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    Children with corrosive esophageal burns and esophagoscopy
    (2009) Cankorkmaz, Levent; Koyluoglu, Gökhan; Güney, Cengiz
    Aim: Accidental ingestion of corrosive materials remains a significant problem in the pediatric population. Ingested corrosive agents produce esophageal injuries ranging from minor burns to severe necrosis. The aim of this study was to discuss our patients who were treated for corrosive material ingestion and necessity of the esophagoscopy. Materials and Methods: Patients with a history of corrosive agent ingestion who were followed up in our Pediatric Surgery clinic between January 2000 and March 2007 were analyzed retrospectively. Results: Among total of 394 cases affected by corrosives, 62.2 % were males, 37.8 % were females with a mean age was 3.98±3.0 (6 months-16 years, ±3.0) years. Household bleaches (43.6 %), fat solvents (25.4 %) and hydrochloric acid (24.1 %) were the most frequently encountered corrosive agents. In 46.6 % of the cases, no pathologies have been detected in esophagoscopy. There were esophageal strictures in four cases, and esophageal and gastric perforation developed in one case. None of the children who ingested household bleaches developed esophageal strictures All of our cases consisted of children who ingested caustic agents inadvertently. Conclusion: Based on our study, we believe that, since household bleaches do not lead to esophageal strictures, .early esophagoscopy appears to be an unnecessary intervention in a child who ingested household bleaches accidentally.
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    Evaluation of Gastrointestinal Perforations in Newborns:A Single Center Experience
    (2021) Güney, Cengiz; Tunç, Gaffari
    Introduction: Gastrointestinal perforations (GIPs) are problems with high mortality in the neonatal period. In the present\rstudy, the purpose was to share our experiences on GIPs in the neonatal period.\rMethods: A total of 28 patients who were followed up and treated in the Neonatal Intensive Care Unit between 2005 and\r2020 were evaluated retrospectively with risk factors, characteristics, clinical and laboratory findings, and mortality rates.\rResults: There were a total of 16 male (57.1%) and 12 female (42.9%) patients 15 of whom were (53.6%) preterm, 13 (46.4%)\rwere term. The mean birth weight was 2162±855 g. The most common cause of perforation was necrotizing enterocolitis\rwith 16 cases. Perforation sides were jejunoileal in 17 cases, colon in eight cases, duodenum in two cases, and stomach in\rone case. A total of 12 of the cases (42.8%) were lost due to perforation. Statistically significant relations were detected between\rbirth weight and gestational age and mortality.\rDiscussion and Conclusion: GIPs appear as an important reason for mortality during the neonatal period. It is important to\rbe careful because of perforation-related mortality in infants with low birth weight and low gestational age.
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    On Bir Yaşındaki Çocukta Dev Seröz Kistadenoma Bağlı Over Torsiyonu: Bir Olgu Sunumu
    (2018) Cankorkmaz, Levent; Özer, Hatice; Güney, Cengiz
    Adölesanlarda over torsiyonu sıklıkla overdeki benign ya da malign tümörlerinbir komplikasyonudur. Bu yazıda, akut karın ağrısı yakınmasıyla başvuranseröz kist adenoma bağlı sağ over torsiyonu tanısı konulan on bir yaşında kızolgu sunulmuştur. Adölesanlarda overin seröz kist adenomu ender olsa daover kitleleri ve torsiyonlarında epitelyal tümörlerin ayırıcı tanıda akılda tutulması,ameliyat sonrasında nüksler nedeniyle yakın takip yapılması açısındanönemlidir. Çocukluk çağı over torsiyonlarında ameliyat sırasındaki makroskopiktanı ameliyatta bırakılacak over dokusunun planlaması ve izlemde önemlidir.