January 19, 2020 Journal article Open Access

Er, Sadettin; Tahtabaşı, Mehmet; Abdikarim Sh Ibrahim, Ikram; Ahmed Ali, Ismail; Gedi Ibrahim, Ismail

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{
  "note": "Endoskopik Retrograd Kolanjiopankreatografi (ERCP) Bulunmayan Somali'de Koledok Eksplorasyonu ve T-t\u00fcp Drenaj Prosed\u00fcr\u00fc", 
  "DOI": "10.54584/lms.2022.2", 
  "container_title": "Life and Medical Sciences", 
  "language": "tur", 
  "title": "Bile Duct Exploration and T-tube Drainage Procedure without Endoscopic Retrograde Cholangiopancreatography (ERCP) Unit in Somalia", 
  "issued": {
    "date-parts": [
      [
        2020, 
        1, 
        19
      ]
    ]
  }, 
  "abstract": "<p><strong>&Ouml;zet</strong></p>\n\n<p>&Ccedil;al\u0131\u015fmam\u0131zda, ERCP (endoskopik retrograd kolanjiopankreatografi) yap\u0131lamayan koledokolithiyazisli hastalarda a&ccedil;\u0131k olarak yap\u0131lan T-t&uuml;p drenaj prosed&uuml;r&uuml;n&uuml; de\u011ferlendirmek ama&ccedil;lanm\u0131\u015ft\u0131r. Hastalar\u0131n ya\u015f, cinsiyet, laboratuvar de\u011ferleri, hastanede yat\u0131\u015f s&uuml;resi, T-t&uuml;p &ccedil;ekilme zaman\u0131 ve tedaviye yan\u0131tlar\u0131 elektronik kay\u0131tlar\u0131ndan al\u0131nd\u0131. Preoperatif d&ouml;nemde t&uuml;m hastalar MRCP (magnetik rezonans kolanjio pankreatigografi) ile de\u011ferlendirildi. Toplam 16 hastan\u0131n 11 (%68.8)&rsquo;i kad\u0131n ve be\u015fi (%31.2)&rsquo;i erkekti. Hastalar\u0131n ya\u015f ortalamas\u0131 49.7&plusmn;15 olarak bulundu. Koledok &ccedil;ap\u0131 (mm) 15&plusmn;7.3&rsquo;d&uuml;. Hastalar\u0131n 8&rsquo;inde (%50) intrahepatik safra yollar\u0131 ileri derecede dilate iken, 8&rsquo;inde (%50) hafif derecede dilatasyon mevcuttu. Biyokimyasal parametrelerinden bilir&uuml;bin ve kolestaz enzimlerinin d&uuml;zeyleri y&uuml;ksek bulundu. Hastalar\u0131n hastanede yat\u0131\u015f s&uuml;resi ve T-t&uuml;p &ccedil;ekilme s&uuml;resi s\u0131ras\u0131yla; 15.3&plusmn;0.9 ve 13.7&plusmn;1 olarak bulundu. Se&ccedil;ilmi\u015f hasta grubunda koledokolithiyazis tedavisi i&ccedil;in; a&ccedil;\u0131k koledok eksplorasyonu, ta\u015f ekstraksiyonu ve T-t&uuml;p drenaj\u0131 ERCP&rsquo;nin olmad\u0131\u011f\u0131 yerlerde halen uygulanabilirli\u011fi olan bir y&ouml;ntemdir.</p>\n\n<p><strong>Abstract</strong></p>\n\n<p>The aim of this study is to patients with choledocholithiasis who underwent open exploration with T-tube drainage that can&rsquo;t undergo ERCP (endoscopic retrograde cholangiopancreatography). Materials and methods: Patient age, gender, laboratory workup, period of hospital stay, time of T-tube removal and treatment response were looked back into from the hospital database. All patients underwent MRCP (magnetic resonance Cholangio pancreatography) preoperatively. There&nbsp;were&nbsp;a total of 16 patients of which 11 (68.8%) were female and 5 (31.2%) were males. Mean age was 49.7&plusmn;15. Common bile duct was 15&plusmn;7.3 mm in diameter. 8 (50%) of the patients&rsquo; intra-hepatic bile ducts were moderately dilated, the rest 8 (50%) patients were minimally dilated. Bilirubin levels and cholestasis enzymes were elevated. Hospital stay period and T-tube removal time were 15.3&plusmn;0.9 and 13.7&plusmn;1 respectively. When ERCP is not available, open bile duct exploration, stone extraction and T-tube drainage can be used for choledocholithiasis treatment as feasible method in the selected patient groups.</p>", 
  "author": [
    {
      "family": "Er, Sadettin"
    }, 
    {
      "family": "Tahtaba\u015f\u0131, Mehmet"
    }, 
    {
      "family": "Abdikarim Sh Ibrahim, Ikram"
    }, 
    {
      "family": "Ahmed Ali, Ismail"
    }, 
    {
      "family": "Gedi Ibrahim, Ismail"
    }
  ], 
  "page": "14-19", 
  "volume": "1", 
  "type": "article-journal", 
  "issue": "1", 
  "id": "7222233"
}