Esophagoscopy is the process of visual examination of esophagus through a divice called esophagoscope and it is performed on children under general anesthesia. Esophagoscope is made of metal tube with an inner lens system that makes the front parts visible by refracting beams coming from the light source. Esophagoscopy is used to evaluate the inner section of esophagus, to collect tissue samples when needed, to remove foreign bodies from esophagus and to assess congenital esophagus diseases.

Esophagogastroscopy is the procedure of examining esophagus and stomach through a device called esophagogastroscope and it is performed on children undergeneral anesthesia. Esophagogastroscope is an advanced device which may have two or three channels depending on its type, and has a tail end that can be bent towards various directions and particular angles and is lightened via a light source. Esophagogastroscopy is performed in order to examine esophagus, stomach and, when needed, beginning parts of duodenum and small intestine to collect samples, to remove foreign bodies, and to administer medication enlarged blood vessels in the esophagus and stomach.

Considerations before esophagoscopy-esophagogastroscopy

• Please contact Pediatric Surgery Outpatient clinic on the control date stated in the appointment.

• Please bring your official referral documents and X-ray results with you, if any.

• Please have a control examination done and if any additional tests requested, please take these requests to the relevant departments.

• Please show the test results to your physician in the outpatient clinic.

• Please be sure to keep your child fasting starting from the identified hour on the night before the surgery. Otherwise, please inform your physician in charge.

• If there is any medication that your child is taking regularly, please make sure to use the medication in compliance with the instructions of the physician, who has given the appointment before the examination. Please bring all X-rays of the child with you.

• If your child has any additional prescriptions for other illnesses that were prescribed to be taken before and/or after receiving anesthesia, please bring these medications with you.

• Please keep the referral documents with you.

• If there are any changes in the condition of your child (such as fever, runny nose, cough and vomiting) since the last check up, please inform your Physician of these instances.

• Please take the operating room request document, prepared by the secretariat of Pediatric Surgery Outpatient Clinic.

Considerations at Outpatient Surgery Center

• Please submit the operating room request document, the patient file, all of the X-rays and medications, if any, to the secretariat of Outpatient Surgery Center.

• Please remain in the waiting lounge until your child’s name is called.

• Please enter with your child, when called.

• Please accompany your child while she/he gets undressed and puts on special clothing.

• Please be sure that there are no accessories such as watches, necklaces, rings, earrings, etc. on your child.

• Please return to the waiting lounge, while the child is taken inside with a stretcher.

• For the surgery information please keep up with the screen which is situated in the waiting lounge.

• After being kept in the reanimation unit for a while after the surgery the child will be taken to a different hall where his/her relative can be with him/her..

• When the child is entirely awake, you will be allowed to leave the hospital.

• Necessary information will be given about your child’s process result, diet and control procedure after the surgery..

• If tissue sample is collected during the operation, please remember to submit it to Pediatric Pathology unit.

Esophageal dilatation is the process of expansion of esophageal stricture by using various bougies. It is performed on children under general anesthesia. The expansion process is performed by moving the plugs from the mouth to the stomach, or vice versa.

Considerations before esophageal dilatation

• Please apply Pediatric Surgery Outpatient clinic on the control date stated in the appointment.

• Please bring your official referral documents and X-ray results with you, if any.

• Please have a control examination done and if any additional tests requested, please take these requests to the relevant departments.

• Please show the test results to your physician in the outpatient clinic.

• Please be sure to keep your child fasting starting from the identified hour on the night before the surgery. Otherwise, please inform your physician in charge.

• If there is any medication that your child is taking regularly, please make sure to use the medication in compliance with the instructions of the physician, who has given the appointment before the examination. Please bring all X-rays of the child with you.

• If your child has any additional prescriptions for other illnesses that were prescribed to be taken before and/or after receiving anesthesia, please bring these medications with you .

• Please keep the referral documents with you.

• If there are any changes in the condition of your child (such as fever, runny nose, cough and vomiting) since the last check up, please inform your physician of these instances.

• Please take the operating room request document prepared by the secretariat of Pediatric Surgery outpatient Clinic.

Considerations at Outpatient Surgery Center

• Please submit the operating room request document, the patient file, all X-rays and medications, if any, to the secretariat of Outpatient Surgery Center.

