Aim: Percutaneous endoscopic gastrostomy (PEG) is a common method for patients who cannot be oral-fed. This study aims to evaluate the demographic characteristics, indication of PEG and early ( days) complications of PEG patients performed in our hospital over four years. Material and Method: The study is a retrospective study. This study includes patients who underwent percutaneous endoscopy gastrostomy between 2016-2020 in the endoscopy unit and intensive care units in the general surgery clinic of our hospital. The age, gender, comorbidities, length of hospital stay, PEG indications, the day of hospitalization, the complications, if any, and the day the complications developed were recorded on the computer. Complications before 30 days were divided into groups as early complications and those developing after 30 days of late complications. Results: A total of 207 patients the PEG procedure. When PEG indications were examined, it was observed that the most common cause was cerebrovascular events with a rate of 44.93%. Complications were observed in 19 (9.18%) of the patients after the procedure. 68.42% (13) of complications were seen before 30 days. In the evaluation, which was grouped as non-complicated and complicated patients, no significant difference was observed between age, gender, systemic diseases, time to PEG procedure, endoscopic or surgical opening, and mortality rates. Conclusion: Although PEG is a more invasive method compared to other methods in terms of enteral nutrition, it is the most preferred feeding method due to its low complication rate, fast and easy application, and low cost. PEG is recommended for eligible patients who are scheduled for long-term enteral nutrition.

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ABS TRACT Thyroid tuberculosis is a very rare condition with a rate of 0.1-1.15% even in countries with a high prevalence of tuberculosis. In this presentation, we evaluated the management of a patient with a preoperative diagnosis of benign tissue and a pre-diagnosis of multinodular goiter with compression symptoms. After thyroidectomy of our patient who had no special history due to the detection of Langerhans giant cell caseified granuloma-thyroid tuberculosis, postoperative thyroid replacement therapy and infectious diseases outpatient control were planned. Thyroid tuberkulosis is not easy to diagnose because there are no specific symptoms. If no other foci are detected after total thyroidectomy, close follow-up is recommended without additional antituberculosis therapy. As the incidence of tuberculosis increases worldwide, thyroid tuberculosis as the unusual involvement of extrapulmonary tuberculosis; it should be kept in mind in the differential diagnosis of nodular lesions of the thyroid gland.

Roux-en-Y gastric bypass (RYGB), one of the most frequently performed operations within the scope of bariatric surgery, creates a remnant stomach containing the fundus, corpus and antrum where gastric acid and pepsinogen are synthesized in significant amounts. Although rare complications such as bleeding, perforation and ischemia occur regarding the remnant stomach. A 47-year-old male patient who was operated on for open RYGB 10 years ago was admitted to the emergency department with complaints of abdominal pain and deterioration in his general condition. The patient who had widespread tenderness in the abdomen was unstable on physical examination. It was observed that the remnant stomach was perforated 2.2 cm from the anterior surface of the corpus at emergency laparotomy after defining the upper gastrointestinal anatomy with the aid of peroperative endoscopy. The patient whose remnant stomach was resected was discharged uneventfully on the 5th postoperative day. The approach to remnant gastric perforations due to benign causes is the same as for gastric perforations. Laparotomy is indicated in unstable patients.

Ingestion of foreign body is one of the major cause of serious morbidity and mortality in gastrointestinal system . A 47-year-old male patient attended to the emergency department complaining of abdominal pain for about two days duration. On physical examination of the patient, tenderness was observed in right flank region. Computed tomography examination revealed a foreign body that had impacted the third part of the duodenum and perforated and extended to the retroperitoneal structures.. Afterwards, semi-elective laparotomy was decided and the foreign body was removed under bleeding control. The perforated area in the 3rd part of the duedonum was primarily repaired and omentopexy was performed. The patient was discharged on the 6th day without any problem in the postoperative follow-up. Gastrointestinal foreign body ingestion treatment approach should be determined according to the characteristic of the object, its proximity to the anatomical structures and the clinic..