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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        <foaf:name>Er, Sadettin</foaf:name>
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        <foaf:name>Ahmed Ali, Ismail</foaf:name>
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            <foaf:name>Department of General Surgery, Mogadishu Somalia-Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.</foaf:name>
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        <foaf:name>Gedi Ibrahim, Ismail</foaf:name>
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    <dct:title>Bile Duct Exploration and T-tube Drainage Procedure without Endoscopic Retrograde Cholangiopancreatography (ERCP) Unit in Somalia</dct:title>
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    <dct:issued rdf:datatype="http://www.w3.org/2001/XMLSchema#gYear">2020</dct:issued>
    <dcat:keyword>ERCP</dcat:keyword>
    <dcat:keyword>MRCP</dcat:keyword>
    <dcat:keyword>Koledokolithiyazis</dcat:keyword>
    <dcat:keyword>T-tüp drenaj</dcat:keyword>
    <dcat:keyword>Choledocholithiasis</dcat:keyword>
    <dcat:keyword>T-tube drainage</dcat:keyword>
    <dct:issued rdf:datatype="http://www.w3.org/2001/XMLSchema#date">2020-01-19</dct:issued>
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    <dct:description>&lt;p&gt;&lt;strong&gt;&amp;Ouml;zet&lt;/strong&gt;&lt;/p&gt; &lt;p&gt;&amp;Ccedil;alışmamızda, ERCP (endoskopik retrograd kolanjiopankreatografi) yapılamayan koledokolithiyazisli hastalarda a&amp;ccedil;ık olarak yapılan T-t&amp;uuml;p drenaj prosed&amp;uuml;r&amp;uuml;n&amp;uuml; değerlendirmek ama&amp;ccedil;lanmıştır. Hastaların yaş, cinsiyet, laboratuvar değerleri, hastanede yatış s&amp;uuml;resi, T-t&amp;uuml;p &amp;ccedil;ekilme zamanı ve tedaviye yanıtları elektronik kayıtlarından alındı. Preoperatif d&amp;ouml;nemde t&amp;uuml;m hastalar MRCP (magnetik rezonans kolanjio pankreatigografi) ile değerlendirildi. Toplam 16 hastanın 11 (%68.8)&amp;rsquo;i kadın ve beşi (%31.2)&amp;rsquo;i erkekti. Hastaların yaş ortalaması 49.7&amp;plusmn;15 olarak bulundu. Koledok &amp;ccedil;apı (mm) 15&amp;plusmn;7.3&amp;rsquo;d&amp;uuml;. Hastaların 8&amp;rsquo;inde (%50) intrahepatik safra yolları ileri derecede dilate iken, 8&amp;rsquo;inde (%50) hafif derecede dilatasyon mevcuttu. Biyokimyasal parametrelerinden bilir&amp;uuml;bin ve kolestaz enzimlerinin d&amp;uuml;zeyleri y&amp;uuml;ksek bulundu. Hastaların hastanede yatış s&amp;uuml;resi ve T-t&amp;uuml;p &amp;ccedil;ekilme s&amp;uuml;resi sırasıyla; 15.3&amp;plusmn;0.9 ve 13.7&amp;plusmn;1 olarak bulundu. Se&amp;ccedil;ilmiş hasta grubunda koledokolithiyazis tedavisi i&amp;ccedil;in; a&amp;ccedil;ık koledok eksplorasyonu, taş ekstraksiyonu ve T-t&amp;uuml;p drenajı ERCP&amp;rsquo;nin olmadığı yerlerde halen uygulanabilirliği olan bir y&amp;ouml;ntemdir.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Abstract&lt;/strong&gt;&lt;/p&gt; &lt;p&gt;The aim of this study is to patients with choledocholithiasis who underwent open exploration with T-tube drainage that can&amp;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&amp;nbsp;were&amp;nbsp;a total of 16 patients of which 11 (68.8%) were female and 5 (31.2%) were males. Mean age was 49.7&amp;plusmn;15. Common bile duct was 15&amp;plusmn;7.3 mm in diameter. 8 (50%) of the patients&amp;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&amp;plusmn;0.9 and 13.7&amp;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.&lt;/p&gt;</dct:description>