• Please remain in the waiting lounge until your child’s name is called.

• Please enter with your child, when called.

• Please accompany your child while she/he gets undressed and puts on special clothing.

• Please be sure that there are no accessories such as watches, necklaces, rings, earrings, etc. on your child.

• Please return to the waiting lounge, while the child is taken inside with a stretcher.

• For the surgery information please keep up with the screen which is situated in the waiting lounge.

• After being kept in the reanimation unit for a while after the surgery the child will be taken to a different hall where his/her relative can be with him/her.When the child is entirely awake, you will be allowed to leave the hospital.

• Necessary information will be given about your child’s process result, diet and control procedure after the surgery.

Bronchoscopy is a procedure of visual examination of all respiration tracts starting from throat with a device called bronchoscope. It is performed on children under general anesthesia. Bronchoscope is a device, made of an outer metal tube, an inner lens system that makes front parts visible by refracting the beams of light source with various angles. It is used in order to evaluate respiratory tract, to collect sample, to remove foreign bodies and to examine the connections between respiratory tract and esophagus. Usually, the procedure is prepared by hospitalizing the patient and preparing in the service. Outpatients should comply with the following recommendations.

Considerations before bronchoscopy

• Please contact Pediatric Surgery Outpatient clinic on the control date stated in the appointment.

• Please bring your official referral documents and X-ray results with you, if any.

• Please have a control examination done and if any additional tests requested, please take these requests to the relevant departments.

• Please show the test results to your physician in the outpatient clinic.

• Please be sure to keep your child fasting starting from the identified hour on the night before the surgery. Otherwise, please inform your physician in charge.

• If there is any medication that your child is taking continually, please make sure to use the medication in compliance with the instructions of the physician, who has given appointment before the examination. As the child will be hospitalized in Pediatric Surgery Service (Ward 34 or Ward 36) for 24 hours of follow up after the operation, please bring necessary clothes with you.

• Please bring all X-rays of the child with you.

• If your child has any additional prescriptions for other illnesses that were prescribed to be taken before and/or after receiving anesthesia, please bring these medications with you.

• Please keep the referral documents with you.

• Please keep the referral documents with you.

• If there are any changes in the condition of your child (such as fever, runny nose, cough and vomiting) since the last check up, please inform your physician of these instances.

• Please take the operating room request document, prepared by the secretariat of Pediatric Surgery Outpatient Clinic.

Considerations at Outpatient Surgery Center

• Please submit the operating room request document, the patient file, all of the X-rays and medications, if any, to the secretariat of Outpatient Surgery Center.

• Please remain in the waiting lounge until your child’s name is called.

• Please enter with your child, when called.

• Please accompany your child while she/he gets undressed and puts on special clothing.

• Please be sure that there are no accessories such as watches, necklaces, rings, earrings, etc. on your child.

• Please return to the waiting lounge, while the child is taken inside with a stretcher.

• For the surgery information please keep up with the screen which is situated in the waiting lounge.

• After being kept in the reanimation unit for a while after the surgery the child will be taken to a different hall where his/her relative can be with him/her.

Considerations at Pediatric Surgery Service

• Please carry out the admission procedures of the child.

• Please submit the patient file, X-rays and patient admission form to secretary of the service.

• Please consult with physician and nurse in the service.

Rectosigmoidoscopy is the procedure of visual examination of the last 15-20 cm of large intestine with a device called rectosigmoidoscope. It is performed on children undergeneral anesthesia. Rectosigmoidoscope is made of a metal tube with an inner lens system that lightens inside. The procedure is performed in order to examine the last part of large intestine, to investigate the cause of bleeding, to collect sample and to remove polyp.

Considerations before rectasigmoidoscopy

• Please contact Pediatric Surgery Outpatient clinic on the control date stated in the appointment.

• Please bring your official referral documents and X-ray results with you, if any.

• Please have a control examination done and if any additional tests requested, please take these requests to the relevant departments.

• Please show the test results to your physician in the outpatient clinic.

• Please perform the intestine cleansing the as it is recommended while the appointment is given.

• Please be sure to keep your child fasting starting from the identified hour on the night before the surgery. Otherwise, please inform your physician in charge.

