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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    "doi": "10.54584/lms.2022.2", 
    "description": "<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>", 
    "language": "tur", 
    "title": "Bile Duct Exploration and T-tube Drainage Procedure without Endoscopic Retrograde Cholangiopancreatography (ERCP) Unit in Somalia", 
    "license": {
      "id": "CC-BY-4.0"
    }, 
    "journal": {
      "volume": "1", 
      "issue": "1", 
      "pages": "14-19", 
      "title": "Life and Medical Sciences"
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    "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"
    ], 
    "keywords": [
      "ERCP", 
      "MRCP", 
      "Koledokolithiyazis", 
      "T-t\u00fcp drenaj", 
      "Choledocholithiasis", 
      "T-tube drainage"
    ], 
    "publication_date": "2020-01-19", 
    "creators": [
      {
        "orcid": "0000-0003-0712-3153", 
        "affiliation": "Department of General Surgery, Mogadishu Somalia-Turkey Recep Tayyip Erdo\u011fan Training and Research Hospital, Mogadishu, Somalia.", 
        "name": "Er, Sadettin"
      }, 
      {
        "orcid": "0000-0001-9668-8062", 
        "affiliation": "Department of Radiology, Mogadishu Somalia-Turkey Recep Tayyip Erdo\u011fan Training and Research Hospital, Mogadishu, Somalia.", 
        "name": "Tahtaba\u015f\u0131, Mehmet"
      }, 
      {
        "orcid": "0000-0003-0096-2157", 
        "affiliation": "Department of General Surgery, Mogadishu Somalia-Turkey Recep Tayyip Erdo\u011fan Training and Research Hospital, Mogadishu, Somalia.", 
        "name": "Abdikarim Sh Ibrahim, Ikram"
      }, 
      {
        "orcid": "0000-0002-5455-790X", 
        "affiliation": "Department of General Surgery, Mogadishu Somalia-Turkey Recep Tayyip Erdo\u011fan Training and Research Hospital, Mogadishu, Somalia.", 
        "name": "Ahmed Ali, Ismail"
      }, 
      {
        "orcid": "0000-0001-5207-0017", 
        "affiliation": "Department of Radiology, Mogadishu Somalia-Turkey Recep Tayyip Erdo\u011fan Training and Research Hospital, Mogadishu, Somalia.", 
        "name": "Gedi Ibrahim, Ismail"
      }
    ], 
    "notes": "Endoskopik Retrograd Kolanjiopankreatografi (ERCP) Bulunmayan Somali'de Koledok Eksplorasyonu ve T-t\u00fcp Drenaj Prosed\u00fcr\u00fc", 
    "resource_type": {
      "subtype": "article", 
      "type": "publication", 
      "title": "Journal article"
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