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Öğe Choledocholithiasis without Cholecystolithiasis, After Endoscopic Retrograde Cholangiopancreatography Follow-Up without Cholecystectomy(2021) Muhammedoğlu, Bahtiyar; Pircanoğlu, Eyüp Mehmet; Torun, SerkanObjective: The widespread use of imaging methods increases the diagnosis and incidence of cholelithiasis. In recent years, management of patients with cholelithiasishas improved significantly owing to significant advances in surgical and endoscopic intervention.Methods: Between February 2015 and January 2018, the data of patients who underwent ERCP at our institution were collected prospectively and analyzed retrospectively. Forty-four patients included in the study were patients with choledocholithiasis without stones in the GB.Results: The mean age of 52 subjects (group A) included in the study was 64.83 ± 17.06, of which 23 (44.2%) were <65 years old and 29 (55.8%) were ?65 years old. Twenty-four (46.2%) women and twenty-eight (53.8%) men were included in the study. Malignancy was suspected in 6 (11.5%) patients and no suspicion of malignancy was confirmed after Endoscopic Retrograde Cholangio-Pancreatography (ERCP) procedure. In group A, 14 patients (26.9%) required a second ERCP, while in group B, the number of patients requiring a second ERCP was 163 (21.3%). The mean length of hospital stay in group A and group B patients was 5.29 ± 3.38 and 6.29 ± 5.39, respectively, and the average cost was 474 $ ± 286 $ and 564 $ ± 664 $, respectively, with no statistical difference between the groups.Conclusions: In conclusion, we think that in patients with secondary or primary choledochal stones without gallstones and with functional GB might be following up without cholecystectomy after the stone is removed from the bile duct by ERCP.Öğe Computed Tomography Findings in Patients Admitted to the Emergency Service with Acute Abdominal Pain(Düzce Üniversitesi, 2013) İnci, Mehmet Fatih; Okumuş, Mehmet; Yüksel, Mürvet; Pircanoğlu, Eyüp Mehmet; Bozkurt, Selim; Menzilcioğlu, Mehmet Sait; Özkan, FuatPurpose: The purpose of our study was to evaluate the results of CT findings in patientsadmitted to the emergency service with acute abdominal pain.Methods: In last one year, 270 patients who admitted to our hospital’s emergency servicewith acute abdominal pain were included. Clinical datas and CT images were interpretedretrospectively. Patients had penetrating or blunt abdominal injury were excluded.Results: 270 patients with acute abdomen (129 men and 141 women, 18-93 years-old) wereanalyzed retrospectively. In 81 patients (30%) no abnormal finding was found. The mostcommon pathologic finding was urolithiasis in 54 patients (20%).Conclusion: CT is a fast, effective and reliable diagnostic method to clear up the cause ofacute abdominal pain. Because there is no pathological CT finding in one-third of the patients,diagnostic algorithm must be followed and CT examination should be performed withappropriate techniques, protocols and optimization of dose