• If there is any medication that your child is taking regularly, please make sure to use the medication in compliance with the instructions of the physician, who has given the appointment before the examination. .

• Please bring all X-rays of the child with you.

• If your child has any additional prescriptions for other illnesses that were prescribed to be taken before and/or after receiving anesthesia, please bring these medications with you.

• Please keep the referral documents with you.

• Please keep the referral documents with you.

• If there are any changes in the condition of your child (such as fever, runny nose, cough and vomiting) since the last check up, please inform your physician of these instances.

• On the operation day, following the colon cleansing control, if required, additional cleansing procedures are performed, then you will go to the outpatient surgery center.

• Please take the operating room request document, prepared by the secretariat of Pediatric Surgery Outpatient Clinic.

Considerations at Outpatient Surgery Center

• Please submit the operating room request document, the patient file, all of the X-rays and medications, if any, to the secretariat of Outpatient Surgery Center.

• Please remain in the waiting lounge until your child’s name is called.

• Please enter with your child, when called.

• Please accompany your child while she/he gets undressed and puts on special clothing.

• Please be sure that there are no accessories such as watches, necklaces, rings, earrings, etc. on your child.

• Please return to the waiting lounge, while the child is taken inside with a stretcher.

• For the surgery information please keep up with the screen which is situated in the waiting lounge.

• After being kept in the reanimation unit for a while after the surgery the child will be taken to a different hall where his/her relative can be with him/her.

• When the child is entirely awake, you will be allowed to leave the hospital.

• Necessary information will be given about your child’s process results, diet and control procedure after the surgery..

• If tissue sample is collected during the operation, please remember to submit it to Pediatric Pathology unit.

• Please contact Pediatric Surgery Outpatient Clinic when the pathology report is issued.

Colonoscopy is a procedure of visual examination of all parts of large intestine and sometimes the last section of small intestine with a device called colonoscope. It is performed on children under general anesthesia. Colonoscope is a tube-shaped device with a flexible tail end that can be bent towards different directions and particular angles. It is performed to examine the entire large intestine and sometimes the last section of small intestine, to collect sample and to remove polyp.

Considerations before colonoscopy

• Please contact Pediatric Surgery Outpatient clinic on the control date stated in the appointment.

• Please bring your the referral documents and all X-rays, if any, with you.

• If your child has any additional prescriptions for other illnesses that were prescribed to be taken before and/or after receiving anesthesia, please bring these medications with you.

• Please have a control examination done and if any additional tests requested, please take these requests to the relevant departments.

• Please show the test results to your physician in the outpatient clinic.

• As the child will be hospitalized for colon cleansing one night before the operation, please bring necessary clothes with you.

• If there are any changes in the condition of your child (such as fever, runny nose, cough and vomiting) since the last check up, please inform your physician of these instances.

• After the control, the child will be admitted to Pediatric Surgery Service.

Considerations at Pediatric Surgery Service

• Please submit the patient file, X-rays and patient admission form to secretary of the service.

• Please consult with the physician and nurse in the service.

• Please obtain information after the surgery.

• Please follow the results of samples collected during the operation from Pediatric Pathology Unit.

• Please contact Pediatric Surgery Outpatient Clinic when the pathology report is issued.

Cystoscopy is a procedure of visual examination of lower urinary tract with a device called cystoscope. It is performed undergeneral anesthesia. Cystoscope is made of an outer metal tube in various thicknesses depending on the age and an inner lens system. Cystoscopy is performed to evaluate the lower urinary tract, to collect sample, to remove stone, to take X-ray in order to monitor upper urinary tract, to treat urinary tract obstructions, to administer medication for the treatment of urine leakage from urinary bladder to kidneys, to investigate connections between the urinary tract and large intestine or to evaluate the connections of female urinary tracts and reproductive tracts and to check the congenital or acquired bladder or tract expansions in urinary tract.

Considerations before cystoscopy

• Please contact Pediatric Surgery Outpatient Clinic on the control date stated in the appointment.

• Please bring your official referral documents and X-ray results with you, if any.

• Please have a control examination done and if any additional tests requested, please take these requests to the relevant departments.

• Please show the test results to your physician in the outpatient clinic.

