Üniversite döneminde gençlerin ciddi beslenme sorunları yaşadığı bilinmektedir. Bu çalışmada, üniversite öğrencilerinin cinsiyetlerine, yaşadıkları yerlere, vücut kütle indekslerine ve eğitim alanlarına göre yeme davranışlarının incelenmesi hedeflenmiştir.

<br><b>Introduction:</b> Postoperative intra-abdominal adhesions are a clinical condition that may develop after any abdominal surgery and constitute the leading cause of mechanical small bowel obstructions.</br> <br><b>Aim:</b> This study investigates factors which influence the formation of postoperative adhesion and evaluates the efficiency of applying minimally invasive surgical techniques in reducing adhesion.</br> <br><b>Material and methods:</b> Patients who underwent surgery to diagnose obstructive ileus in our clinic between January 2015 and January 2020 were analyzed retrospectively. Demographic data of the patients, operation details time between the operations and history of hospitalizations, postoperative mortality and morbidity, as well as the severity of complications were recorded. The patients included in the study were divided into groups according to the surgical technique applied in the first operation (laparoscopy/ laparotomy), the abdominal incision line (upper/lower/total), and the etiology of the primarily operated lesion (benign/malignant).</br> <br><b>Results:</b> One hundred eighteen (118) patients were included in the study. The mean age of patients was 61.2 ± 10.8 (39–82) years. Age, ileus history, time to the onset of ileus, length of hospital stay and the number of complications were shorter in the laparoscopy group as compared to the laparotomy group and the difference was found to be statistically significant. In addition, when patients were categorized according to the abdominal incision line, fewer hospitalizations and more frequent postoperative complications due to ileus were observed in the sub-umbilical incision group (p < 0.05).</br> <br><b>Conclusions:</b> Postoperative adhesion formation is currently one of the clinical conditions which pose a challenge to both the patient and the clinician due to its incidence and recurrence. However, adhesion formation can be reduced by applying minimally invasive surgical methods, especially laparoscopic surgery and precise maneuvers during surgery.</br>

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Background Preoperative sarcopenia is an essential factor that negatively affects postoperative results. The effect of preoperative sarcopenia on postoperative complications and prognosis in patients treated for Fournier’s gangrene (FG) is controversial. This retrospective cohort study analyzed the effect of FG to evaluate the effect of preoperative sarcopenia on postoperative complications and prognosis in patients who were operated on. Method The data of patients who were operated on with FG diagnosis in our clinic between 2008 and 2020 were reviewed retrospectively. Demographic data (age and gender), anthropometric measurements, preoperative laboratory values, abdominopelvic CT, location of FG, number of debridements, ostomy, microbiological culture result, wound closure method, length of hospital stay, and overall survival were recorded. In addition, the presence of sarcopenia was determined according to psoas muscular index (PMI) and Hounsfield unit average calculation (HUAC). Results Of the patients, 57 (30.8%) were female and 128 (69.2%) were male. According to the PMI, sarcopenia was detected in 67 (36.2%) patients and 70 (37.8%), according to the HUAC. At the end of one postoperative year, the mortality rate was higher in the sarcopenia group than in the non-sarcopenia group (P = .002, P = .01). According to the PMI, patients with sarcopenia have an 8.17 times greater risk of exitus than non-sarcopenic patients. According to the HUAC, patients with sarcopenia have a 4.21 times greater risk of exitus than non-sarcopenic patients. Conclusion Based on this large retrospective study, sarcopenia is a strong and independent predictor of postoperative mortality after Fournier’s treatment for gangrene.

