Browsing by Author "Üstündağ, Gonca"

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    Angiodysplasia as a cause of severe hematochezia in a child with end-stage renal failure
    (Taylor & Francis, 2011-02-01) Kuloglu, Zarife; Özçakar, Z. Birsin; Kansu, Aydan; Üstündağ, Gonca; Ekim, Mesiha; Altugan, F. Şemsa; Kendirli, Tanıl; Çınar, Kubilay; Yalçınkaya, Fatoş; Tıp Fakültesi
    Angiodysplasia is a frequent cause of gastrointestinal bleeding in adults with chronic renal failure (CRF); however, there is no data about this association in children. The mechanism of this association is not known. We report a 4.5-year-old boy with CRF presenting with hematochezia due to colonic angiodysplasia. He was on hemodialysis for the previous 9 months. Treatment with argon plasma coagulation (APC) was commenced following a short course of octreotide therapy. During the 3 years of follow-up, no occult or gross bleeding occurred. This case illustrates that octreotide and APC therapy seems to be useful for arresting bleeding from angiodysplasia and prevention of recurrent bleeding in children with CRF.
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    Angiodysplasia as a cause of severe hematochezia in a child with end-stage renal failure.
    (Taylor & Francis, 2011-02-01) Kuloğlu, Zarife; Özçakar, Z. Birsin; Kansu, Aydan; Üstündağ, Gonca; Ekim, Mesiha; Altugan, F.Şemsa; Kendirli, Tanıl; Çınar, Kubilay; Yalçınkaya, Fatoş; Tıp Fakültesi
    Angiodysplasia is a frequent cause of gastrointestinal bleeding in adults with chronic renal failure (CRF); however, there is no data about this association in children. The mechanism of this association is not known. We report a 4.5-year-old boy with CRF presenting with hematochezia due to colonic angiodysplasia. He was on hemodialysis for the previous 9 months. Treatment with argon plasma coagulation (APC) was commenced following a short course of octreotide therapy. During the 3 years of follow-up, no occult or gross bleeding occurred. This case illustrates that octreotide and APC therapy seems to be useful for arresting bleeding from angiodysplasia and prevention of recurrent bleeding in children with CRF.
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    Subclinical cardiac dysfunction in children with coeliac disease: Is the gluten free diet effective
    (2012) Şaylan, Berna; Çevik, Ayhan; Tuna Kırsaçlıoğlu, Ceyda; Ekici, Filiz; Tosun, Özgür; Üstündağ, Gonca; Tıp Fakültesi
    Objectives. The aim of this study is to investigate the effects of coeliac disease on cardiac function in children using conventional transthoracic echocardiography (TTE) and tissue Doppler echocardiography (TDE). Methods. Coeliac disease patients were evaluated in two different groups based on serum endomysial antibody (EmA) titers (EmA (+) and EmA (−)), and the data obtained by conventional and TDE studies were compared between the patient groups and healthy controls. Results. There was no significant difference between EmA (+) and EmA (−) groups in terms of the conventional TTE parameters, including ejection fraction (EF), fractional shortening (FS), and left ventricle end diastolic diameter (LVEDD), that show the left ventricular systolic function (P = 0.727, P = 0.317, P = 0.118). TDE showed a significant difference in left ventricle (LV) isovolumic relaxation time (LV IVRT) and LV myocardial performance index (LV MPI) parameters between EmA (+) and EmA (−) patient groups (P < 0.0001). Conclusion. The measurement of LV MPI and LV IVRT parameters by TDE would be beneficial in early determination of the cardiac involvement and establishing appropriate treatment and followup of patients with coeliac disease as well as in making distinction between EmA (+) and EmA (−) patients.