• Please be sure to keep your child fasting starting from the identified hour on the night before the surgery. Otherwise, please inform your physician in charge.

• If there is any medication that your child is taking regularly, please make sure to use the medication in compliance with the instructions of the physician, who has given the appointment before the examination. Please bring all X-rays of the child with you.

• If your child has any additional prescriptions for other illnesses that were prescribed to be taken before and/or after receiving anesthesia, please bring these medications with you .

• Please keep the referral documents with you.

• If there are any changes in the condition of your child (such as fever, runny nose, cough and vomiting) since the last check up, please inform your physician of these instances.

• Please take the operating room request document, prepared by the secretariat of Pediatric Surgery outpatient Clinic.

Considerations at Outpatient Surgery Center

• Please submit the operating room request document, the patient file, all of the X-rays and medications, if any, to the secretariat of Outpatient Surgery Center.

• Please remain in the waiting lounge until your child’s name is called.

• Please enter with your child, when called.

• Please accompany your child while she/he gets undressed and puts on special clothing.

• Please be sure that there are no accessories such as watches, necklaces, rings, earrings, etc. on your child.

• Please return to the waiting lounge, while the child is taken inside with a stretcher.

• For the surgery information please keep up with the screen which is situated in the waiting lounge.

• After being kept in the reanimation unit for a while after the surgery the child will be taken to a different hall where his/her relative can be with him/her.

• When the child is entirely awake, you will be allowed to leave the hospital.

• Necessary information will be given about your child’s process result, diet and control procedure after the surgery..

• If tissue sample is collected during the operation, please remember to submit it to Pediatric Pathology unit.

• Please contact Pediatric Surgery Outpatient Clinic when the pathology report is issued.

Laparoscopy is a procedure of visual examination of intra-abdominal organs with a device called laparoscope which is placed into abdominal cavity. It is performed undergeneral anesthesia. Laparoscope is made of an imaging system that is connected to a lens into the metal tube which is placed into the abdominal cavity. Laparoscopy can be used to diagnose and treat children. Intra-abdominal organ and lymph node biopsies, gall bladder surgeries and certain surgeries of stomach, intestine, spleen and undescended testis can be performed on children by using laparoscopy.

Considerations before laparoscopy

• Please contact Pediatric Surgery Outpatient clinic on the control date stated in the appointment.

• Please bring your referral documents institution and all X-ray results, if any, with you.

• If your child has any additional prescriptions for other illnesses that were prescribed to be taken before and/or after receiving anesthesia, please bring these medications with you.

• If there are any changes in the condition of your child (such as fever, runny nose, cough and vomiting) since the last check up, please inform your physician of these instances.

• Please have a control examination done and if any additional tests requested, please take these requests to the relevant departments.

• Please show the test results to your physician in the outpatient clinic.

• As the child will be hospitalized before the operation, please bring necessary clothes with you.

• After the control, the child will be admitted to Pediatric Surgery Service.

Considerations at Pediatric Surgery Service

• Please submit the patient file, X-rays and patient admission form to secretary of the service.

• Please consult with the physician and nurse in the service.

• Please obtain information after the surgery.

• The patient will be hospitalized for 1 to 3 days, depending on the type of surgery performed.

• If a tissue samplesample is collected during the surgery, please follow the pathology report and contact Pediatric Surgery Outpatient Clinic when the report is issued.

Thoracoscopy is a procedure of visual examination of thoracic organs with a devicecalled thoracoscope that is placed into the thoracic cavity. It is performed undergeneral anesthesia. Thoracoscope is made of a metal tube placed into the thoracic cavity, a lens placed into the tube and an imaging system that reflects the captured image to the monitor. It can be used to clean pleural effusionsand to relieve the lungs, to remove tumor focuses from lungs or to collect samples from them and from lymph glands developing in the thoracic cavity or lungs and it can also be performed in certain lung and esophagus surgeries.

Considerations before thoracoscopy

• Please contact Pediatric Surgery Outpatient clinic on the control date stated in the appointment.

• Please bring your referral documents and all X-ray results, if any, with you.

• If your child has any additional prescriptions for other illnesses that were prescribed to be taken before and/or after receiving anesthesia, please bring these medications with you .

