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Bile Duct Exploration and T-tube Drainage Procedure without Endoscopic Retrograde Cholangiopancreatography (ERCP) Unit in Somalia

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


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{
  "inLanguage": {
    "alternateName": "tur", 
    "@type": "Language", 
    "name": "Turkish"
  }, 
  "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>", 
  "license": "https://creativecommons.org/licenses/by/4.0/legalcode", 
  "creator": [
    {
      "affiliation": "Department of General Surgery, Mogadishu Somalia-Turkey Recep Tayyip Erdo\u011fan Training and Research Hospital, Mogadishu, Somalia.", 
      "@id": "https://orcid.org/0000-0003-0712-3153", 
      "@type": "Person", 
      "name": "Er, Sadettin"
    }, 
    {
      "affiliation": "Department of Radiology, Mogadishu Somalia-Turkey Recep Tayyip Erdo\u011fan Training and Research Hospital, Mogadishu, Somalia.", 
      "@id": "https://orcid.org/0000-0001-9668-8062", 
      "@type": "Person", 
      "name": "Tahtaba\u015f\u0131, Mehmet"
    }, 
    {
      "affiliation": "Department of General Surgery, Mogadishu Somalia-Turkey Recep Tayyip Erdo\u011fan Training and Research Hospital, Mogadishu, Somalia.", 
      "@id": "https://orcid.org/0000-0003-0096-2157", 
      "@type": "Person", 
      "name": "Abdikarim Sh Ibrahim, Ikram"
    }, 
    {
      "affiliation": "Department of General Surgery, Mogadishu Somalia-Turkey Recep Tayyip Erdo\u011fan Training and Research Hospital, Mogadishu, Somalia.", 
      "@id": "https://orcid.org/0000-0002-5455-790X", 
      "@type": "Person", 
      "name": "Ahmed Ali, Ismail"
    }, 
    {
      "affiliation": "Department of Radiology, Mogadishu Somalia-Turkey Recep Tayyip Erdo\u011fan Training and Research Hospital, Mogadishu, Somalia.", 
      "@id": "https://orcid.org/0000-0001-5207-0017", 
      "@type": "Person", 
      "name": "Gedi Ibrahim, Ismail"
    }
  ], 
  "headline": "Bile Duct Exploration and T-tube Drainage Procedure without Endoscopic Retrograde Cholangiopancreatography (ERCP) Unit in Somalia", 
  "image": "https://zenodo.org/static/img/logos/zenodo-gradient-round.svg", 
  "datePublished": "2020-01-19", 
  "url": "https://zenodo.org/record/7222233", 
  "keywords": [
    "ERCP", 
    "MRCP", 
    "Koledokolithiyazis", 
    "T-t\u00fcp drenaj", 
    "Choledocholithiasis", 
    "T-tube drainage"
  ], 
  "@context": "https://schema.org/", 
  "identifier": "https://doi.org/10.54584/lms.2022.2", 
  "@id": "https://doi.org/10.54584/lms.2022.2", 
  "@type": "ScholarlyArticle", 
  "name": "Bile Duct Exploration and T-tube Drainage Procedure without Endoscopic Retrograde Cholangiopancreatography (ERCP) Unit in Somalia"
}
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