Has the role of diagnostic laparoscopy in a single gastroenterology unit changed over 20 years?
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Dosyalar
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş ve Amaç: Girişimsel olmayan görüntüleme metotlarındaki ge - lişmeler sonrasında tanısal laparoskopinin kullanımı azalmıştır. Biz de gastroenteroloji ünitemizde tanısal laparoskopi olgularını inceledik. Gereç ve Yöntem: 1989-2010 yılları arasında İstanbul Tıp Fakültesi Gastroenteroloji Bilim Dalında laparoskopik işleme giren 1484 hasta - nın raporları retrospektif olarak değerlendirildi. Laparoskopi işlemi lokal anestezi altında Storz marka laparoskopi cihazı ile yapıldı. Bulgular: Asitli hastalar serum-asit albumin farklarına göre 1,1 g/dL ve 1,1 g/dL olacak şekilde iki gruba ayırılarak incelendi. Toplamda 93 (%6,3) hastanın tanısı laparoskopik inceleme sonrası değişti. Son beş yılda ek- suda asit ve peritoneal hastalık için yapılan tanısal laparoskopi sayısı azalmış olsa da bu azalma transuda asitlilerle karşılaştırıldığında azalma oranının daha düşük olduğu görülmektedir. Sonuç: Tanısal laparoskopi halen peritoneal tüberküloz tanısını koymada ve diğer malign hastalık- ların ayırıcı tanısında tercih edilen bir yöntemdir.
Background and Aims: The use of diagnostic laparoscopy seems to have markedly reduced since the advent of major developments in noninvasive imaging modalities. We aimed to investigate the role of diagnostic laparoscopy in our gastroenterology unit. Materials and Methods: Reports of 1484 laparoscopy patients seen in the Gas- troenterology Department of Istanbul University, Istanbul Faculty of Medicine between 1989 and 2010 were evaluated retrospectively. Laparoscopy was performed using the Storz laparoscope under local anesthesia. Results: Patients with ascites were evaluated in two differ- ent groups according to serum-ascites albumin gradient values as >1.1 g/dL and <1,1 g/dL. Diagnoses of 93 (6,3%) patients were revised af- ter the laparoscopic examination. Although diagnostic laparoscopy for evaluation of exudative ascites and peritoneal disease has decreased in the last quarter, the decrease was relatively less when compared with that for transudative ascites. Conclusions: Diagnostic laparoscopy is still the preferred method both for the diagnosis of peritoneal tubercu - losis and to rule out other diseases such as malignancy.
Background and Aims: The use of diagnostic laparoscopy seems to have markedly reduced since the advent of major developments in noninvasive imaging modalities. We aimed to investigate the role of diagnostic laparoscopy in our gastroenterology unit. Materials and Methods: Reports of 1484 laparoscopy patients seen in the Gas- troenterology Department of Istanbul University, Istanbul Faculty of Medicine between 1989 and 2010 were evaluated retrospectively. Laparoscopy was performed using the Storz laparoscope under local anesthesia. Results: Patients with ascites were evaluated in two differ- ent groups according to serum-ascites albumin gradient values as >1.1 g/dL and <1,1 g/dL. Diagnoses of 93 (6,3%) patients were revised af- ter the laparoscopic examination. Although diagnostic laparoscopy for evaluation of exudative ascites and peritoneal disease has decreased in the last quarter, the decrease was relatively less when compared with that for transudative ascites. Conclusions: Diagnostic laparoscopy is still the preferred method both for the diagnosis of peritoneal tubercu - losis and to rule out other diseases such as malignancy.
Açıklama
Anahtar Kelimeler
Gastroenteroloji ve Hepatoloji
Kaynak
Akademik Gastroenteroloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
12
Sayı
1
