Publications by authors named "Balamtekin Necati"

Background: Lactating women's food intake timing may play a critical role in maternal and infant nutrition health. We aimed to examine associations of breastfeeding mothers' diet quantity and circadian timing of food intake with subsequent weight status of exclusively breastfed infants over a 6-month period.

Methods: This prospective observational study comprised pairs of healthy singleton breastfed infants and their corresponding healthy lactating mothers.

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Article Synopsis
  • A recent discovery links the ZFYVE19 mutation to non-syndromic cholestasis, characterized by high gamma-glutamyl transferase levels, and potentially causing neonatal and intrahepatic cholestasis.
  • A 4-year-old patient with a confirmed ZFYVE19 mutation, diagnosed at age 2, showed elevated liver enzymes but maintained normal liver function; treatment with ursodeoxycholic acid effectively reduced symptoms.
  • Continued monitoring and whole exome sequencing (WES) are recommended to further understand the mutation's effects and possible liver complications in similar cases of unexplained liver issues.
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Background: Although there are studies evaluating the psychological adjustment of healthy children when their siblings have type 1 diabetes mellitus (T1DM), no study evaluating their nutritional status exists. Thus, this study aimed to determine the nutritional status of children with T1DM and their healthy siblings.

Material And Methods: Data from a control group, healthy siblings, and patients who were followed and treated for T1D in the Paediatric Gastroenterology and Paediatric Endocrinology outpatient clinics of the Health Sciences University Gülhane Medical Faculty between November 2019 and November 2020 were analysed and compared.

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Purpose: Obesity has become a very significant health problem in childhood. Fructose taken in an uncontrolled manner and consumed in excessive amounts is rapidly metabolized in the body and gets converted into fatty acids. This single center prospective case-control study aims to investigate the relationship between fructose consumption and obesity and the role of fructose consumption in development of atherosclerotic diseases.

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  • - The study explored the link between FMF mutations and inflammatory bowel disease (IBD) in children, examining 597 pediatric patients with conditions like ulcerative colitis (UC) and Crohn's disease (CD).
  • - Results revealed that 41.9% of patients had FMF mutations, with E148Q and M694V being the most common mutations associated with different types of IBD, and differences in disease characteristics were noted based on mutation types.
  • - The findings suggested that while FMF mutations appeared relevant in UC (showing lower disease activity scores), they did not significantly affect the inflammatory response or clinical outcomes in patients with IBD overall, particularly those with CD.
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Background: Most studies of the relationship between duodenogastric reflux (DGR) and Helicobacter pylori have reported that the presence of DGR decreases H. pylori colonization, while H. pylori infection increases the frequency of DGR by impairing antroduodenal motility.

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Background: We aimed to investigate the relationship between human leukocyte antigens (HLA)-groups and clinical features, and degree of intestinal injury in children with celiac disease (CD).

Methods: Study group included 73 (50 females, 68.5%) children with CD.

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Objectives: Serological markers are used in the diagnosis of celiac disease. Among these, the most widely used are tissue transglutaminase antibodies (anti-TG2 antibodies). It has been suggested that the mechanisms that are set in motion by malnutrition cause the tight connections between enterocytes to expand, which allows gluten-derived peptides to pass through the epithelium.

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Objectives: Novel coronavirus 2019 (corona virus disease 2019 [COVID-19]) binds angiotensin-converting enzyme-2 (ACE-2) receptors to enter the cell. These receptors are widely expressed in the intestine, and COVID-19 may cause gastrointestinal symptoms via these receptors during the course of the disease. Helicobacter pylori is known to increase the expression of ACE-2 receptors in the gastrointestinal tract.

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Background: Success in long-term enteral feeding is, in part, dependent on careful selection of the appropriate enteral access device and placement technique together with proper maintenance and care. This study was conducted to evaluate the effect of education on satisfaction with gastrostomy tube feeding, quality of life, caregiver burden, and anxiety.

