (diet, exercise, medical treatment etc.) but usually it results with regaining weight [2]. Nowadays it seems that bariatric surgery is the most effective therapy in struggling with obesity even if there are some contradictory results [3].

Medicine, Jun 1, 2017

Rationale: Chronic fatigue syndrome (CFS) is a complicated disorder characterized by severe fatig... more Rationale: Chronic fatigue syndrome (CFS) is a complicated disorder characterized by severe fatigue that is not relieved with rest and associated with physical symptoms such as sleep problems, headache, muscle pain, or joint pain. Patient concerns: Forty-one year old patient complained from feeling cold after breast cancer surgery. Diagnoses: The diagnoses of fibromyalgia, depression, neurological, psychiatric, and vascular disorders were excluded by appropriate clinical and laboratory investigations. She was diagnosed as CFS. Interventions: The patient was treated successfully via aerobic exercise therapy that scheduled for 30 min at least 3 days per week. Outcomes: At 6-month follow-up, her complaints were almost resolved and the patient regained her physical health and mental attitude. Lessons: A thermal dysregulation should be taken into consideration as one of the symptoms of CFS.

Central European Journal of Urology, 2016

Aim: The aim of this study is to evaluate sexual functions which emerge due to inguinal hernia an... more Aim: The aim of this study is to evaluate sexual functions which emerge due to inguinal hernia and may change after hernia surgery. Material and Methods: A total of 47 patients who had Lichtenstein tension-free anterior repair and inguinal hernia surgery were evaluated for erectile function, intercourse function, sexual desire, overall satisfaction, and orgasmic satisfaction condition with International Index of Erectile function questionnaire (IIEF) scoring system before the surgery and in the first and sixth months after surgery. Parameters evaluated with IIEF score before the surgery and in the first and sixth months after surgery were compared statistically using Wilcoxon test. Results: Average age of 47 patients was measured 46,2±11,2 years (range: 22-67). It was determined that all scores apart from sexual desire (p=0,08) significantly increased in postoperative first and sixth months compared to the preoperative period. It was measured that preoperative sexual desire score increased significantly in postoperative sixth month (p<0.001). A significant score was detected when all scores in postoperative sixth month were compared to postoperative first month. Conclusion: Inguinal hernia surgery positively effects sexual functions compared to preoperative period. The addition of recovery in sexual parameters to the benefits of removing hernia and presence of no significant postoperative complications shows that this surgery can be made in a safe and useful way.

The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2017

Crohn disease (CD) is a chronic inflammatory disease that may be observed in random areas of gast... more Crohn disease (CD) is a chronic inflammatory disease that may be observed in random areas of gastrointestinal tract. Fistula formation is common during the course of CD, whereas duodenocolic fistulas are very rare. It is possible to safely perform surgical resection in patients who have severe symptoms of duodenal fistula. In this study, we report a rare case of CD with duodenocolic fistula that has emerged from the previous surgical resection.

Şişli Etfal Hastanesi tıp bülteni, 2018

Hemangiomas are the most common benign primary hepatic neoplasms, often being incidentally discov... more Hemangiomas are the most common benign primary hepatic neoplasms, often being incidentally discovered. In most of the cases, they are small, asymptomatic and often require follow up. Giant hemangiomas are known as being larger than 5 cm and mostly consists of a cavernous haemangioma, is usually asymptomatic, diagnosed incidentally. In this study, we aimed to show that giant hemangiomas would be treated safely with surgical resection without transarterial embolization before the surgery. We present a 56-year-old male patient with liver hemangioma, who was diagnosed incidentally on thorax computarised tomography and consulted to thorax disease clinic with coughing complaint for a month. A case, which is rarely mentioned in literature, of a 30 cm sized asymptomatic giant cavernous hemangioma treated by surgical resection without any complication. We suggest that some patients should go through surgical treatment even if they do not have any complaint. Not only symptoms but also size and risk of rupture by trauma should be considered in these cases. However, all possible circumstances must be taken under consideration. Transarterial embolization is not the necessary.

