Browsing by Author "Turan I."

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    Normative values of the balloon expulsion test in healthy adults
    (2007) Dedeli Ö.; Turan I.; Öztürk R.; Bor S.
    Background/aims: Constipation is the most frequent complaint of the digestive tract. It has been reported that approximately half of the patients with constipation have functional defecation disorders (dyssynergic defecation). An important diagnostic tool for the diagnosis of functional defecation disorders is the balloon expulsion test. Normative values have not been widely determined in different populations. We aimed to determine the data which could be indicative of normative values of the balloon expulsion test for healthy individuals in our society. Methods: A total of 116 healthy volunteers were evaluated in the study (55 men). Subjects were classified into three subgroups according to age (20-39 yrs, 40-59 yrs, ≥60 yrs). Catheters with balloon and application room were standardized, and then a balloon expulsion test was performed in all groups. The results of the balloon expulsion test were statistically compared between groups. Results: The distribution of males/females according to age groups was: 20-39 yrs: 20/22, 40-59 yrs: 20/23, ≥60 yrs: 15/16. The balloon expulsion time was determined as 44.1±plusmn;19.0 seconds in male subjects and 56.4±plusmn;21.4 seconds in females (p=0.001). An increase in the balloon expulsion time was observed to be related with age in males (p=0.00001); however, no statistically significant difference was shown by age in female subjects (p=0.80). If the entire study group was considered, there was a significant correlation between age and balloon expulsion time (p=0.0001). Conclusions: The balloon expulsion test is a simple procedure to identify impaired evacuation in constipated patients. This study represents the first assessment of the balloon expulsion test in a healthy Turkish population. It has been demonstrated that expulsion should take less than 30 seconds for men younger than 40 years of age and less than 1 minute above 40 years. For women, expulsion should occur in 1 minute regardless of age. Our results could serve as a valuable resource of normative data.
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    Prevalance of fecal incontinence and its effect on quality of life in elderly individuals living in nursing homes in the city of Izmir; [İzmi̇r huzurevleri̇ndeki̇ yaşlilarda fekal i̇nkonti̇nans sikliǧi ve yaşam kali̇tesi̇ üzeri̇ne etki̇si̇]
    (2008) Dedeli Ö.; Fadiloǧlu Ç.; Turan I.; Bor S.
    Introduction: In this study, it was aimed to determine fecal incontinence prevalance and its effect on quality of life of elderly. Materials and Method: The research was carried out in a sample of a total of 304 elderly individuals who were selected senior citizens residing in three nursing homes within the city of Directorate of Social Services, İzmir between the dates of September 2006-November 2006. Research data was collected by "sociodemographic and bowel habit data form", reliable and valid "Turkish Adaptation of Fecal Incontinence Quality of Life Scale (FIQOLS) and Fecal Incontinence Severity Index (FISI)". Results: 9,5% of elderly in households stated fecal incontinence. The score of elderly's FIQOLS the reason of depression/self perception (12.5±4.6) and embrassment (4.2±2.6) domains were low, their psychosocial statement the most affected. Significant correlation between the FISI and FIQOLQ's domains depression/self perception (r=-0.8 p<0.05) and embrassment was found (r=-0.9 p<0.05). Conclusion: Fecal incontinence in elderly has negative effect on health and quality of life. Indepently from the severity of fecal incontinence type and prevalance, it is necessary to support to the elderly for their feeling well for physical, social, hygenic and psyhologic.
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    Effects of a kefir supplement on symptoms, colonic transit, and bowel satisfaction score in patients with chronic constipation: A pilot study
    (Turkish Society of Gastroenterology, 2014) Turan I.; Dedeli O.; Bor S.; Ilter T.
    Background/Aims: Although probiotics have been extensively studied in irritable bowel syndrome, data on the impact of probiotics on chronic constipation are scarce. We aimed to evaluate the effects of kefir, which is a probiotic fermented milk product, on the symptoms, colonic transit, and bowel satisfaction scores of patients with chronic constipation. bMaterials and Methods: Twenty consecutive patients with functional constipation according to the Rome II criteria were divided into two groups based on their colon transit studies: 1. The normal transit (NT) group (n=10); and 2. The slow transit (ST) group (n=10). After a baseline period, 500 mL/day of a probiotic kefir beverage was administered to all patients for 4 weeks. Defecation parameters (stool frequency, stool consistency, degree of straining, blaxative consumption) were recorded in diaries daily by the patients. Bowel satisfaction scores were assessed using a visual analog scale. The colon transit study was repeated in the ST group at the end of the study. bResults: At the end of the study, the patients showed an increased stool frequency (p<0.001), improved stool consistency (p=0.014), and decreased laxative consumption (p=0.031). The degree of straining during evacuation showed a tendency to improve after kefir administration; however, this was not statistically significant (p=0.18). A repeat transit study showed an acceleration of colonic transit in the ST group (p=0.013). Bowel satisfaction scores also improved (p<0.001). bConclusion: This pilot study shows that kefir has positive effects on the symptoms of constipation. Our results also suggest that kefir improves bowel satisfaction scores and accelerates colonic transit. Controlled trials are warranted to confirm these findings. © Copyright 2014 by The Turkish Society of Gastroenterology.