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Background and Objectives: The enhanced recovery after surgery (ERAS) protocol is a perioperative care bundle designed to achieve early healing after surgical procedures. This study aims to investigate the effect of the ERAS protocol on postoperative complications, length of hospital stay (LOS), and readmission rates in pancreatic surgery patients. Methods:The study was designed as a prospective and randomized controlled study between January 2016 and November 2018 on pancreatic surgery patients. A total of 38 patients were analyzed, 18 of whom were in the ERAS group and 20 in the control group. Patient demographics, intraoperative variables, and postoperative outcomes were recorded. Results:The groups were similar regarding age, sex, surgery type, American Society of Anesthesiologists scores, and laboratory results. There was no significant difference in the intraoperative variables. Early oral feeding was preferred, mostly in the ERAS group compared to the control group. Perioperative complication rates, including delayed gastric emptying and pancreatic fistula, LOS, and readmission rates, were similar between the two groups. Conclusions:The ERAS protocol provided a minimal decrease in the total complication rates and had no effect on severe complications. Therefore, the ERAS protocol seems feasible and can be applied safely in pancreatic surgery patients.

IntroductionDiverticular disease of the appendix (DDA) is a rare appendiceal pathology. It is usually present similar to acute appendicitis. Because of its rarity, the DDA is poorly comprehended. This study evaluates the incidence, clinical and pathological characteristics of appendiceal diverticulitis diagnosed after appendectomy. MethodsWe performed a retrospective analysis of patients who underwent appendectomy between January 2016 and January 2022 at the Istanbul Sultanbeyli State Hospital General Surgery Clinic. The following parameters were analyzed: age and gender, preoperative diagnosis, laboratory results, radiological imaging findings, surgical technique, histopathological examination of specimens, and complications. ResultsA total of 1586 patients were analyzed. In the pathology, diverticular disease of the appendix was detected in 10 patients (0.63%). The DDA patients' mean age was 34.4 years, and the male to female ratio was 4:1. We detected low-grade appendiceal mucinous neoplasia in one of our patients. ConclusionAppendiceal diverticulitis is rare and usually presents as acute appendicitis. Most DDAs are detected incidentally during the postoperative period and are associated with an increased risk of appendiceal neoplasm. Appendectomy specimens should be carefully examined histopathologically to detect diverticular disease of the appendix.

Peutz-Jeghers syndrome (PJS) is a syndrome characterized by multiple hamartomatous polyps in the gastrointestinal system and melanin pigments accumulating in the skin and mucous membranes. Patients with PJS have an increased risk of gastrointestinal malignancies. In this syndrome, pancreatic cancer is primarily detected in older ages. In this article, we present a case of a patient with an unresectable periampullary tumor and PJS.

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Background: It is a matter of search that resected gastric specimen measurements (RGSM) has an effect on weight loss following LSG. The aim of this study was to investigate the influence of RGSM on weight loss at 3-6-12 months after LSG. Methods: 64 Patients who underwent LSG between 2014-2018 at Marmara University Hospital were enrolled. The LSG procedure and RGSMs were performed using standardized techniques. Patients were followed-up every 3 months in the first year. Correlations between the percentages of excess weight losses (EWL) at 3rd, 6th, 12th months and RGSMs were evaluated. Results: No major complication was seen. Mean body mass index (BMI) at 1 year after LSG was significantly lower than the baseline BMI 50.4±8.4 kg/m 2 versus 31±6.1 kg/m 2 ; P=0.001). Mean % EWLs-3rd,-6th,-12th months were 39%, 59%, 75%, respectively. Resected gastric volume (RGV) was 803.28±37.2 mL. Expansibility on resection line (LRL-e) was 17.2±1.3 %. There was no correlation between RGV and % EWL at 3-6-12 mo. However, the % EWL-12 mo. was correlated with LRL-e (r=0,514, p=0,014). Conclusion: There is a positive correlation between 12th mo EWL% and LRL-e of resected specimen. This may bea harbinger of good weight loss during the theatre.

Background: Helicobacter pylori infection is the most common cause of infectious diseases worldwide, and management is a current and vital problem for physicians and patients. One of the online platforms that people use most to access health information is YouTube. Therefore, this study aimed to evaluate the quality and reliability of H. pylori information videos on YouTube. Materials and Methods:The "Helicobacter pylori" keyword was searched with default filters on YouTube. Two hundred videos were evaluated. The source of videos was categorized as academic institutions, professional organizations, physicians, healthcare professionals other than physicians, health information websites, and independent users. The target audience of the videos was classified as patients and healthcare professionals. The Global Quality Scale (GQS), JAMA, and modified DISCERN video scores were obtained by taking the average of the scores given by the two authors.Results: Seventy-four videos were analyzed, and the median duration was 9.25 (range:1.14-121) min. The target audience of 43 (58.1%) videos was healthcare professionals, and 31 (41.9%) videos were for patients. There was no correlation between likes, dislikes, views, and the quality-usefulness of the videos. Video characteristics such as duration, likes, number of views, and time since video upload day were not associated with the source. The JAMA and DISCERN scores were significantly higher in academic institutions than in other sources. Health information websites had a significantly higher GQS score than other video sources (p = .01). In comparison, there was no significant difference between the target audience (patients and healthcare professionals) in terms of JAMA, modified DISCERN, and GQS scores.Conclusions: YouTube has numerous videos for healthcare information nowadays.Although the quality and reliability of YouTube videos on H. pylori are average according to common scoring systems, we recommend videos produced by academic institutions and health information websites to inform patients.