Journal article Open Access
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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<subfield code="x">3. Jin PP, Cheng JF, Liu D, Mei M, Xu ZQ, Sun LM. Endoscopic papillary large balloon dilation vs endoscopic sphincterotomy for retrieval of common bile duct stones: a meta-analysis. World J Gastroenterol 2014; 20(18): 5548-56. </subfield>
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<subfield code="x">4. Park CH. The Management of Common Bile Duct Stones. Korean J Gastroenterol 2018; 71(5): 260-3. </subfield>
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<subfield code="x">5. He MY, Zhou XD, Chen H, Zheng P, Zhang FZ, Ren WW. Various approaches of laparoscopic common bile duct exploration plus primary duct closure for choledocholithiasis: A systematic review and meta-analysis. Hepatobiliary Pancreat Dis Int 2018; 17(3): 183-91.</subfield>
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<subfield code="x">6. Naumowicz E, Białecki J, Kołomecki K. Results of treatment of patients with gallstone disease and ductal calculi by single-stage laparoscopic cholecystectomy and bile duct exploration. Wideochir Inne Tech Maloinwazyjne 2014; 9(2): 179-89.</subfield>
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<subfield code="x">8. Ozcan N, Kahriman G, Karabiyik O, Donmez H, Emek E. Percutaneous management of residual bile duct stones through T-tube tract after cholecystectomy: A retrospective analysis of 89 patients. Diagn Interv Imaging 2017; 98(2): 149-53.</subfield>
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<subfield code="x">9. Hakuta R, Kawahata S, Kogure H, Nakai Y, Saito K, Saito T, et al. Endoscopic papillary large balloon dilation and endoscopic papillary balloon dilation both without sphincterotomy for removal of large bile duct stones: A propensity-matched analysis. Dig Endosc 2019; 31(1): 59-68. </subfield>
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<subfield code="x">10. Baiu I, Hawn MT. Choledocholithiasis. JAMA 2018; 320(14): 1506.</subfield>
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<subfield code="x">11. Corbett CR, Fyfe NC, Nicholls RJ, Jackson BT. Bile peritonitis after removal of T-tubes from the common bile duct. Br J Surg 1986; 73(8): 641-3. </subfield>
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<subfield code="x">12. Dellinger EP, Steer M, Weinstein M, Kirshenbaum G. Adverse reactions following T-tube removal. World J Surg 1982; 6(5): 610-5. </subfield>
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<subfield code="x">13. Maghsoudi H, Garadaghi A, Jafary GA. Biliary peritonitis requiring reoperation after removal of T-tubes from the common bile duct. Am J Surg 2005; 190(3): 430-3. </subfield>
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<subfield code="x">14. Strömberg C, Nilsson M. Nationwide study of the treatment of common bile duct stones in Sweden between 1965 and 2009. Br J Surg 2011; 98(12): 1766-74. </subfield>
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<subfield code="a">Koledokolithiyazis</subfield>
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<subfield code="a">T-tüp drenaj</subfield>
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<subfield code="a">Choledocholithiasis</subfield>
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<subfield code="a">Endoskopik Retrograd Kolanjiopankreatografi (ERCP) Bulunmayan Somali'de Koledok Eksplorasyonu ve T-tüp Drenaj Prosedürü</subfield>
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<subfield code="u">Department of Radiology, Mogadishu Somalia-Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.</subfield>
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<subfield code="u">Department of General Surgery, Mogadishu Somalia-Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.</subfield>
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<subfield code="u">Department of General Surgery, Mogadishu Somalia-Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.</subfield>
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<subfield code="u">Department of General Surgery, Mogadishu Somalia-Turkey Recep Tayyip Erdoğan Training and Research Hospital, Mogadishu, Somalia.</subfield>
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<subfield code="a">Bile Duct Exploration and T-tube Drainage Procedure without Endoscopic Retrograde Cholangiopancreatography (ERCP) Unit in Somalia</subfield>
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<subfield code="a"><p><strong>&Ouml;zet</strong></p>
<p>&Ccedil;alışmamızda, ERCP (endoskopik retrograd kolanjiopankreatografi) yapılamayan koledokolithiyazisli hastalarda a&ccedil;ık olarak yapılan T-t&uuml;p drenaj prosed&uuml;r&uuml;n&uuml; değerlendirmek ama&ccedil;lanmıştır. Hastaların yaş, cinsiyet, laboratuvar değerleri, hastanede yatış s&uuml;resi, T-t&uuml;p &ccedil;ekilme zamanı ve tedaviye yanıtları elektronik kayıtlarından alındı. Preoperatif d&ouml;nemde t&uuml;m hastalar MRCP (magnetik rezonans kolanjio pankreatigografi) ile değerlendirildi. Toplam 16 hastanın 11 (%68.8)&rsquo;i kadın ve beşi (%31.2)&rsquo;i erkekti. Hastaların yaş ortalaması 49.7&plusmn;15 olarak bulundu. Koledok &ccedil;apı (mm) 15&plusmn;7.3&rsquo;d&uuml;. Hastaların 8&rsquo;inde (%50) intrahepatik safra yolları 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. Hastaların hastanede yatış s&uuml;resi ve T-t&uuml;p &ccedil;ekilme s&uuml;resi sırasıyla; 15.3&plusmn;0.9 ve 13.7&plusmn;1 olarak bulundu. Se&ccedil;ilmiş hasta grubunda koledokolithiyazis tedavisi i&ccedil;in; a&ccedil;ık koledok eksplorasyonu, taş ekstraksiyonu ve T-t&uuml;p drenajı ERCP&rsquo;nin olmadığı yerlerde halen uygulanabilirliği olan bir y&ouml;ntemdir.</p>
<p><strong>Abstract</strong></p>
<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></subfield>
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<subfield code="a">10.54584/lms.2022.2</subfield>
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Indexed in
- Publication date:
- January 19, 2020
- DOI:
-
- Keyword(s):
- ERCP MRCP Koledokolithiyazis T-tüp drenaj Choledocholithiasis T-tube drainage
- Published in:
- Life and Medical Sciences: 1 pp. 14-19 (1).
- License (for files):
- Creative Commons Attribution 4.0 International