Methods: A quasi-experimental, pretest and posttest research design without a control group was used.

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Background: Eradication rates of Helicobacter pylori (H pylori) with standard triple therapy are gradually decreasing all over the world, including in children, due to the development of strains resistant to antimicrobials. Sequential therapy can be used as an alternative method to increase eradication rates.

Materials And Methods: A total of 75 patients ≥ 8 years of age with H pylori gastritis were included in the study.

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This study was planned to investigate the amount and content of foods consumed by child patients with celiac disease on a long-term gluten-free diet. Children aged 3-18 years who were diagnosed with celiac disease according to ESPGHAN criteria and were compliant to the gluten-free diet for at least one year were included. Age and gender matched healthy children were included as the control group.

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Background: The purpose of this study was to evaluate the association between vitamin B12 levels and Helicobacter Pylori infection and to examine the clinical usefulness of holotranscobalamin (holoTC) measurement in children.

Materials And Methods: Thirty patients between 6 and 15 years of age, who were diagnosed as H. pylori infected by C(14) urea breath test, and 26 controls were enrolled in the study.

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Background/aims: Sequential therapy is one of the recent answers given to the problem of increasing antibiotic resistance and decreasing eradication rates of Helicobacter pylori infection. The aim of this study is to compare the ornidazole-based sequentialtherapy with the standard triple therapy in Helicobacter pylori eradication.

Materials And Methods: Children aged 4-18 years diagnosed with Helicobacter pylori infection based on histology and at least one of 13 C urea breath test and rapid urease test positivity were included in the study.

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Background/aims: The aim of this study was to compare the fecal calprotectin concentration in children with newly diagnosed celiac disease, children with celiac disease strictly adhering to a gluten-free diet and healthy controls. We also tried to correlate the fecal calprotectin concentration with the clinical presentation, degree of neutrophilic infiltration and the severity of histopathological injury (Marsh grade) in the small bowel mucosa.

Material And Methods: The study included three groups: children with untreated celiac disease, children with treated celiac disease, and healthy controls.

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Objective: Iron supplementation is commonly recommended for infants; however, there are some reports that it causes oxidative damage. The aim of this study was to investigate the potential effects of iron supplementation at 4 mo of age, for a period of 2 mo, on lipid peroxidation and free radical scavenging enzymes.

Methods: Twenty-seven healthy 4-mo-old infants chosen randomly and given iron supplementation (ferrous sulfate, 10 mg of elemental iron per day) constituted the study group and 26 healthy 4-mo-old infants who were chosen randomly and not given iron supplementation constituted the control group.

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Purpose: Lansoprazole, a cytochrome P450 2C19 (CYP2C19) substrate, has been widely used in children to manage acid-related diseases. CYP2C19 exhibits marked genetic polymorphisms, and distribution of these polymorphisms varies among different ethnic groups. There is limited data regarding the use of probe drugs for determining CYP2C19 activity in children.

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Article Synopsis
  • Celiac disease (CD) typically causes diarrhea and stunted growth in children, but obesity can also occur in these patients.
  • Two case studies of adolescents with CD and obesity are highlighted, showing one who was initially malnourished and became obese after a gluten-free diet was stopped.
  • Pediatricians should be aware that obesity can manifest in children with CD, either before or after diagnosis, despite its rarity.
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  • The study compared hepatitis B vaccination responses in children with celiac disease using two immunization schedules.
  • Both groups of celiac patients had a lower response rate (78.1%) compared to healthy controls (95.9%).
  • No significant difference was found between the response rates of the two vaccination schedules in celiac patients.
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Giant cell hepatitis associated with direct Coombs' test-positive hemolytic anemia is a rare condition of childhood and the pathogenesis remains unclear. An autoimmune activation and loss of self-tolerance in these patients may be the underlying pathology related to the response of some of the patients to immunosuppressive treatment. Herein, we report the clinical presentation and course of three consecutive patients with this rare condition.

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