Can biliary-cyst communication be predicted before surgery for hepatic hydatid disease: does size matter?
Abstract Background The aim of this study was to determine if there is any predictive factor indicating the risk of bile leakage before surgery for hepatic hydatid disease in clinically asymptomatic patients. Methods The data of 116 patients who underwent surgery for hepatic hydatid disease were rev...
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creator | Kilic, Mehmet, M.D Yoldas, Omer, M.D Koc, Mahmut, M.D Keskek, Mehmet, M.D Karakose, Nazile, M.D Ertan, Tamer, M.D Gocmen, Erdal, M.D Tez, Mesut, M.D |
description | Abstract Background The aim of this study was to determine if there is any predictive factor indicating the risk of bile leakage before surgery for hepatic hydatid disease in clinically asymptomatic patients. Methods The data of 116 patients who underwent surgery for hepatic hydatid disease were reviewed retrospectively. There were 43 men (37%) and 73 women (63%) with a mean age of 45 ± 15 years. Because of high preoperative serum bilirubin and liver function test levels, 12 patients were excluded from the study. These patients underwent preoperative endoscopic retrograde cholangiopancreatography. In addition, 2 medically treated patients were excluded from the study. The following variables were analyzed as potential predictors of biliary-cyst communication: age, sex, physical examination findings, leukocyte count, liver function test results, and ultrasonographic cyst features (type, diameter, number, and localization). Results Bile leakage was detected in 24 out of 102 patients. There were no differences in age, sex, cyst type, alkaline phosphatase level, γ-glutamyl transpeptidase level, alanine aminotransferase level, aspartate aminotransferase level, bilirubin level, and number of cysts and cyst locations between the patients with and without bile leakage. The mean cyst size in patients with biliary leakage was 10.2 cm as compared with 6.1 cm in patients with no biliary leakage ( P < .05). When the cut-off value of cyst diameter was accepted as 7.5 cm, the specificity and sensitivity for biliary-cyst communication were 73% and 79%, respectively. Conclusions These data suggest that cyst diameter is an independent factor that is associated with a high risk of biliary-cyst communication in clinically asymptomatic patients. Preoperative endoscopic retrograde cholangiopancreatography should be performed in these asymptomatic patients to reduce the incidence of postoperative complications. |
doi_str_mv | 10.1016/j.amjsurg.2007.07.034 |
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Methods The data of 116 patients who underwent surgery for hepatic hydatid disease were reviewed retrospectively. There were 43 men (37%) and 73 women (63%) with a mean age of 45 ± 15 years. Because of high preoperative serum bilirubin and liver function test levels, 12 patients were excluded from the study. These patients underwent preoperative endoscopic retrograde cholangiopancreatography. In addition, 2 medically treated patients were excluded from the study. The following variables were analyzed as potential predictors of biliary-cyst communication: age, sex, physical examination findings, leukocyte count, liver function test results, and ultrasonographic cyst features (type, diameter, number, and localization). Results Bile leakage was detected in 24 out of 102 patients. There were no differences in age, sex, cyst type, alkaline phosphatase level, γ-glutamyl transpeptidase level, alanine aminotransferase level, aspartate aminotransferase level, bilirubin level, and number of cysts and cyst locations between the patients with and without bile leakage. The mean cyst size in patients with biliary leakage was 10.2 cm as compared with 6.1 cm in patients with no biliary leakage ( P < .05). When the cut-off value of cyst diameter was accepted as 7.5 cm, the specificity and sensitivity for biliary-cyst communication were 73% and 79%, respectively. Conclusions These data suggest that cyst diameter is an independent factor that is associated with a high risk of biliary-cyst communication in clinically asymptomatic patients. Preoperative endoscopic retrograde cholangiopancreatography should be performed in these asymptomatic patients to reduce the incidence of postoperative complications.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2007.07.034</identifier><identifier>PMID: 18513700</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Bile ; Bile leakage ; Biliary Fistula - diagnosis ; Biliary Fistula - etiology ; Biological and medical sciences ; Chi-Square Distribution ; Cholangiopancreatography, Endoscopic Retrograde ; Communication ; Cysts ; Diseases caused by cestodes ; Echinococcoses ; Echinococcosis, Hepatic - surgery ; ERCP ; Female ; General aspects ; Helminthic diseases ; Humans ; Hydatid disease ; Infectious diseases ; Leukocyte Count ; Liver Function Tests ; Male ; Medical sciences ; Middle Aged ; Parasitic diseases ; Patients ; Postoperative Complications - prevention & control ; Predictive Value of Tests ; Retrospective Studies ; Risk Assessment ; ROC Curve ; Surgery ; Treatment Outcome</subject><ispartof>The American journal of surgery, 2008-11, Vol.196 (5), p.732-735</ispartof><rights>Elsevier Inc.