European journal of trauma and emergency surgery : official publication of the European Trauma Society, Jan 10, 2018

Acute pancreatitis (AP) is a severe disease associated with significant morbidity and mortality. ... more Acute pancreatitis (AP) is a severe disease associated with significant morbidity and mortality. The overall outcome has improved, but specific treatment(s) remains elusive. The challenge is the early identification and treatment of patients who will develop severe acute pancreatitis. Therefore, the aim of the present study is to investigate plasma levels of tumor necrosis factor-like weak inducer of apoptosis (TWEAK) in the initial phase of predicted severe acute pancreatitis. Between June 2014 and January 2016, 64 patients with acute pancreatitis and 36 healthy individuals were included to study. Four blood samples, for serum TWEAK measurement, were taken from each individual in each group. The first measurement was taken from the admission blood sample. The subsequent three samples were taken at 12, 24, and 48 h after the hospital admission. Serum TWEAK levels were significantly higher in patients with acute pancreatitis when compared with healthy controls. TWEAK plasma concentra...

Indian Journal of Thoracic and Cardiovascular Surgery, 2017

Solitary fibrous tumor (SFT) is a rare neoplasm that generally originates in the pleura. Extraple... more Solitary fibrous tumor (SFT) is a rare neoplasm that generally originates in the pleura. Extrapleural locations are rare. In such cases, a definitive preoperative diagnosis is often difficult, because neither radiological nor cytological examinations are exhaustive. Therefore, surgical excision is frequently the only way to reach the correct diagnosis and to provide definitive treatment. The case is here described of a solitary fibrous tumor of the soft tissue in the subscapular area in a 50-year-old male.

Amac: Laparoskopik nissen fundoplikasyon gastroozofageal reflu semptomlarini cok iyi kontrol alti... more Amac: Laparoskopik nissen fundoplikasyon gastroozofageal reflu semptomlarini cok iyi kontrol altina alan ancak beraberinde bazi yan etkileri olan altin standart ameliyat teknigidir. Bu tez calismasinda laparoskopik nissen fundoplikasyon sonrasinda gelisebilen; siskinlik, ishal, agizdan gaz cikaramama, karin agrisi, flatus (asagidan sik gaz cikarma) gibi nonspesifik gastrointestinal sikayetlerin sikligi, derecesi ve bunlarin ameliyat sonrasi donemde hasta memnuniyetine olan etkilerini ortaya koymak amaclanmistir. Bu calismada literaturden farkli olarak; ayni cerrah tarafindan ve standart sekilde ameliyat edilen hastalarin, tek bir gozlemci tarafindan degerlendirmesi yapilmistir. Gerec ve yontem: Mart 2000-Mart 2007 tarihleri arasinda Ankara Universitesi Tip Fakultesi Genel Cerrahi Anabilim dalinda Laparoskopik Nissen Fundoplikasyon (LNF) yapilan 215 hasta retrospektif olarak degerlendirildi. Hastalara refluye spesifik ve nonspesifik gastrointestinal sikayetleri, bunlarin sikligi ve s...

AMAC: Bu calismanin amaci, kadin saglik calisanlarinin meme kanseri bilgi duzeylerini olcmek ve t... more AMAC: Bu calismanin amaci, kadin saglik calisanlarinin meme kanseri bilgi duzeylerini olcmek ve tarama yontemlerine yonelik inanc, tutum ve davranislari belirleyen faktorleri arastirmaktir. GEREC VE YONTEMLER: Bu calisma saglik egitimi almis, saglik egitimi almamis ve toplumdaki diger kadinlardan olusan 21 yas ustu, 850 gonullu uzerinde gerceklestirilmistir. Etik kurul onayi ve aydinlatilmis onam formu alinmistir. Gruplari karsilastirmak icin Sosyodemografik veri formu, Meme Kanseri Icin Şampiyon Saglik Inanc Modeli ve Kapsamli Meme Kanseri Bilgi Testi kullanilmistir. Istatistiksel analizler IBM SPSS Statistics for Windows, Surum 21.0 kullanilarak yapildi. BULGULAR: Kendi kendine meme muayenesi ve klinik meme muayenesi sikligi acisindan gruplar arasinda fark yoktu (p> 0.05). Yas, bilgi duzeyi ve egitim duzeyinde gruplar arasinda istatistiksel olarak anlamli bir fark vardi (p <0.05). Saglik calisanlarinin ve toplum uyelerinin egitim duzeyleri arasinda istatistiki olarak anlamli...

