Yıl: 2019 Cilt: 15 Sayı: 2-Cilt 2 (Özel Sayı) Sayfa Aralığı: 230 - 234 Metin Dili: İngilizce DOI: 10.30733/std.2019.01148 İndeks Tarihi: 24-06-2020

Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis

Öz:
Aim: Acute mesenteric ischemia (AMI) is an acute abdominal disease which is age-related with possible bad prognosis; and while its morbidity and mortality rate is 10% in early diagnosis and treatment it may progress with 100% mortality when diagnosis and treatment are delayed.The aim of this study was to unearth the efficiency of neutrophil-to-lymphocyte ratio (NLR) which has recently been started to be utilized in the prediction of AMI prognosis and used as a prognostic factor in many diseases.Patients and Methods: The data of a total of 111 patients, who had undergone surgical procedures and diagnosed with mesenteric ischemia intraoperatively at Necmettin Erbakan University Meram Medical School’s General Surgery Clinic between 2005 and 2013 and whose diagnoses had later on been confirmed pathologically, were retrospectively evaluated within the scope of the study.The demographic data of all patients (age, sex) were recorded. The hemogram results of the patients, analyzed with peripheral blood, were reviewed for preoperative evaluation. The surgical procedure performed, the part and length of the resected bowel based on pathology results, the duration of hospitalization, survey, presence of comorbidity, white blood cell count, creatinine values, and NLR of the patients were determined. The data were statistically analyzed.Results: The patients who did not survive had a mean NLR of 24.77 ±10.38, while the same ratio was found to be 17.6±10.65 for survivors. The NLO value was found to be high in cases with mortality.Conclusion: AMI still proves to have high mortality in spite of the developments in imaging techniques and laboratory analyses. There is no specific laboratory analysis for early diagnosis. High preoperative NLR in patients suspected to have AMI may indicate bad prognosis.
Anahtar Kelime:

BİR EŞYANIN TESLİMİNE VE BİR İŞİN YAPILMASINA VEYA YAPILMAMASINA İLİŞKİN İLAMLARIN İCRASI

Öz:
Bir eşyanın teslimine ve bir işin yapılmasına veya yapılmamasına ilişkincebri icra, Alman Medeni Usul Kanunu’nun birkaç maddesinde (MUK m.883898) düzenlenmiştir. Burada kısaca teslime ilişkin cebri icra ve bir işin yapılması veya bir şeyden kaçınmaya ilişkin cebri icradan söz etmek gerekir. Bir iradeaçıklamasında bulunulmasına ilişkin talebin cebri icrası da bu konuların kapsamına girmektedir.
Anahtar Kelime:

Akut Mezenter İskeminin Prognozunun Belirlenmesinde Preoperatif Nötrofil Lenfosit Oranının Etkinliği

