Person: BEKİROĞLU, GÜLNAZ NURAL
Loading...
Email Address
Birth Date
Research Projects
Organizational Units
Job Title
Last Name
BEKİROĞLU
First Name
GÜLNAZ NURAL
Name
5 results
Search Results
Now showing 1 - 5 of 5
Publication Metadata only Whole lung lavage for pulmonary alveolar proteinosis: still the most up-to-date treatment(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2017) YILDIZELİ, BEDRETTİN; Lacin, Tunc; Yildizeli, Bedrettin; Eryuksel, Emel; Ceyhan, Berrin; Karakurt, Sait; Bekiroglu, Nural; Celikel, Turgay; Yuksel, MustafaBackground: This study aims to evaluate the significance of whole lung lavage on prelavage and postlavage blood gas analysis values of patients with pulmonary alveolar proteinosis. Methods: Data of nine patients (1 male, 8 females; mean age 38.2 years; range 29 to 60 years) who were diagnosed to have pulmonary alveolar proteinosis with interventional techniques between January 1998 and May 2010 at Marmara University Hospital Department of Thoracic Surgery were reviewed. Patients' prelavage pulmonary function tests, pre-and postlavage blood gas analyses, and radiologic images were evaluated. Restrictive ventilatory pattern and impaired gas exchange were detected and whole lung lavage was performed in all patients. Results: No major complications were observed during whole lung lavage. Each lung was washed with 15-30 L of physiological saline solution. Patients were followed-up in the intensive care unit intubated for a mean of 2.6 days (range, 1 to 16 days). Mean duration of stay at intensive care unit was 3.5 days (range, 1-16 days). One patient died 16 days after her fifth lavage due to respiratory arrest during an attempt for percutaneous tracheostomy. Increment of the postlavage partial pressures of oxygen and oxygen saturations was statistically significant. All patients showed subjective improvement. Conclusion: Our experience suggests that whole lung lavage is a safe technique when strict adherence to lavage protocol is maintained. Postlavage symptomatic relief is rapid and oxygenation improves significantly.Publication Metadata only The Size of the Esophageal Hiatus in Gastroesophageal Reflux Pathophysiology: Outcome of Intraoperative Measurements(SPRINGER, 2010) GİRAL, ADNAN; Batirel, Hasan Fevzi; Uygur-Bayramicli, Oya; Giral, Adnan; Ekici, Buelent; Bekiroglu, Nural; Yildizeli, Bedrettin; Yueksel, MustafaThe aim of the study was to investigate the impact of the size of the esophageal hiatus on lower esophageal sphincter pressure (LESP) and acid reflux. Patients with gastroesophageal reflux disease who underwent Nissen fundoplication in 2006-2008 were included. All underwent esophageal manometry and 22 had 24-h pH monitoring. The area of the esophageal hiatus was calculated from a photograph shot during surgery. A hiatal index was calculated via division of hiatal area with body mass index (BMI). Correlation and logistic regression analysis were performed. Twenty-eight patients (average age 44, 14 males) were enrolled. The mean BMI, LESP, DeMeester score, hiatal area, and hiatal index were 27 +/- 3.9 kg/m(2), 11.7 +/- 6.6 mmHg, 43 +/- 34, 3.83 +/- 1.24 cm(2), and 0.143 +/- 0.048, respectively. There was a significant negative correlation between hiatal area, hiatal index and LESP (-0.513, p = 0.005, r = -0.439, p = 0.019 respectively). Additionally there was a negative correlation between hiatal area and total LES length (r = -0.508, p = 0.013) and a significant positive correlation between hiatal area, hiatal index, and DeMeester scores (0.452, p = 0.035, 0.537, p = 0.01, respectively). Height and hiatal area were significant factors in multiple linear regression. The size of the esophageal hiatus significantly affects LESP and acid reflux, and hiatal index is a new value, which appears to reflect the amount of acid reflux. Total LES length is also shortened in patients with a large hiatus.Publication Metadata only Pulmoner arter sarkomanın cerrahi sonuçları: Histoloji sağkalımı etkiler mi(2023-08-01) BOZKURTLAR, EMİNE; OLGUN YILDIZELİ, ŞEHNAZ; MUTLU, BÜLENT; KOCAKAYA, DERYA; BEKİROĞLU, GÜLNAZ NURAL; YILDIZELİ, BEDRETTİN; Başar V., Olgun Yıldızeli Ş., Bozkurtlar E., Ercelep ., Mutlu B., Kocakaya D., Bekiroğlu G. N., Taş S., Sunar H., Küçükoğlu M. S., et