Bu calismanin amaci, laparoskopik sleeve gastrektomi (LSG) uygulanan hastalarda LigaSure ™ ve Har... more Bu calismanin amaci, laparoskopik sleeve gastrektomi (LSG) uygulanan hastalarda LigaSure ™ ve Harmonic® el aletinin perioperatif sonuclarini ve komplikasyon oranlarini karsilastirmaktir. Mart 2015 ile Nisan 2020 arasinda LSG uygulanan 152 morbid obez hasta calismaya dahil edildi. Intraoperatif ve postoperatif 30 gunluk komplikasyonlar kullanilan enerji cihazi tipine gore karsilastirildi. Kategorik degiskenleri karsilastirmak icin Pearson's χ2 ve Fisher’s exact test kullanildi. Surekli verisi olan iki bagimsiz grubu karsilastirmak Mann-Whitney U testi (nonparametrik) kullanildi. Postoperatif komplikasyonlarin risk faktorlerini belirlemek icin Lojistik regresyon analizi yapildi. 0.05 ten kucuk p degeri istatistiksel olarak anlamli kabul edildi. Totalde 136 hasta retrospektif olarak incelendi. Istatistiksel analiz iki grup arasinda intraoperatif ve postoperatif komplikasyon oranlarinda farklilik gostermedi (sirasiyla, p=786 ve p=0.966). Ligasure ™ 'de operasyon suresi daha kisa...

Obesity has become a worldwide epidemic and it is related with many chronic diseases such as hype... more Obesity has become a worldwide epidemic and it is related with many chronic diseases such as hypertension, type 2 diabetes, dyslipidemia, cardiovascular diseases, sleep apne etc. [1]. The obese population has different kinds of eating behaviours. They try lots of ways for losing weight (diet, exercise, medical treatment etc.) but usually it results with regaining weight [2]. Nowadays it seems that bariatric surgery is the most effective therapy in struggling with obesity even if there are some contradictory results [3].

Medicine, Jun 1, 2017

Rationale: Chronic fatigue syndrome (CFS) is a complicated disorder characterized by severe fatig... more Rationale: Chronic fatigue syndrome (CFS) is a complicated disorder characterized by severe fatigue that is not relieved with rest and associated with physical symptoms such as sleep problems, headache, muscle pain, or joint pain. Patient concerns: Forty-one year old patient complained from feeling cold after breast cancer surgery. Diagnoses: The diagnoses of fibromyalgia, depression, neurological, psychiatric, and vascular disorders were excluded by appropriate clinical and laboratory investigations. She was diagnosed as CFS. Interventions: The patient was treated successfully via aerobic exercise therapy that scheduled for 30 min at least 3 days per week. Outcomes: At 6-month follow-up, her complaints were almost resolved and the patient regained her physical health and mental attitude. Lessons: A thermal dysregulation should be taken into consideration as one of the symptoms of CFS.

Central European Journal of Urology, 2016

Aim: The aim of this study is to evaluate sexual functions which emerge due to inguinal hernia an... more Aim: The aim of this study is to evaluate sexual functions which emerge due to inguinal hernia and may change after hernia surgery. Material and Methods: A total of 47 patients who had Lichtenstein tension-free anterior repair and inguinal hernia surgery were evaluated for erectile function, intercourse function, sexual desire, overall satisfaction, and orgasmic satisfaction condition with International Index of Erectile function questionnaire (IIEF) scoring system before the surgery and in the first and sixth months after surgery. Parameters evaluated with IIEF score before the surgery and in the first and sixth months after surgery were compared statistically using Wilcoxon test. Results: Average age of 47 patients was measured 46,2±11,2 years (range: 22-67). It was determined that all scores apart from sexual desire (p=0,08) significantly increased in postoperative first and sixth months compared to the preoperative period. It was measured that preoperative sexual desire score increased significantly in postoperative sixth month (p<0.001). A significant score was detected when all scores in postoperative sixth month were compared to postoperative first month. Conclusion: Inguinal hernia surgery positively effects sexual functions compared to preoperative period. The addition of recovery in sexual parameters to the benefits of removing hernia and presence of no significant postoperative complications shows that this surgery can be made in a safe and useful way.

The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology, 2017

Crohn disease (CD) is a chronic inflammatory disease that may be observed in random areas of gast... more Crohn disease (CD) is a chronic inflammatory disease that may be observed in random areas of gastrointestinal tract. Fistula formation is common during the course of CD, whereas duodenocolic fistulas are very rare. It is possible to safely perform surgical resection in patients who have severe symptoms of duodenal fistula. In this study, we report a rare case of CD with duodenocolic fistula that has emerged from the previous surgical resection.