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Background Colorectal cancer is a significant global health concern, ranking as the second most deadly and third most common cancer worldwide. Early detection and removal of precancerous lesions play a crucial role in preventing cancer development and reducing mortality. Since FDG uptake is not specific for malignancy, incidental increased FDG uptake in the gastrointestinal tract may be challenging to interpret and may require further colonoscopic examination. This study aimed to investigate the features associated with malignant and premalignant pathology in patients with incidental colonic FDG uptake and determine the necessity of colonoscopy for each FDG uptake. Methods Retrospective analysis was performed on data from patients who underwent colonoscopies between January 2016 and December 2021. Patients with FDG uptake in known colorectal malignancy regions were excluded. The study included 56 patients with incidental colonic FDG uptake. PET/CT images were visually and quantitatively analyzed, and the corresponding colonoscopy and histopathological results were recorded. Statistical analyses were conducted to evaluate the relationship between FDG uptake patterns, SUVmax values, and histopathological diagnoses. Colonoscopic findings were categorized as malignancy, polyps, and non-neoplastic lesions. Results Among the 56 patients with incidental colonic FDG uptake, 36 lesions were identified, and histopathology revealed malignancy in 10 (17.9%) patients and premalignant polyps in the 26 (46.4%) cases. Focal FDG uptake with corresponding wall thickening or soft tissue density on CT was associated with a higher likelihood of premalignant or malignant lesions. The SUVmax values demonstrated a significant difference between negative findings and polyps/malignancies. However, no significant difference was observed between malignant and premalignant lesions. A ROC curve analysis was made and assesed a cut-off value of 11.1 SUVmax (sensitivity: 83.3% and specificity: 90%) to distinguish premalignant or malignant lesions from non-malignant lesions. Conclusion Incidental colonic FDG uptake with a focal pattern and corresponding CT findings were more likely to indicate premalignant or malignant lesions. SUVmax values were helpful in predicting the presence of pathological findings, but histopathological verification remains necessary for a definitive diagnosis. These findings contribute to our understanding of the clinical implications of incidental colonic FDG uptake and highlight the importance of follow-up colonoscopy for further evaluation.

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Amaç: Anemi, cerrahi geçiren tüm hastalarda artmış mortalite ve morbidite ile ilişkilidir. Bu çalışmada, hiatal herni cerrahisi öncesi aneminin ne ölçüde postoperatif komplikasyonlara neden olduğunu ortaya koymak amaçlandı. Gereç ve Yöntemler: Kliniğimizde, 2015 ve 2019 yılları arasında hiatal herni nedeniyle ameliyat edilmiş olan hastalar geriye dönük olarak incelendi. Hastalar demografik, preoperatif laboratuvar değerleri, preoperatif Charlson komorbidite indeksi skoru, hiatal herni tipi, postoperatif yoğun bakım gereksinimi, postoperatif komplikasyon varlığı, Clavien-Dindo skoru, kan transfüzyon ihtiyacı ve hastanede kalış süresi açısından karşılaştırıldı. Bulgular: Hastaların 109’u kadın ve 83’ü erkek idi. Yaş ortalaması 50,1±9,1 yıl idi. Hastaların 54'ü (%28,2) anemik grupta ve 138'i (%71,8) ise anemik olmayan grupta idi. Cinsiyet dağılımı açısından gruplar arasında istatistiksel olarak anlamlı bir fark yoktu (p=0,663). Gruplar yaş dağılımı açısından karşılaştırıldığında, anemik grubun anemik olmayan gruba göre daha yaşlı olduğu ve bu farkın istatistiksel olarak da anlamlı olduğu saptandı (p&lt;0,001). Postoperatif komplikasyon oranı açısından gruplar arasında anlamlı bir fark vardı ve anemik grupta daha sık olduğu görüldü (p&lt;0,001). Postoperatif dönemde yoğun bakım ünitesi ve kan transfüzyonu ihtiyacı açısından da gruplar arasında anlamlı bir fark vardı (sırasıyla p=0,020, p&lt;0,001). Sonuç: Preoperatif anemi, hiatal herni cerrahisinde postoperatif komplikasyonları arttırır. Bu nedenle, hiatal herni ameliyatı öncesi anemi varlığı araştırılmalı ve anemisi olan hastalar postoperatif dönemde yakın takip edilmelidir.