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Mattress sutures for the modification of end-to-end dunking pancreaticojejunostomy

Hepatobiliary & Pancreatic Diseases International 2013年第5期12卷 556-558页

作者： nurkan torer Ali Ezer Tarlk Zafer Nursal Department of General Surgery Baskent University Faculty of Medicine

Despite the improvement of surgical techniques,the rate of anastomotic failure of pancreaticojejunostomy remains high(30%-50%).Here we describe the use of vertical mattress sutures in the modification of dunking pancreaticojejunal *** 7 patients who used this technique,neither anastomotic failure nor any major postsurgical complication *** technique is an easy,safe,and promising for the performance of pancreaticojejunostomy.

关键词： pancreaticoduodenectomy pancreaticojejunostomy technique

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Incidence of congenital hemolytic anemias in young cholelithiasis patients

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World Journal of Gastroenterology 2010年第43期16卷 5457-5461页

作者： Ali Ezer nurkan torer Tarik Zafer Nursal Ebru Kizilkilic Kenan Caliskan Tamer Colakoglu Gokhan Moray Department of General Surgery University of Baskent Department of Hematology University of Baskent

AIM: To clarify the incidence of congenital hemolytic anemias (CHA) in young cholelithiasis patients and to determine a possible screening test based on the results. METHODS: Young cholelithiasis patients (< 35 years) were invited to our outpatient clinic. Participants were asked for comorbidities and family history. The number of gallstones were recorded. Blood samples were obtained to perform a complete blood count, standard Wright-Giemsa staining, reticulocyte count, hemoglobin (Hb) electrophoresis, serum lactate dehydrogenase and bilirubin levels, and lipid profile. RESULTS: Of 3226 cholecystectomy patients, 199 were under 35 years, and 190 with no diagnosis of CHA were invited to take part in the study. Fifty three patients consented to the study. The median age was 29 years (range, 17-35 years), 5 were male and 48 were female. Twelve patients (22.6%) were diagnosed as thalassemia trait and/or ?ron-deficiency anemia. Hblevels were significantly lower (P = 0.046), and mean corpuscular volume (MCV) and hematocrit levels were slightly lower (P = 0.072 and 0.082, respectively) than normal. There was also a significantly lower number of gallstones with the diagnosis (P = 0.007). CONCLUSION: In endemic regions, for young cholelithiasis patients (age under 35) with 2-5 gallstones, the clinician/surgeon should pay attention to MCV and Hb levels as indicative of CHA.

关键词： Cholelithiasis Congenital hemolytic anemia Screening test

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