Person: YILDIZELİ, BEDRETTİN
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YILDIZELİ
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BEDRETTİN
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Publication Metadata only Foreign body aspiration: What is the outcome?(WILEY-LISS, 2002) YILDIZELİ, BEDRETTİN; Karakoc, F; Karadag, B; Akbenlioglu, C; Ersu, R; Yildizeli, B; Yuksel, M; Dagli, EUndiagnosed and retained foreign bodies may result in serious complications such as pneumonia, atelectasis, or bronchiectasis. We reviewed a total of 174 children with foreign body aspiration (FBA). Clinical, radiological, and bronchoscopic findings of these patients were evaluated according to the nature of foreign body and elapsed time from aspiration to diagnosis. Significant differences were noted between patients with organic and inorganic FBA in terms of clinical and radiological findings. Cough, recurrent pneumonia, and fever were the most common presenting symptoms in patients with delayed diagnosis. Long-term follow-up was available for 110 patients for a mean duration of 37.8 +/- 23.7 months (range, 1-88 months). We evaluated the course of recovery after bronchoscopic removal. Organic FBA was of comparable duration as for inorganic FBA, and prolonged follow-up was associated with increased risk of persistent symptoms and bronchiectasis (P < 0.001). The risk of long-term complications increased with increasing elapsed time from aspiration to diagnosis; complications were as high as 60% in children who were diagnosed 30 days after FBA (P = 0.0035). Bronchiectasis was a major complication, found in 25% of patients whose diagnosis was delayed by more than 30 days (P = 0.0001). Three patients with bronchiectasis underwent lobectomy. Patients with persistent asthma-like symptoms such as cough and wheezing required treatment with inhaled corticosteroids and bronchodilators. The positive response to this treatment was thought to be a confirmation of the development of transient bronchial hyperresponsiveness induced by foreign bodies. We conclude that timely diagnosis and appropriate treatment of FBA is important to prevent long-term complications in affected children. (C) 2002 Wiley-Liss, Inc.Publication Metadata only Pulmonary Embolism: A Late Complication of Pectus Excavatum Repair(WILEY, 2014) YILDIZELİ, BEDRETTİN; Abaci, Okay; Cetinkal, Gokhan; Kocas, Cuneyt; Evren, Emre; Yildiz, Mustafa; Yildizeli, Bedrettin; Yanartas, MehmetThe Ravitch operation is frequently performed to correct pectus excavatum with few and minor complications. We present a case of pulmonary embolism with pulmonary endarterectomy in a patient undergoing Ravitch repair for pectus excavatum 2 years ago.Publication Metadata only Mucoepidermoid carcinoma of the bronchus: A rare entity in childhood(WILEY, 2005) YILDIZELİ, BEDRETTİN; Kut, A; Karadag, B; Karakoc, F; Ersu, R; Yildizeli, B; Kotiloglu, E; Yuksel, M; Dagli, EPublication Metadata only Effects of multiple pulmonary aspirations of enteral solutions on lung tissue damage(CHURCHILL LIVINGSTONE, 2006) YILDIZELİ, BEDRETTİN; Umuroglu, T; Takil, A; Irmak, P; Yildizeli, B; Ahiskali, R; Dogan, V; Gogus, FYBackground Et aim: The aim of this study was to compare the pulmonary histopathologic effects of enteral solutions with various lipid content, after multiple aspirations in rats. Methods: Thirty Wistar albino rats were randomly assigned to one of three groups (n = 10). Salinesolution (0.9%) (group C, control), Impact (lipid content, 28g/l; group I), Pulmocare (lipid content, 93.3g/l; group P) were injected into the lung through the trachea, in a volume of 0.8 ml/kg. The aspiration procedure was performed three times in total, in every 2 days. After seven days from the first aspiration, rats were killed, and lungs were examined for histopathologic examination. Results: Alveolar histiocytes were statistically higher in left lungs of the group I than the left ones of the control group(P < 0.05). Lipid-laden alveolar macrophages were significantly higher in left lungs of groups I and, P than left lungs of the control group (P < 0.05). Conclusion: Lung tissue damage occuring after multiple pulmonary aspirations of Impact and Pulmocare, is histopathotogically similar to each other, and is in the form of lipoid pneumonia. In cases of multiple pulmonary aspirations, volume of the aspirate and chronicicity of the aspiration took like major impact factors rather than the amount of the lipid. (c) 2005 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.Publication Metadata only Pulmonary hypertension classification based on machine learning using standart chest x-ray : ata artificial intelligence study-1(2022-05-26) KOCAKAYA, DERYA; YILDIZELİ, BEDRETTİN; KIVRAK T., YAĞMUR B., ÇİÇEK YILMAZ D., YEŞİL E., ÇELİK A., YAYLA Ç., TEKİN TAK B., İYİGÜN U., ARABACI H. O. , SİNAN Ü. Y. , et al.Amaç: An accurate diagnosis of pulmonary hypertension (PH) is crucial to ensure that patients receive timely treatment. One of the used imaging models to detect pulmonary hypertension is the X-ray. Therefore, a new automated PH type classification model has been presented to depict the separation ability of deep learning for PH types Yöntem: We retrospectively enrolled 6642 images of patients with PH and the control group. A new X-ray image dataset was collected from a multicenter in this work.A transfer learning-based image classification model has been presented in classifying PH types. Bulgular: Our proposed model was applied to the collected dataset, and this dataset contains six categories (five PH and a nonPH). The presented