Ferhat Kesler’s research while affiliated with Kahramanmaraş Sütçü İmam University and other places

Objective: Iron preperations are frequently used in hemodalysis (HD) patients and iron may accumulate liver and other tissues. Noninvasively methods are needed to detect liver iron accumulation in HD patients. Hepatic iron accumulation with Fibroscan was shown in non-renal population. In this study, we aim to investigate whether or not the hepatic iron load can be determined with Fibroscan in hemodialysis patients. Material and Methods: 42 chronic HD patients included this study. Serum iron, iron binding capasity, ferritin and transferrin saturation were used to determine iron status. Liver stiffness was measured by an experienced gastroenterolog with Fibroscan device. Results: While mean Fibroscan value was 9,15 kPa, ferritin was 565,99 mg/dl. Fibroscan value were positive correlated with transferrin saturation and ferritin but negative correlated with albumin. In multiple regression analysis, it was observed that only ferritin and albumin levels related with Fibroscan value. Conclusion: This study showed that the stiffness of the liver increasing while the ferritin value increasing. This result might be due to iron accumulation in the liver.

Renal infarction is a rare cause of bilateral loin pain. The most common etiologic reason is thromboembolism due to atrial fibrillation. Abuse of drugs such as ecstasy is a very rare cause of renal infarction. Here, we present a case diagnosed with bilateral renal infarction due to ecstasy usage after excluding other reasons.

OBJECTIVE: Renal transplantation is the best treatment method of end-stage renal disease. Unfortunately, renal transplantation rates have not reached the desired level yet in our country. In this study, we aimed to evaluate the willingness, knowledge levels and expectation of hemodialysis patients about renal transplantation. MATERIAL and METHODS: Patients older than 18 years of age and treated with hemodialysis for at least 3 months were enrolled in the study. Twenty-three questions were asked and the answers evaluated. RESULTS: We determined that most patients have insufficient information about transplantation but are willing to undergo kidney transplantation and have expectations from physicians and the society about transplantation. CONCLUSION: Hemodialysis patients should be informed and encouraged regarding renal transplantation.

Tubulointerstitial nephritis and uveitis syndrome is characterized by a combination of acute tubulointerstitial nephritis and uveitis. It is thought to be an autoimmune disease. Currently, 200 cases have been described in the literature. Most patients with this syndrome are young women and adolescents although it may occur in adults and older patients. In this report, we describe two patients with the TINU syndrome who were followed-up at our hospital.

Central venous hemodialysis catheter applications are still the most common route for acute hemodialysis and some complications may be seen at the time of insertion or later and some of these may be fatal. Catheter malpositions and great vessel perforations have an important place among these complications. Vessel perforations may be fatal if not diagnosed in the early period and treated appropriately and may share the same symptomatology with other acute dialysis complications such as anaphylactic reactions, air embolism and acute coronary syndromes. We discuss chest pain occurring at the onset of dialysis in a patient with left brachiocephalic vein perforation and its similarities with the symptoms of other dialysis complications.