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Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: In this survey, we attempted to reveal the incidence and reasons of fear and anxiety caused by endoscopic procedures in patients who will have upper gastrointestinal endoscopy, which is more common in this population. Methodos: The study included adult patients who had an upper gastrointestinal endoscopic appointment in the General Surgery Endoscopy Laboratory. The study participants were asked to read and complete two questionnaires while being observed in the endoscopy department before the procedure. Results: The study comprised a total of 145 patients, 73 of whom were men. The pre-procedure questionnaire showed that the anxiety scores of patients who answered yes to the question "Are you afraid of undergoing an endoscopy?" were statistically significantly higher than those of patients who responded no (T-Anxiety: p=0.003, S-Anxiety: p<0.001). When comparing the genders according to the responses to this question, it was found that the rate of yes responses was significantly higher in females [57 (78.1%)] than in males [30 (41.1%)] (p<0.001). The S-Anxiety scores of patients who answered "Yes, he gave me sufficient information" to the question "Did your doctor give you sufficient information about the procedure to be performed?" in the questionnaire completed before the procedure were significantly lower than those of patients who answered, "He gave information, but not sufficient." Conclusion: Pre-procedure briefing by the physician is an essential factor in reducing the anxiety of endoscopy. So, it is important to be informed by the doctor before the procedure is an applicable factor. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: The aim of this study was to investigate the ability of a new marker that could be easily obtained to differentiate between complicated and uncomplicated appendicitis in a patients with a white blood cell (WBC) count within the normal range., Methods: The patients who underwent surgery with histopathologically proven acute appendicitis (AA) between January 2021 and October 2022 were evaluated retrospectively. Patients were classified into two groups as uncomplicated and complicated appendicitis, based on the surgical and histopathological findings. Groups were compared in terms of laboratory parameters at the time of hospital admission., Results: During the study period, 2589 patients underwent an appendectomy, among these 612 patients who had a WBC count within the normal range at the time of admission were analyzed. Uncomplicated appendicitis was detected in 79.6% of the patients and complicated appendicitis in 20.4%. Neutrophil%, neutrophil-to-lymphocyte ratio, C-reactive protein, and total bilirubin levels were significantly higher, whereas lymphocyte%, lymphocyte count, lymphocyte-to-monocyte ratio, sodium levels, and large unstained cells (LUC)% were significantly lower in patients with complicated appendicitis. Multiple logistic regression analysis revealed that lower LUC% (Odds Ratio [OR]: 0.45; 95% Confidence Intervals [CI]: 1.08-2.09; P=0.01) and higher total bilirubin levels (OR: 1.50; 95% CI: 1.08-2.09; P=0.01) were independent risk factors for complicated appendicitis., Conclusion: In patients with a diagnosis of AA with a normal WBC value, LUC% obtained from the complete blood count can be used as a new parameter predicting the diagnosis of complicated appendicitis.