Isik, Arda; Yılmaz, İsmayil; İnal, Abdullah; Emiroglu, Mustafa; Peker, Kemal; Demiryılmaz, İsmail

Objective: Hiatal hernia is a disorder in which abdominal contents, especially gastroesophageal junction and proximal stomach are displaced through an incompetent esophageal hiatus into mediastinum. Aim of this study is to investigate the relationship betweeen intragastric pressure and incompetent cardioesophageal sphincter and hiatal hernia. Methods: The sample is composed of 81 individuals; 51.9% of which are male (n: 42) and 48.1% of which are female (n: 39) with median age of 42.00. Two groups have been constituted: A control group of healthy volunteers (G1) and a patient group with hiatal hernia (G2). After gastroscopy, all patients and controls underwent gastric and esophageal manometry using a water perfused catheter Results: Mean intragastric pressure was 1,308 mmHg for G1 and, -0,105 mmHg for G2. Mean lower esophageal pressure were 13,143 mmHg and 11,65 mmHg, and upper esophageal pressure were 35,273 mmHg and 27,211 mmHg for G1 and G2, respectively. 24 hour pH metry test revealed 26.8% physiologic gastroesophageal reflux and 73.2% pathologic gastroesophageal reflux in G2. There were statistically significant difference between two groups for mean intragastric pressure (p <0.001) and mean lower esophageal pressure (p <0.05). Conclusion: This study shows that hiatal hernia results in significantly lower intragastric pressures.

Yılmaz, İsmayil; Kalkan, Mehmet Seyhan; Peker, Kemal; Demiryılmaz, İsmail

Rectal diverticulas are very rare and most of patients withrectal diverticula are diagnosed incidentally. Inflammatory processes may have developed at the time of thediagnosis. Here we report a case of rectal diverticulumwhich was developed after stapled transanal rectal resection procedure. Abdominal magnetic resonance imagingrevealed a giant diverticulum of the rectum. A fecalomais removed from rectum endoscopically.

Yılmaz, İsmayil; Sekban, Nurdan; Yılmaz Postgil, Serpil; Albayrak, Yavuz; Peker, Kemal; Demiryılmaz, İsmail

İnvajinasyon proksimaldeki barsak parçasının distal parça içine girmesi ile karakterize bir klinik tablodur. Tüm invajinasyonların yalnızca %5'i erişkinde görülür. İnflamatuar fibroid polip gastrointestinal sistemin nadir görülen, en sık mide antrumundan köken almakla birlikte gastrointestinal sistemin her yerinde görülebilen lezyonudur. Yazımızda 42 yaşında terminal ileumda dev polipoid kitleye bağlı ileokolik invajinasyon gelişen ve malignite şüphesiyle terminal ileum rezeksiyonuyla beraber sağ hemikolektomi yapılan ve kitlenin patolojisi inflamatuar fibriod polip olarak değerlendirilen olgu sunulmaktadır