</rights><rights>2008 Elsevier Inc.</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Elsevier Limited Jan 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c476t-ae19f168b657ba4e214ecbcd0fcf5c7e90411d7de0358f189242e94536972bc53</citedby><cites>FETCH-LOGICAL-c476t-ae19f168b657ba4e214ecbcd0fcf5c7e90411d7de0358f189242e94536972bc53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1444856064?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000,64390,64392,64394,72474</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20824458$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18513700$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kilic, Mehmet, M.D</creatorcontrib><creatorcontrib>Yoldas, Omer, M.D</creatorcontrib><creatorcontrib>Koc, Mahmut, M.D</creatorcontrib><creatorcontrib>Keskek, Mehmet, M.D</creatorcontrib><creatorcontrib>Karakose, Nazile, M.D</creatorcontrib><creatorcontrib>Ertan, Tamer, M.D</creatorcontrib><creatorcontrib>Gocmen, Erdal, M.D</creatorcontrib><creatorcontrib>Tez, Mesut, M.D</creatorcontrib><title>Can biliary-cyst communication be predicted before surgery for hepatic hydatid disease: does size matter?</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Abstract Background The aim of this study was to determine if there is any predictive factor indicating the risk of bile leakage before surgery for hepatic hydatid disease in clinically asymptomatic patients. Methods The data of 116 patients who underwent surgery for hepatic hydatid disease were reviewed retrospectively. There were 43 men (37%) and 73 women (63%) with a mean age of 45 ± 15 years. Because of high preoperative serum bilirubin and liver function test levels, 12 patients were excluded from the study. These patients underwent preoperative endoscopic retrograde cholangiopancreatography. In addition, 2 medically treated patients were excluded from the study. The following variables were analyzed as potential predictors of biliary-cyst communication: age, sex, physical examination findings, leukocyte count, liver function test results, and ultrasonographic cyst features (type, diameter, number, and localization). Results Bile leakage was detected in 24 out of 102 patients. There were no differences in age, sex, cyst type, alkaline phosphatase level, γ-glutamyl transpeptidase level, alanine aminotransferase level, aspartate aminotransferase level, bilirubin level, and number of cysts and cyst locations between the patients with and without bile leakage. The mean cyst size in patients with biliary leakage was 10.2 cm as compared with 6.1 cm in patients with no biliary leakage ( P < .05). When the cut-off value of cyst diameter was accepted as 7.5 cm, the specificity and sensitivity for biliary-cyst communication were 73% and 79%, respectively. Conclusions These data suggest that cyst diameter is an independent factor that is associated with a high risk of biliary-cyst communication in clinically asymptomatic patients. Preoperative endoscopic retrograde cholangiopancreatography should be performed in these asymptomatic patients to reduce the incidence of postoperative complications.</description><subject>Adult</subject><subject>Bile</subject><subject>Bile leakage</subject><subject>Biliary Fistula - diagnosis</subject><subject>Biliary Fistula - etiology</subject><subject>Biological and medical sciences</subject><subject>Chi-Square Distribution</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Communication</subject><subject>Cysts</subject><subject>Diseases caused by cestodes</subject><subject>Echinococcoses</subject><subject>Echinococcosis, Hepatic - surgery</subject><subject>ERCP</subject><subject>Female</subject><subject>General aspects</subject><subject>Helminthic diseases</subject><subject>Humans</subject><subject>Hydatid disease</subject><subject>Infectious diseases</subject><subject>Leukocyte Count</subject><subject>Liver Function Tests</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Parasitic diseases</subject><subject>Patients</subject><subject>Postoperative Complications - prevention & control</subject><subject>Predictive Value of Tests</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>ROC Curve</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkl2L1TAQhoMo7nH1JygB0bueTZqkTb1wkYOuCwteqOBdSCdTN7Ufx6RdqL_elFNc2BthYDLkmclk3iHkJWd7znhx0e5t38Y5_NznjJX71YR8RHZcl1XGtRaPyY4xlmdVwdkZeRZjm0LOpXhKzrhWXJSM7Yg_2IHWvvM2LBkscaIw9v08eLCTH9MV0mNA52FCl4JmDEjXVzEsNAX0Fo8JBHq7uOQddT6ijfiOuhEjjf4P0t5OE4bL5-RJY7uILzZ_Tr5_-vjt8Dm7-XJ1ffhwk4EsiymzyKuGF7ouVFlbiTmXCDU41kCjoMSKSc5d6ZAJpRuuq1zmWEkliqrMa1DinLw91T2G8feMcTK9j4BdZwcc52gSx1WaWQJfPwDbcQ5D6s1wKaVWBStkotSJgjDGGLAxx-D7NC3DmVmVMK3ZlDCrEmY1sea92qrPdY_uPmsbfQLebICNYLsm2AF8_MflTOdSKp24yxOHaWh3HoOJ4HGAJEpAmIwb_X9bef-gAnR-Vbj7hQvG-1-bmBtmvq5rs24N0-kgxA_xF0r2vtE</recordid><startdate>20081101</startdate><enddate>20081101</enddate><creator>Kilic, Mehmet, M.D</creator><creator>Yoldas, Omer, M.D</creator><creator>Koc, Mahmut, M.D</creator><creator>Keskek, Mehmet, M.D</creator><creator>Karakose, Nazile, M.D</creator><creator>Ertan, Tamer, M.D</creator><creator>Gocmen, Erdal, M.D</creator><creator>Tez, Mesut, M.D</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20081101</creationdate><title>Can biliary-cyst communication be predicted before surgery for hepatic hydatid disease: does size matter?