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    Invited response letter to the letter "Our experience regarding the association between gastrointestinal stromal tumor and bariatric surgery. A response to a letter "Gastrointestinal stromal tumor after laparoscopic sleeve gastrectomy: be awake before, during, and after a bariatric procedure"
    (Springer, 2019) Bilecik, Tuna; Karateke, Faruk
    Thank you for the opportunity to comment on the letter to the editor entitled BOur Experience regarding the association between Gastrointestinal Stromal Tumor and Bariatric Surgery. A response to a letter BGastrointestinal Stromal Tumor After Laparoscopic Sleeve Gastrectomy: Be Awake Before, During, and After a Bariatric Procedure.^ We read this letter with great interest and we are grateful to the authors for their interest and thoughtful comments regarding our former letter [1]. In their letter, the authors shared their experience regarding the gastrointestinal stromal tumor (GIST) as a bariatric surgery incidental finding [2]. The authors presented 12 cases which were retrospectively analyzed from a group of 50 European laparoscopic surgeons. In their case series, the demographics of the patients and anatomic tumoral localization and pathological characteristics (size, margins, CD117 marker, and mitotic index) were similar with other studies in the literature [1, 3–5].
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    Relationship between morbidity and mortality and hba1c levels in diabetic patients undergoing major surgery
    (Coll Physicians & Surgeons Pakistan, 2019) Avcı, Begüm Şeyda; Saler, Tayyibe; Avcı, Akkan; Bankır, Mehmet; Tüzün, Zeynep; Nazik, Hakan; Karateke, Faruk
    Objective: To investigate the relationship between the preoperative HbA1c levels and the complications and mortality rates in the postoperative period in patients with diabetes undergoing a major surgical treatment. Study Design: Descriptive study Place and Duration of Study: Deparment of Internal Medicine, Adana Numune Research and Training Hospital, Turkey, from January 2015 to December 2016. Methodology: Diabetic patients, who underwent major surgery (a large resection) having preoperative HbA1c levels, were considered. A total of 1,013 patients, whose file data were completely accessed, were included in the study. Preoperative HbA1c levels of the patients and complications seen within the first 7 and first 30 days postoperatively were recorded. Results: Fourty-nine (4.8%) of the patients were exitus in the hospital, while 964 (95.2%) of the patients were discharged. Preoperative HbA1c levels of the patients were found to be predictive marker of mortality and complications in the first 7 and 30 days postoperatively (p <0.001). Conclusion: HbA1c levels are important in preoperative surgical risk assessment in diabetic patients. Better provision of long-term glycemic control in patients planned elective surgery and have low levels of HbA1c may significantly reduce postoperative mortality and complications.