al.Publication Metadata only Multimodal Approach of Isolated Pulmonary Vasculitis: A Single-Institution Experience(Elsevier Inc., 2021) YILDIZELİ, BEDRETTİN; Yanartaş M., Karakoç A.Z., Zengin A., Taş S., Olgun-Yildizeli Ş., Mutlu B., Ataş H., Alibaz-Öner F., İnanç N., Direskeneli H., Bozkurtlar E., Erkilinç A., Çimşit Ç., Bekiroğlu G.N., Yildizeli B.Background: Isolated pulmonary vasculitis (IPV) is a single-organ vasculitis of unknown etiology and may mimic chronic thromboembolic pulmonary hypertension (CTEPH). The aim of this study was to review our clinical experience with pulmonary endarterectomy in patients with CTEPH secondary to IPV. Methods: Data were collected prospectively for consecutive patients who underwent pulmonary endarterectomy and had a diagnosis of IPV at or after surgery. Results: We identified 9 patients (6 women; median age, 48 years [range, 23-55]) with IPV. The diagnosis was confirmed after histopathologic examination of all surgical materials. The mean duration of disease before surgery was 88.0 ± 70.2 months. Exercise-induced dyspnea was the presenting symptom in all patients. Pulmonary endarterectomy was bilateral in 6 patients and unilateral in 3. No deaths occurred; however 1 patient had pulmonary artery stenosis, and stent implantation was performed. All patients received immunosuppressive therapies after surgery. Mean pulmonary artery pressure decreased significantly from 30 mm Hg (range, 19-67) to 21 mm Hg (range, 15-49) after surgery (P < .05). Pulmonary vascular resistance also improved significantly from 270 dyn/s/cm–5 (range, 160-1600) to 153 dyn/s/cm–5 (range, 94-548; P < .05). After a median follow-up of 41 months, all but 1 patient had improved to the New York Heart Association functional class I. Conclusions: IPV can mimic CTEPH, and these patients can be diagnosed with pulmonary endarterectomy. Furthermore surgery has not only diagnostic but also therapeutic value for IPV when stenotic and/or thrombotic lesions are surgically accessible. A multidisciplinary experienced CTEPH team is critical for management of these unique patients. © 2021 The Society of Thoracic SurgeonsPublication Metadata only Factors associated with postoperative delirium after thoracic surgery(ELSEVIER SCIENCE INC, 2005) YILDIZELİ, BEDRETTİN; Yildizeli, B; Ozyurtkan, O; Batirel, HF; Kuscu, K; Bekiroglu, N; Yuksel, MBackground. Postoperative delirium is an acute confusional state characterized by fluctuating consciousness and is associated with increased morbidity and mortality. We analyzed the incidence and risk factors of delirium following thoracic surgery. Methods. All patients (n = 432) who underwent thoracotomy or sternotomy from 1996 to 2003 were analyzed retrospectively. The diagnosis of postoperative delirium was based on Diagnostic and Statistical Manual of Mental Disorders-IV criteria. Results. Postoperative delirium developed in 23 patients (5.32%) between postoperative days 2 to 12 (mean, 4.4 +/- 2.6 days). There were 15 males and 8 females, with a mean age of 59.4 years (24 to 77 years). The delirium group was older (59.4 +/- 14.6 vs 51.3 +/- 15.5 years, p < 0.01) and had a longer operation time than the nondelirious group (5.34 +/- 1.58 vs 4.38 +/- 1.6 hours, p = 0.005). Morbidity and mortality rates were not significantly different between the two groups (56.5% vs 47.1%; 13.0% vs 3.66%, respectively). Univariate analysis showed that the older age, markedly abnormal postoperative levels of sodium, potassium, or glucose, sleep deprivation, operation time, and diabetes mellitus were risk factors (p < 0.05). According to multivariate analyses, four factors were selected as predictive risk factors: (1) markedly abnormal postoperative levels of sodium, potassium, or glucose (p = 0.038); (2) sleep deprivation (p = 0.05); (3) age (p = 0.033); and (4) operation time (p = 0.041). Conclusions. Postoperative delirium may cause higher morbidity and mortality rates after thoracic surgery. Close postoperative follow-up and early identification of predisposing factors such as older age, sleep deprivation, abnormal postoperative levels of sodium, potassium, or glucose, and longer operation time can prevent occurrence of postoperative delirium. (C) 2005 by The Society of Thoracic Surgeons.