deep feature engineering (computer vision) model attained 86.14% accuracy on this dataset. According to the extracted ROC curve, the average area under the curve rate has been calculated at 0.945.Publication Metadata only Management of Massive Pulmonary Hemorrhage Following Pulmonary Endarterectomy(GEORG THIEME VERLAG KG, 2014) YILDIZELİ, BEDRETTİN; Yildizeli, Bedrettin; Arslan, Ozgur; Tas, Serpil; Eldem, Barkin; Aksoy, Eray; Kocak, Tuncer; Sunar, HasanMassive pulmonary hemorrhage is a potentially fatal complication of pulmonary endarterectomy. We describe a successful management in which the patient's right lower lobe bronchus was occluded with a Fogarty balloon catheter while on peripheral venoarterial extracorporeal membrane oxygenation.Publication Metadata only Predictors of health related quality of life in patients wi̇th pulmonary hypertension(2022-02-07) KOCAKAYA, DERYA; ATAŞ, HALİL; YILDIZELİ, BEDRETTİN; MUTLU, BÜLENT; KOCAKAYA D., ŞİŞMAN A., AKASLAN D., ATAŞ H., YILDIZELİ B., MUTLU B.Publication Metadata only Primer hiperparatiroidili olguda mıbı paratiroid spect/bt ile gösterilen paratiroid adenomuna eşlik eden mediastinal karsinoid tümör(2013-04-06) YILDIZELİ, BEDRETTİN; ÖNEŞ, TUNÇ; ERDİL, TANJU YUSUF; TUROĞLU, HALİL TURGUT; ÖZGÜVEN, SALİH; DEDE, FUAT; ÖZGÜVEN S., DEDE F., YILDIZELİ B., GÜNGÖR S., ARAS M., Maleki R., ÖNEŞ T., İNANIR S., ERDİL T. Y., TUROĞLU H. T.Publication Metadata only Evaluation of right and left heart mechanics in patients with chronic thromboembolic pulmonary hypertension before and after pulmonary thromboendarterectomy(SPRINGER, 2015) YILDIZELİ, BEDRETTİN; Sunbul, Murat; Kivrak, Tarik; Durmus, Erdal; Yildizeli, Bedrettin; Mutlu, BulentThe aim of the present study was to evaluate of the right and left heart mechanics by two-dimensional (2D) speckle tracking echocardiography (STE) in chronic thromboembolic pulmonary hypertension (CTEPH) patients before and after pulmonary thromboendarterectomy (PTE). A total of 40 consecutive CTEPH patients (mean age 49.3 +/- A 13.5 years, 27 female) were included. 2D STE was performed in all patients before, and 3 months, after PTE. 12 months of prognostic data were also recorded via the use of telephone calls. Postoperative 6-minute walk test (6MWT) distances were significantly longer than preoperative values (410.5 +/- A 61.5 vs. 216.6 +/- A 131.4 m, p < 0.001). Postoperative left ventricular (LV) and right ventricular (RV) systolic functions (LV EF, TAPSE, RVS) were similar compared to preoperative values. While postoperative RV, right atrial (RA) and systolic pulmonary artery pressure measurements were significantly lower, LV and left atrial (LA) measurements were higher than preoperative values. Postoperative LV and RV global longitudinal strain (GLS) measurements were significantly higher than preoperative values. Postoperative LV global radial and circumferential strain measurements were similar to preoperative values. While postoperative RA reservoir and conduit functions were significantly higher, postoperative LA reservoir and conduit functions were similar to preoperative values. Correlation analysis revealed that baseline 6MWT distances were correlated with LV GLS, RV GLS, and RA reservoir and conduit functions in the preoperative and postoperative periods. 2D STE indices may help the clinician in assessing the effect of PTE on cardiac functions and may also be used for follow-up data in CTEPH patients.Publication Metadata only Perioperative management of massive pulmonary hemorrhage after pulmonary endarterectomy(BAYCINAR MEDICAL PUBL-BAYCINAR TIBBI YAYINCILIK, 2018) YILDIZELİ, BEDRETTİN; Yildizeli, Sehnaz Olgun; Erkilinc, Atakan; Yanartas, Mehmed; Tas, Serpil; Sunar, Hasan; Gurcu, Emre; Yildizeli, BedrettinBackground: This study aims to evaluate our approaches and outcomes in patients who developed hemoptysis following pulmonary endarterectomy. Methods: Pulmonary endarterectomy was performed in 460 patients at Kartal Kosuyolu Training and Research Hospital between March 2011 and September 2017. Clinical characteristics, perioperative management and postoperative outcomes of 10 patients (2.1%) (4 males, 6 females; mean age 48.3 +/- 16.5 years; range 21 to 76 years) with massive pulmonary hemorrhage following pulmonary endarterectomy were evaluated. Results: Mean period of diagnosis for chronic thromboembolic pulmonary hypertension was 17 +/- 13.6 months. All patients were New York Heart Association functional class II (n=2), III (n=5) or IV (n=3). For the treatment of massive pulmonary hemorrhage, intraoperative extracorporeal membrane oxygenation was used in six patients (60%), while conservative treatments were used in four patients (40%). In-hospital mortality rate was 50% (n=5); the causes for mortality were septic shock in two patients, multiple organ failure in two patients and intracranial hemorrhage in one patient. Survival was achieved in two patients on extracorporeal membrane oxygenation and three patients receiving conservative treatment. Functional and hemodynamic improvement was observed in all surviving patients. Conclusion: Despite the relatively low incidence of massive pulmonary hemorrhage after pulmonary endarterectomy, it is a potentially fatal complication. Our approach focuses on early diagnosis with a multidisciplinary team and management with bronchoscopy, bronchial blockers and use of extracorporeal membrane oxygenation. The choice of treatment depends on the site and origin of the hemorrhage, the availability of equipment and expertise, and the potential short- and long-term advantages and disadvantages.