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ATILLA ERTAN, MD, MACG, FACP

ATILLA ERTAN, MD, MACG, FACP.

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ATILLA ERTAN, MD, MACG, FACP

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  1. ATILLA ERTAN, MD, MACG, FACP

  2. A 64 y/o male with mild and chronic GERD since childhood who had a progressive dysphagia episodes and 30-31 lbs weight loss since May ‘05. He was seen by various gastroenterologists who had four different EGDs with extensive biopsies and endoscopic dilatations x 4 for a short-segment and benign appearing stricture at 32-33 cm from the incisors. Biopsies and imaging studies, including chest/abd CTs x 2 & the esophageal EUS results were unremarkable. He was referred to TMH for further management plans on October 11 ‘05.

  3. MED: Lansoprazole caps 30 mg BID • PMH/PSH: Unremarkable • FH: His brother had colon polyps. • SH: Married, ENT practitioner, smoked 1 pack/d for 40 yrs, drinks 2-3 hard liquors/d for 26 yrs. • ROS: Diminutive few adenomatous colon polyps removed in ’02 & diverticula coli. • PE : Essentially unremarkable.

  4. 64 y/o male with progressive & intermittent dysphagia [1]

  5. 64 y/o male with progressive & intermittent dysphagia [2]

  6. A 40 y/o female with a h/o Takayasu’s arteritis who had multiple abdominal vessel graft operations, including an aorto-renal bypass in ’78 and bypass from her ascending aorta to infrarenal abdominal aorta in ’91. She was admitted to a local hospital with a fever, severe and painless UGIB requiring over 30 units of PRBCs in 01’05 who was managed conservatively and after the necessary paper work referred to TMH for further management plans in late April ‘05.

  7. 40 y/o female with Takayasu’s arteritis & UGIB

  8. AORTO-ENTERIC FISTULAS [AEFs] AEFs are rare, but very serious lesions responsible for significant GIB as seen in this case. Although these AEFs most commonly appear 3 to 5 years after the graft surgery, they may occur after many years of the repair. Two types are recognized: • Primary AEFs occur de novo between aorta and bowel, most commonly into the 3rd portion of the duodenum. • Secondary types occur between a graft and a segment of the bowel. One of the major precipitating factor for AEFs is graft infection. The prognosis is poor if the diagnosis and reconstructive surgery have been delayed. • Ann Vasc Surg, 14: 668-696, 2000. • Semin Vasc Surg, 14: 302-311, 2001.

  9. A 66 y/o female with a h/o NSAID associated GU in ’92 and chronic & PPI dependent GERD for years who also has had a biopsy proven ulcerative ileitis and proctitis with mild to moderate clinical course since ’93. • Her IBD serology markers were all negative. • Her second colonoscopy was performed on 03/22/04 with an oral sodium phosphate bowel cleansing.

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