• As the child will be hospitalized before the operation, please bring necessary clothes with you.

• If there are any changes in the condition of your child (such as fever, runny nose, cough and vomiting) since the last check up, please inform your physician of these instances.

• Please have a control examination done and if any additional tests requested, please take these requests to the relevant departments.

• Please show the test results to your physician in the outpatient clinic.

• After the control, the child will be admitted to Pediatric Surgery Service.

Considerations at Pediatric Surgery Service

• Please submit the patient file, X-rays and patient admission form to secretary of the service.

• Please consult with the physician and nurse in the service.

• Please obtain information after the surgery.

• The patient will be hospitalized for 2 to 5 days, depending on the type of surgery performed.

• If a tissue samplesample is collected during the surgery, please follow the pathology report and contact Pediatric Surgery Outpatient Clinic when the report is issued.

Esophageal Manometry is used to examine the characteristics of pressure values obtained from different areas of esophagus and pressure waves that occur in the esophagus while swallowing. It is performed on children after administering a minimal sedation. After the patient is given a specific pressure catheter for measurement, pressure values are recorded on computer with relevant software and results are edited on computer before evaluation. Esophageal manometry is used for congenital and acquired diseases such as achalasia related with swallowing disorders, other motor function disorders of esophagus, central nervous system diseases, certain metabolic diseases and connective tissue diseases.

Esophageal manometry appointments
After the patient is examined in Pediatric Surgery Outpatient Clinic, if necessary, the physician in the outpatient clinic books and appointment.

Requirements and explanations for esophageal manometry

• Please contact Pediatric Surgery Outpatient clinic on the date of appointment. The operation is performed in a private room in Pediatric Surgery Outpatient Clinic.

• Please bring approved esophageal manometry request document with you.

• Please keep your referral documents with you.

• Please bring all X-ray results with you.

• If there is any medication that your child is taking regularly, the medications should be given on regular intervals and doses.

• Before the operation, if needed, the child is given fruit juice with sedative medication. Therefore, a beverage favored by the child, such as a particular type of fruit juice or milk should be brought.

• Mother or father of the child is also taken to the examination room for the adaptation of child to the environment.

• It may be helpful to bring the favorite belongings of the child, such as toys, pictures, etc.

• The operation takes approximately 30 minutes.

• The results should be taken at 13:30 on the following working day from the responsible physician in Pediatric Surgery Outpatient Clinic.

Anorectal manometry is an examination method that is used to obtain information about the functional status of the last section of large intestine by analyzing pressure values obtained from different areas of the last section of the large intestine. It is performed in children by applying minimal sedation, if required. Pressure values obtained by placing bubbled pressure measuring catheter from the anus, are transferred to the computer and the results are evaluated. It is used in the diagnosis and monitoring of several congenital and acquired large intestine diseases in which the indications of constipation and fecal incontinence are seen.

Anorectal manometry appointment
After the patient is examined in Pediatric Surgery Outpatient clinic, the appointment is scheduled by the physician in the outpatient clinic, if required. Enema is recommended before operation for colon cleansing.

Requirements and explanations for anorectal manometry

• Please contact Pediatric Surgery Outpatient clinic on the date of appointment. The operation is performed in a private room in Pediatric Surgery Outpatient clinic.

• Please bring approved anorectal manometry request document with you.

• Please keep your referral documents with you.

• Please bring all X-ray results with you.

• If there is any medication that your child is taking regularly, the medications should be given on regular intervals and doses.

• After the sufficiency of enema is checked, it is also applied in the outpatient clinic, if needed.

• Before the operation, if needed, the child is given fruit juice with sedative medication. Therefore, a beverage favored by the child, such as a particular type of fruit juice or milk should be brought.

• Mother or father of the child is also taken to the examination room for the adaptation of child to the environment.

• It may be helpful to bring the favorite tools of the child, such as toys, pictures, etc.

• The operation takes approximately 30 minutes.

• The results should be taken at 13:30 on the following working day from the responsible physician in Pediatric Surgery Outpatient clinic.

