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Can inflammatory indexes predict the spontaneous passage of common bile duct stones?   
Yazarlar (7)
Irfan Kucuk
Dr. Öğr. Üyesi Yener YAZĞAN Dr. Öğr. Üyesi Yener YAZĞAN
Kastamonu Üniversitesi, Türkiye
Ersin Tural
Idris Yildirim
Tugba Akbas Simsek
Basak Cakir Guney
Mustafa Kaplan
Devamını Göster
Özet
We aimed to determine whether inflammatory indexes (II), including the neutrophil-lymphocyte ratio (NLR), the C-reactive protein (CRP) to albumin ratio (CAR), the CRP-lymphocyte ratio (CLR), and the systemic immune-inflammation index (SIII) can be diagnostic for common bile duct stones (CBDSs) excretion before endoscopic retrograde cholangiopancreatography (ERCP). Because of the spontaneous clearance, it is mandatory to ascertain the presence of CBDSs before ERCP. Retrospectively, we evaluated two groups. Group A included 96 records in which CBDSs existed in magnetic resonance cholangiopancreatography (MRCP) and ERCP. Group B included 36 records in which CBDSs existed in MRCP but not ERCP. IIs were calculated on presentation and before ERCP. Stone detection in ERCP had a 3.992-fold (95% 1.769-9.007) higher probability with a stone larger than 3.25 mm in MRCP. Before ERCP, CAR, and CLR values were higher in group A than in group B (3.88 [1.25-14.14] and 1.24 [0.50-9.66], p0.027 versus 8.79 [2.19-35] and 2.67 [1.02-20.05], p0.029 respectively). Higher CRP, CAR, and CLR values were considered significant for detecting a stone in ERCP (AUC: 0.627 [0.519-0.739], 0.625 [0.513-0.737], and 0.624 [0.514-0.734], respectively). Low CRP, CAR, and CLR values might associate with the spontaneous migration of CBDS.
Anahtar Kelimeler
ERCP | common bile duct stone | spontaneous passage
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı SCOTTISH MEDICAL JOURNAL
Dergi ISSN 0036-9330 Wos Dergi Scopus Dergi
Dergi Grubu Q2
Makale Dili İngilizce
Basım Tarihi 11-2023
Cilt No 68
Sayı 4
Sayfalar 159 / 165
Doi Numarası 10.1177/00369330231186434
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
WoS 2
Can inflammatory indexes predict the spontaneous passage of common bile duct stones?

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