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Complications due to Endoscopic Retrograde Cholangiopancreatography : A Mini Review of Risk Factors and Diagnosis

Journal of Pharmacy and Pharmacology 2019年第5期7卷 234-236页

作者： Mehmet Gokceimam Nuri Emrah Goret Ceren Canbey Goret hasan Ediz Sikar Kemal Eyvaz Bagis Tasdogan Omer Faruk Ozkan hasan fehmi kucuk Department of General Surgery Health Sciences UniversityKartal Dr Lüfi Kιrdar Research and Education HospitalIstanbulTurkey Department of Surgical Pathology Health Sciences UniversitySancaktepe Research and Education HospitalIstanbulTurkey Department of General Surgery Health Sciences UniversityAntalya Research and Education HospitalAntalyalTurkey Department of General Surgery Health Sciences UniversityUmraniye Research and Education HospitalIstanbulTurkey

Endoscopic retrograde cholangiopancreatography (ERCP) is a diagnostic and therapeutic procedure performed for pancreatobiliary diseases. Procedure has many complications and most frequent is pancreatitis. Knowing the risks of the pancreatitis due to ERCP can reduce the rate of the complication and can affect its consequences. Many studies are performed for describing the risk factors of the procedure and the results are divided in two categories;patient related and endoscopy related. Patient related factors are female sex, young age, sphincter of oddi dysfunction, intraductal papillary mucinous neoplasm and previous pancreatitis, endoscopy related factors are unexperienced center, multiple cannulation, precut sphincterotomy, difficult cannulation, deep wire pancreatic cannulation and pancreatic or main duct contrast injection. Foreseeing the risk of the patient can reduce the complication rate of the endoscopist by selection of patients for new performers or taking precautions for the experienced ones.

关键词： ERCP pancreatitis risk factor

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Neutrophil-to-lymphocyte ratio in occlusive vascular diseases： the literature review of the past 10 years

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World Journal of Emergency Medicine 2016年第3期7卷 165-172页

作者： Egemen kucuk Ibrahim Kocayigit Candan Gunel hasan Duzenli Department of Emergency Medicine Training and Research Hospital Sakarya University Sakarya 54000 Turkey Department of Cardiology Training and Research Hospital Sakarya University Sakarya 54000 Turkey Department of Anaesthesiology Training and Research Hospital Sakarya University Sakarya 54000 Turkey Department of Chest Diseases Training and Research Hospital Sakarya University Sakarya 54000 Turkey

BACKGROUND: This study aims to evaluate the results of studies investigating neutrophilto-lymphocyte ratio(NLR) and to identify the prognostic and diagnostic value of NLR in occlusive vascular ***: With the aim of identifying the studies related to NLR, a search was performed on http://***/pubmed by using the key words "neutrophil lymphocyte ratio" between January 2005 and December 2014. All of the original articles were evaluated according to date of publications, countries, clinics and topics. Studies about occlusive vascular diseases were evaluated according to their qualifications, review methods and results. SPSS for Windows 16.0 was used in data analysis and data were expressed as mean, standard deviation and ***: A total of 735 original research articles were investigated. The number of publications have shown a regular logarithmic increase over the years. Thirty-two percent of all publications were performed by clinics in Turkey and 56.4% were performed by general-oncological surgery and cardiology clinics. A total of 107 publications were identified to be about occlusive vascular diseases, 80.3% of these publications were found to be prognostic and 19.6% to be diagnostic, 82.2% of them were found to be planned as retrospective and 17.7% as prospective. In 95.3% of prognostic publications, there was a positive correlation between high NLR values at admission and poor prognosis. In 95.3% of diagnostic publications high NLR values at admission were identifi ed to be signifi cant ***: Elevated neutrophil-to-lymphocyte ratio at admission, could be used as a diagnostic and/or prognostic parameter in occlusive vascular diseases.

关键词： Neutrophil-to-lymphocyte ratio Occlusive vascular diseases Publication

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Long Segmenter Reconstruction of Diffusely Diseased of the Left Anterior Descending Artery without Coronary Artery Bypass Grafting

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World Journal of Cardiovascular Surgery 2022年第3期12卷 21-27页

作者： Salih fehmi Katırcıoğlu hasan Attila Keskin Department of Cardiovascular Surgery SBU Ankara Training and Educational Hospital Ankara Turkey

A 58-year-old male patient with LAD diffuse had hyperlipidemia and hypertension. Preoperative angiography showed that he had triple-vessel disease with diffusely diseased LAD. In echocardiography, EF was detected as 60 % (52 - 70) and PAP 25 (12 - 25) mmHg and 2 degrees of tricuspid insufficiency. In this case report, we will present our LAD endarterectomy case. Surgical technique: after standard general anesthesia, cardiopulmonary bypass procedure and moderate hypothermia, cold cardioplegic arrest. Longitudinal long LAD endarterectomy was performed (approximately 10 cm long). A dissector was used to develop on the plane between media and atheroma. Gentle traction was made to light off the atheroplaque with the coronary artery branches, distal and proximal part of the LAD. We assumed that the distal part of the LAD was free from plaque. Then we made the same procedure to the proximal part of the LAD. Luckily, we observed that proximal atheroplaque was also harvested. After completing the endarterectomy, antegrade cardioplegia was administrated to wash and any debris is LAD;also we tried the distal part of the LAD. Via retrograde cardioplegia administrated, we did also observe the bolus return of cardioplegia via retrograde way. After making the same coronary end arteriotomy was successful, we used saphenous vein as a patch for LAD reconstruction. We made only patch plasty like a carotid endarterectomy. Posto- perative follow-up period was 120 months. According to 8 years angiography result, LAD patch plasty was working relatively well. The patient did not have any complaints. We made coronary angiography 10 years after the operation and observed that our patch plasty was occluded but the patient has still class II symptoms with an EF value of 40%.

关键词： Coronary Artery Disease LAD Endarterectomy

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