Urodynamics is a method used to examine the function of lower urinary tract. It is performed on children after applying minimal sedation, if required. In this method, pressure measuring catheters are placed in urinary tract and anus, and surface electrodes are affixed to the skin. Pressure changes and muscle activities occurre while catheter is giving liquid to the urinary bladder at constant speed and during urination after storage are recorded to the computer. The rates of urine flow and muscle activity can be also measured by urinating the patient to a particular pot. Urodynamics is used for diagnosis and follow up of children born with closed anus, congenital or acquired spinal cord diseases, recurrent urinary tract infections, patients having complaints such as urine leakage from urinary bladders to the kidneys and urinary incontinence or inability to urine, children whose urinary bladders are open congenitally but closed surgically, children who are suspected to have adjustment disorders in lower urinary tracts, and congenital or acquired strictures of urinary tract.

Urodynamics appointment
After the patient is examined in Pediatric Surgery Outpatient clinic, the appointment is scheduled by the physician in the outpatient clinic, if required. The patient is given a urination table of 48 hours and she/he is demanded to fill it in himself/herself preferably. If necessary, enema is recommended before operation for colon cleansing. Since the urine should be sterile before urodynamics, urinalysis may need to be performed again before the appointment date, if it is scheduled for a further date.

Requirements and explanations for urodynamics

• Urination chart should be completed fully and accurately, preferably by the patient.

• Please contact Pediatric Surgery Outpatient clinic on the date of appointment. The examination is performed in a private room in Pediatric Surgery Outpatient Clinic.

• Please bring your approved urodynamics request document with you.

• Please keep your referral documents with you.

• Please bring all X-ray results with you.

• If there is any medication that your child is taking regularly, the medications should be given on regular intervals and doses.

• After the sufficiency of enema is checked, it is also applied in the outpatient clinic, if needed.

• Before the operation, if needed, the child is given fruit juice with sedative medication. Therefore, a beverage favored by the child, such as a particular type of fruit juice or milk should be brought.

• Mother or father of the child is also taken to the examination room, for the adaptation of child to the environment.

• It may be helpful to bring the favorite tools of the child, such as toys, pictures, etc.

• The operation takes approximately 30 minutes.

• The results should be taken at 13:30 on the following working day, from the responsible physician in Pediatric Surgery Outpatient Clinic.

Urethral dilatation is the procedure of expanding the last part of urinary tract undergeneral anesthesia by using particular tools. It is used in treating congenital or acquired urethral strictures and certain types of functional disorders of urinary bladder.

Considerations before urethral dilatation

• Please contact Pediatric Surgery Outpatient Clinic on the control date stated in the appointment.

• Please bring your official referral documents and X-ray results with you, if any.

• Please have a control examination done and if any additional tests requested, please take these requests to the relevant departments.

• Please show the test results to your physician in the outpatient clinic.

• Please be sure to keep your child fasting starting from the identified hour on the night before the surgery. Otherwise, please inform your physician in charge.

• If there is any medication that your child is taking regularly, please make sure to use the medication in compliance with the instructions of the physician, who has given the appointment before the examination. Please bring all X-rays of the child with you.

• If your child has any additional prescriptions for other illnesses that were prescribed to be taken before and/or after receiving anesthesia, please bring these medications with you.

• Please keep the referral documents with you.

• If there are any changes in the condition of your child (such as fever, runny nose, cough and vomiting) since the last check up, please inform your physician of these instances.

• Please take the operating room request document, prepared by the secretariat of pediatric surgery outpatient clinic.

Considerations at Outpatient Surgery Center

• Please submit the operating room request document, the patient file, X-rays and medicines, if any, to the secretariat of Outpatient Surgery Center.

• Please remain in the waiting lounge until your child’s name is called.

• Please enter with your child, when called.

• Please accompany your child while she/he gets undressed and puts on special clothing.

• Please be sure that there are no accessories such as watches, necklaces, rings, earrings, etc. on your child.

• Please return to the waiting lounge, while the child is taken inside with stretcher.

• For the surgery information please keep up with the screen which is situated in the waiting lounge.

• After being kept in the reanimation unit for a while after the surgery the child will be taken to a different hall where his/her relative can be with him/her.

• When the child is entirely awake, you will be allowed to leave the hospital.

• Necessary information will be given about your child’s process result, diet and control procedure after the surgery.