Öz:
Amaç: Akut mezenter iskemi (AMİ) yaşa bağlı olarak artış gösteren ve kötü prognozu olabilen, erken tanı ve tedavide morbidite ve mortalite oranları %10 iken, tanıve tedavide gecikmelerde %100’ e kadar mortal seyreden bir akut karın hastalığıdır. Bu çalışmada amacımız AMİ’nin prognozunu göstermede son zamanlarda kullanılmaya başlanan ve birçok hastalıkta prognostik faktör olarak kullanılan Nötrofil- Lenfosit Oranının (NLO) etkinliğini ortaya koymaktır. Hastalar ve Yöntem: Bu çalışmada 2005 - 2013 yılları arasında Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi Genel Cerrahi Kliniğinde opere edilen ve intraoperatif olarak mezenter iskemi tanısı konulan, sonrasında patolojik olarak tanısı doğrulanan 111 hastanın verileri retrospektif olarak değerlendirildi. Preoperatif değerlendirilmesinde periferik kandan çalışılan hemogram sonuçları tarandı. Hastalara uygulanan cerrahi işlem, patoloji raporuna göre çıkarılan barsağın bölümü ve uzunluğu, hastanede yatış süreleri, sağ kalım oranları, ek hastalığın varlığı, beyaz küre sayısı, kreatinin ve NLO değerleri belirlendi. Bulgular: Hayatını kaybeden hastalarda NLO ortalaması 24.77 ±10.38, yaşayanlarda 17,6±10.65 olarak bulundu. Sonuç: Sonuç olarak AMİ gelişen görüntüleme yöntemlerine ve laboratuvar tetkiklerine rağmen halen yüksek mortaliteye sahiptir. Erken tanı için spesifik bir laboratuvar testi yoktur. AMİ şüphelenilen hastalarda preoperatif NLO’nın yüksek olması prognozun kötü olacağını gösterebilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ERCAN K, WALKER W, YILDIRIM M, TIKTIK Ç, ŞENTÜRK M, Belviranli M, AKSOY F (2019). Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis. , 230 - 234. 10.30733/std.2019.01148
Chicago ERCAN Kemal Deniz,WALKER Wolf-Dietrich,YILDIRIM Mehmet Aykut,TIKTIK Çiğdem Yazıcı,ŞENTÜRK Mustafa,Belviranli Mehmet Metin,AKSOY FARUK Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis. (2019): 230 - 234. 10.30733/std.2019.01148
MLA ERCAN Kemal Deniz,WALKER Wolf-Dietrich,YILDIRIM Mehmet Aykut,TIKTIK Çiğdem Yazıcı,ŞENTÜRK Mustafa,Belviranli Mehmet Metin,AKSOY FARUK Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis. , 2019, ss.230 - 234. 10.30733/std.2019.01148
AMA ERCAN K,WALKER W,YILDIRIM M,TIKTIK Ç,ŞENTÜRK M,Belviranli M,AKSOY F Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis. . 2019; 230 - 234. 10.30733/std.2019.01148
Vancouver ERCAN K,WALKER W,YILDIRIM M,TIKTIK Ç,ŞENTÜRK M,Belviranli M,AKSOY F Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis. . 2019; 230 - 234. 10.30733/std.2019.01148
IEEE ERCAN K,WALKER W,YILDIRIM M,TIKTIK Ç,ŞENTÜRK M,Belviranli M,AKSOY F "Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis." , ss.230 - 234, 2019. 10.30733/std.2019.01148
ISNAD ERCAN, Kemal Deniz vd. "Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis". (2019), 230-234. https://doi.org/10.30733/std.2019.01148
APA ERCAN K, WALKER W, YILDIRIM M, TIKTIK Ç, ŞENTÜRK M, Belviranli M, AKSOY F (2019). Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis. Selçuk Tıp Dergisi, 15(2-Cilt 2 (Özel Sayı)), 230 - 234. 10.30733/std.2019.01148
Chicago ERCAN Kemal Deniz,WALKER Wolf-Dietrich,YILDIRIM Mehmet Aykut,TIKTIK Çiğdem Yazıcı,ŞENTÜRK Mustafa,Belviranli Mehmet Metin,AKSOY FARUK Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis. Selçuk Tıp Dergisi 15, no.2-Cilt 2 (Özel Sayı) (2019): 230 - 234. 10.30733/std.2019.01148
MLA ERCAN Kemal Deniz,WALKER Wolf-Dietrich,YILDIRIM Mehmet Aykut,TIKTIK Çiğdem Yazıcı,ŞENTÜRK Mustafa,Belviranli Mehmet Metin,AKSOY FARUK Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis. Selçuk Tıp Dergisi, vol.15, no.2-Cilt 2 (Özel Sayı), 2019, ss.230 - 234. 10.30733/std.2019.01148
AMA ERCAN K,WALKER W,YILDIRIM M,TIKTIK Ç,ŞENTÜRK M,Belviranli M,AKSOY F Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis. Selçuk Tıp Dergisi. 2019; 15(2-Cilt 2 (Özel Sayı)): 230 - 234. 10.30733/std.2019.01148
Vancouver ERCAN K,WALKER W,YILDIRIM M,TIKTIK Ç,ŞENTÜRK M,Belviranli M,AKSOY F Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis. Selçuk Tıp Dergisi. 2019; 15(2-Cilt 2 (Özel Sayı)): 230 - 234. 10.30733/std.2019.01148
IEEE ERCAN K,WALKER W,YILDIRIM M,TIKTIK Ç,ŞENTÜRK M,Belviranli M,AKSOY F "Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis." Selçuk Tıp Dergisi, 15, ss.230 - 234, 2019. 10.30733/std.2019.01148
ISNAD ERCAN, Kemal Deniz vd. "Prognostic Value of The Efficiency of Preoperative Neutrophil-to-Lymphocyte Ratio in Acute Mesenteric Ischemia Prognosis". Selçuk Tıp Dergisi 15/2-Cilt 2 (Özel Sayı) (2019), 230-234. https://doi.org/10.30733/std.2019.01148