</title><author>Kilic, Mehmet, M.D ; Yoldas, Omer, M.D ; Koc, Mahmut, M.D ; Keskek, Mehmet, M.D ; Karakose, Nazile, M.D ; Ertan, Tamer, M.D ; Gocmen, Erdal, M.D ; Tez, Mesut, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c476t-ae19f168b657ba4e214ecbcd0fcf5c7e90411d7de0358f189242e94536972bc53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Bile</topic><topic>Bile leakage</topic><topic>Biliary Fistula - diagnosis</topic><topic>Biliary Fistula - etiology</topic><topic>Biological and medical sciences</topic><topic>Chi-Square Distribution</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Communication</topic><topic>Cysts</topic><topic>Diseases caused by cestodes</topic><topic>Echinococcoses</topic><topic>Echinococcosis, Hepatic - surgery</topic><topic>ERCP</topic><topic>Female</topic><topic>General aspects</topic><topic>Helminthic diseases</topic><topic>Humans</topic><topic>Hydatid disease</topic><topic>Infectious diseases</topic><topic>Leukocyte Count</topic><topic>Liver Function Tests</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Parasitic diseases</topic><topic>Patients</topic><topic>Postoperative Complications - prevention & control</topic><topic>Predictive Value of Tests</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>ROC Curve</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kilic, Mehmet, M.D</creatorcontrib><creatorcontrib>Yoldas, Omer, M.D</creatorcontrib><creatorcontrib>Koc, Mahmut, M.D</creatorcontrib><creatorcontrib>Keskek, Mehmet, M.D</creatorcontrib><creatorcontrib>Karakose, Nazile, M.D</creatorcontrib><creatorcontrib>Ertan, Tamer, M.D</creatorcontrib><creatorcontrib>Gocmen, Erdal, M.D</creatorcontrib><creatorcontrib>Tez, Mesut, M.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kilic, Mehmet, M.D</au><au>Yoldas, Omer, M.D</au><au>Koc, Mahmut, M.D</au><au>Keskek, Mehmet, M.D</au><au>Karakose, Nazile, M.D</au><au>Ertan, Tamer, M.D</au><au>Gocmen, Erdal, M.D</au><au>Tez, Mesut, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Can biliary-cyst communication be predicted before surgery for hepatic hydatid disease: does size matter?</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2008-11-01</date><risdate>2008</risdate><volume>196</volume><issue>5</issue><spage>732</spage><epage>735</epage><pages>732-735</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Abstract Background The aim of this study was to determine if there is any predictive factor indicating the risk of bile leakage before surgery for hepatic hydatid disease in clinically asymptomatic patients. Methods The data of 116 patients who underwent surgery for hepatic hydatid disease were reviewed retrospectively. There were 43 men (37%) and 73 women (63%) with a mean age of 45 ± 15 years. Because of high preoperative serum bilirubin and liver function test levels, 12 patients were excluded from the study. These patients underwent preoperative endoscopic retrograde cholangiopancreatography. In addition, 2 medically treated patients were excluded from the study. The following variables were analyzed as potential predictors of biliary-cyst communication: age, sex, physical examination findings, leukocyte count, liver function test results, and ultrasonographic cyst features (type, diameter, number, and localization). Results Bile leakage was detected in 24 out of 102 patients. There were no differences in age, sex, cyst type, alkaline phosphatase level, γ-glutamyl transpeptidase level, alanine aminotransferase level, aspartate aminotransferase level, bilirubin level, and number of cysts and cyst locations between the patients with and without bile leakage. The mean cyst size in patients with biliary leakage was 10.2 cm as compared with 6.1 cm in patients with no biliary leakage ( P < .05). When the cut-off value of cyst diameter was accepted as 7.5 cm, the specificity and sensitivity for biliary-cyst communication were 73% and 79%, respectively. Conclusions These data suggest that cyst diameter is an independent factor that is associated with a high risk of biliary-cyst communication in clinically asymptomatic patients. Preoperative endoscopic retrograde cholangiopancreatography should be performed in these asymptomatic patients to reduce the incidence of postoperative complications.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18513700</pmid><doi>10.1016/j.amjsurg.2007.07.034</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Bile Bile leakage Biliary Fistula - diagnosis Biliary Fistula - etiology Biological and medical sciences Chi-Square Distribution Cholangiopancreatography, Endoscopic Retrograde Communication Cysts Diseases caused by cestodes Echinococcoses Echinococcosis, Hepatic - surgery ERCP Female General aspects Helminthic diseases Humans Hydatid disease Infectious diseases Leukocyte Count Liver Function Tests Male Medical sciences Middle Aged Parasitic diseases Patients Postoperative Complications - prevention & control Predictive Value of Tests Retrospective Studies Risk Assessment ROC Curve Surgery Treatment Outcome |
title | Can biliary-cyst communication be predicted before surgery for hepatic hydatid disease: does size matter? |
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