A New Preoperative Categorization and Potential Preoperative Indicator for Cysto-Biliary Fistula in Hydatid Hepatic Disease

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dc.authorid0000-0001-6758-7289
dc.authorid0000-0002-0725-6629
dc.authorscopusid25723566500
dc.authorscopusid35604966000
dc.authorscopusid55210124600
dc.authorscopusid45661308900
dc.authorscopusid35791793300
dc.authorscopusid55624501100
dc.authorscopusid56820130200
dc.authorwosidKARATEKE, FARUK/AAB-5465-2020
dc.authorwosidDAS, Koray/AAD-8537-2021
dc.authorwosidİriz, Erkan/AAF-2026-2019
dc.authorwosidturan, umit/AAD-2947-2022
dc.authorwosidAZİRET, MEHMET/I-5483-2014
dc.contributor.authorMenekse, Ebru
dc.contributor.authorTuran, Umit
dc.contributor.authorÖzyazıcı, Sefa
dc.contributor.authorKarateke, Faruk
dc.contributor.authorAziret, Mehmet
dc.contributor.authorBali, İlhan
dc.contributor.authorÖzdoğan, Mehmet
dc.date.accessioned2022-05-11T14:34:57Z
dc.date.available2022-05-11T14:34:57Z
dc.date.issued2016
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractThe objective of this study was to determine the risk for cysto-biliary fistula (CBF) and preoperative predictive factors in patients with hepatic hydatid disease (HHD) with high levels of hepatobiliary enzymes (HLE) alone. The risk of CBF and predictive factors in patients with HHD whose only sign of fistula was HLE is unknown. A total of 116 patients without clinical and radiologic signs who were operated for HHD were categorized into 2 groups: patients with and without HLE. The patients with HLE were defined as usual suspicious.'' The potential preoperatively predictive factors for CBF were retrospectively analyzed in this group. Our data included 18.1% of patients (n = 21) with CBF and 69.2% of patients (n = 81) with HLE. The usual suspicious group contained 24.7% of patients (n = 20) with CBF. The risk of CBF was 11-fold higher in the usual suspicious group (95% confidence interval, 1.4-86.7). The red cell distribution width (RDW) was higher in patients with CBF than in patients without CBF in the usual suspicious group (P = 0.006). The performance of the RDW, with a cutoff value of 13.75%, was found to be suboptimal for predicting CBF for patients in the usual suspicious group (area under the curve, 0.661; 95% confidence interval, 0.525-0.798). We defined a new preoperatively high-risk group with HLE alone; this definition can help to identify patients at risk for preoperatively undetectable CBF. The RDW was not found to be sufficient for the discrimination of usual suspicious group with CBF.
dc.identifier.doi10.9738/INTSURG-D-15-00243.1
dc.identifier.endpage193
dc.identifier.issn0020-8868
dc.identifier.issue45385en_US
dc.identifier.scopus2-s2.0-85009775286
dc.identifier.scopusqualityQ4
dc.identifier.startpage185
dc.identifier.urihttps://doi.org/10.9738/INTSURG-D-15-00243.1
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8149
dc.identifier.volume101
dc.identifier.wosWOS:000402281400014
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorBali, İlhan
dc.language.isoen
dc.publisherInt College Of Surgeons
dc.relation.ispartofInternational Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHepatic hydatidosis
dc.subjectBiliary fistula
dc.subjectRed cell distribution width
dc.subjectElevated liver enzymes
dc.subjectCell Distribution Width
dc.subjectIntrabiliary Rupture
dc.subjectLiver Surgery
dc.subjectCommunication
dc.subjectManagement
dc.subjectMortality
dc.titleA New Preoperative Categorization and Potential Preoperative Indicator for Cysto-Biliary Fistula in Hydatid Hepatic Disease
dc.typeArticle

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