    <dct:description>Endoskopik Retrograd Kolanjiopankreatografi (ERCP) Bulunmayan Somali'de Koledok Eksplorasyonu ve T-tüp Drenaj Prosedürü</dct:description>
    <dct:description>{"references": ["\u200e1. Beltran MA, Csendes A, Cruces KS. The relationship of \u200eMirizzi syndrome and cholecystoenteric fistula: validation \u200eof a modified classification. World journal of surgery. \u200e\u200e2008; 32(10): 2237-43. \u200e", "\u200e2. Costi R, Gnocchi A, Di Mario F, Sarli L. Diagnosis and \u200emanagement of choledocholithiasis in the golden age of \u200eimaging, endoscopy and laparoscopy. World J \u200eGastroenterol 2014; 20(37): 13382-401. \u200e", "\u200e3. Jin PP, Cheng JF, Liu D, Mei M, Xu ZQ, Sun LM. \u200eEndoscopic papillary large balloon dilation vs endoscopic \u200esphincterotomy for retrieval of common bile duct stones: \u200ea meta-analysis. World J Gastroenterol 2014; 20(18): \u200e\u200e5548-56. \u200e", "\u200e4. Park CH. The Management of Common Bile Duct \u200eStones. Korean J Gastroenterol 2018; 71(5): 260-3. \u200e", "\u200e5. He MY, Zhou XD, Chen H, Zheng P, Zhang FZ, Ren \u200eWW. Various approaches of laparoscopic common bile \u200educt exploration plus primary duct closure for \u200echoledocholithiasis: A systematic review and meta-\u200eanalysis. Hepatobiliary Pancreat Dis Int 2018; 17(3): 183-\u200e\u200e91.\u200e", "\u200e6. Naumowicz E, Bia\u0142ecki J, Ko\u0142omecki K. Results of \u200etreatment of patients with gallstone disease and ductal \u200ecalculi by single-stage laparoscopic cholecystectomy and \u200ebile duct exploration. Wideochir Inne Tech Maloinwazyjne \u200e\u200e2014; 9(2): 179-89.\u200e", "\u200e7. Zhang JF, Du ZQ, Lu Q, Liu XM, Lv Y, Zhang XF. Risk \u200eFactors Associated With Residual Stones in Common Bile \u200eDuct Via T Tube Cholangiography After Common Bile Duct \u200eExploration. Medicine (Baltimore) 2015; 94(26): e1043. \u200e", "\u200e8. Ozcan N, Kahriman G, Karabiyik O, Donmez H, Emek \u200eE. Percutaneous management of residual bile duct stones \u200ethrough T-tube tract after cholecystectomy: A \u200eretrospective analysis of 89 patients. Diagn Interv \u200eImaging 2017; 98(2): 149-53.\u200e", "\u200e9. Hakuta R, Kawahata S, Kogure H, Nakai Y, Saito K, \u200eSaito T, et al. Endoscopic papillary large balloon dilation \u200eand endoscopic papillary balloon dilation both without \u200esphincterotomy for removal of large bile duct stones: A \u200epropensity-matched analysis. Dig Endosc 2019; 31(1): \u200e\u200e59-68. \u200e", "\u200e10. Baiu I, Hawn MT. Choledocholithiasis. JAMA 2018; \u200e\u200e320(14): 1506\u200e.", "\u200e11. Corbett CR, Fyfe NC, Nicholls RJ, Jackson BT. Bile \u200eperitonitis after removal of T-tubes from the common bile \u200educt. Br J Surg 1986; 73(8): 641-3. \u200e", "\u200e12. Dellinger EP, Steer M, Weinstein M, Kirshenbaum G. \u200eAdverse reactions following T-tube removal. World J Surg \u200e\u200e1982; 6(5): 610-5. \u200e", "\u200e13. Maghsoudi H, Garadaghi A, Jafary GA. Biliary \u200eperitonitis requiring reoperation after removal of T-tubes \u200efrom the common bile duct. Am J Surg 2005; 190(3): \u200e\u200e430-3. \u200e", "\u200e14. Str\u00f6mberg C, Nilsson M. Nationwide study of the \u200etreatment of common bile duct stones in Sweden \u200ebetween 1965 and 2009. Br J Surg 2011; 98(12): 1766-\u200e\u200e74. \u200e"]}</dct:description>
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