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Malignant Biliary Obstruction Significantly Increases Serum Lipid Levels: A Novel Biochemical Tumor Marker?   
Yazarlar (7)
Dr. Öğr. Üyesi Yener YAZĞAN Dr. Öğr. Üyesi Yener YAZĞAN
Kastamonu Üniversitesi, Türkiye
Kemal Oncu
Mustafa Kaplan
Alpaslan Tanoglu
Irfan Kucuk
Mustafa Dinc
Levent Demirturk
Devamını Göster
Özet
We aimed to investigate the alterations in serum lipid levels due to biliary obstruction associated with benign and malignant cases. Also, we aimed to examine the possibility of the theory that extremely high serum lipid levels can predict the malignant biliary obstruction in the differantial diagnosis. Three hundred twenty two patients who were performed endoscopic retrograde cholangiopancreatography with the intrahepatic and extrahepatic cholestasis were reviewed in the period from September 2007 to October 2010. In the malignant obstruction group, meaningfully higher total cholesterol (p<0,001), low-density lipoprotein (p>0.05) and triglycerides (p<0.05) were observed but high-density lipoprotein (p<0.05) levels were lower. The receiver operating characteristic analysis showed that total cholesterol (246.74 mg/dL or less, sensitivity: 84.3%, specificity: 83.3%, area under the curve: 0.705 (0.620-0.790) (p<0.001)) and high-density lipoprotein cholesterol (area under the curve: 0.577 (0.444-0.710)) were predictors of malignant biliary obstruction. Serum lipid profile may be used as an applicant marker to identify malignant reasons of the obstructive jaundice.
Anahtar Kelimeler
Serum lipid levels | Biliary obstruction | Malignancy
Makale Türü Özgün Makale
Makale Alt Türü ESCI dergilerinde yayımlanan tam makale
Dergi Adı HEPATO-GASTROENTEROLOGY
Dergi ISSN 0172-6390
Makale Dili İngilizce
Basım Tarihi 10-2012
Cilt No 59
Sayı 119
Sayfalar 2079 / 2082
Doi Numarası 10.5754/hge12017