Interleukin 6 (IL6) as a predictor outcome in patients with compensated cirrhosis and symptomatic gall stones after cholecystectomy
المؤلفون المشاركون
Hijazi, Asmaa
Rajab, Ilham
Murshid, Masad
al-Wadi, Salih
Khafaji, Wael
Moatamed, Ahmad
المصدر
The Egyptian Journal of Medical Human Genetics
العدد
المجلد 13، العدد 2 (31 أغسطس/آب 2012)، ص ص. 189-195، 7ص.
الناشر
الجمعية المصرية للأمراض الوراثية
تاريخ النشر
2012-08-31
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
الملخص EN
Compensated cirrhosis means that the liver is heavily scarred but can still perform many important functions; many peoples with compensated cirrhosis have gall bladder stones.
The advantages of laparoscopic cholecystectomy (LC) for most patients have been extensively published.
However its benefits and successful use in patients with cirrhosis are less documented.
The study compromised 50 patients with symptomatic gallstone in compensated liver disease and undergone either open cholecystectomy (OC) or laparoscopic cholecystectomy.
These patients were randomized into two groups: Group I included 24 patients who underwent OC, and group II included 26 patients who underwent LC.
Patient’s age, sex, clinical presentation and Child-Turcotte-Pugh (CTP) class were documented.
No patients in this study had CTP class c cirrhosis.
IL-6 was measured by ELISA, postoperative pain (measured by Visual analog scale), hospital stay, blood loss, recovery time (return to work), and liver function tests were documented.
IL-6 was significantly lowered at 6th hour and 12th hour post-operative in LC group.
Mean surgical time was significantly longer in OC than LC group, (mean ±SD, 96.6 ±32 vs 58.7 ± 23.8 min, P = 0.037).
No patients in group II required any blood replacement in contrast to 9 patients (37.5 %) in group I.
Intraoperative bleeding remained significantly higher in group I (P = 0.043).
No patients in group II had wound complications compared with 5 patients (29.14 %) in group I.
Group I had significantly longer hospital stay than group II, mean 9.0+ 1.3 days (median 7) vs 2.3 days +1.9 median 2.5) ; P = 0.001) Our results were demonstrated that laparoscopic cholecystectomy can be performed safely in patients with CTP class A and B cirrhosis.
IL-6 was more significantly, increased post operatively in open cholecystectomy than laparoscopic one and it correlated well with intensity of operative trauma.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Rajab, Ilham& Hijazi, Asmaa& Murshid, Masad& al-Wadi, Salih& Khafaji, Wael& Moatamed, Ahmad. 2012. Interleukin 6 (IL6) as a predictor outcome in patients with compensated cirrhosis and symptomatic gall stones after cholecystectomy. The Egyptian Journal of Medical Human Genetics،Vol. 13, no. 2, pp.189-195.
https://search.emarefa.net/detail/BIM-312997
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Rajab, Ilham…[et al.]. Interleukin 6 (IL6) as a predictor outcome in patients with compensated cirrhosis and symptomatic gall stones after cholecystectomy. The Egyptian Journal of Medical Human Genetics Vol. 13, no. 2 (2012), pp.189-195.
https://search.emarefa.net/detail/BIM-312997
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Rajab, Ilham& Hijazi, Asmaa& Murshid, Masad& al-Wadi, Salih& Khafaji, Wael& Moatamed, Ahmad. Interleukin 6 (IL6) as a predictor outcome in patients with compensated cirrhosis and symptomatic gall stones after cholecystectomy. The Egyptian Journal of Medical Human Genetics. 2012. Vol. 13, no. 2, pp.189-195.
https://search.emarefa.net/detail/BIM-312997
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 194-195
رقم السجل
BIM-312997
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر