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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research


    Annals of Medical Research indexed in TÜBİTAK/ULAKBİM Tıp Veri Tabanı

  • Annals of Medical Research


    Annals of Medical Research indexed in

  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is It is published monthly.

Editor-in-Chief
Cuneyt Kayaalp

 

Endoscopic retrograde cholangiopancreatography in patients with periampullary diverticula: Technical details, classification, and timing of surgical treatment  (p.1668-74)

Endoscopic retrograde cholangiopancreatography in patients with periampullary diverticula: Technical details, classification, and timing of surgical treatment (p.1668-74)

Bahtiyar Muhammedoglu1, Eyup Mehmet Pircanoglu2
1Clinic of Gastroenterology Surgery, Kahramanmaras Necip Fazil City Hospital, Kahramanmaras, Turkey
2Clinic of General Surgery, Kahramanmaras Necip Fazil City Hospital, Kahramanmaras, Turkey

Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.

Abstract

Aim: Periampullary duodenal diverticula may create difficulties for selective common bile duct cannulation during endoscopic retrograde cholangiopancreatography (ERCP).
Material and Methods: For the study, the technical details and findings of ERCP and demographic features of 724 patients without duodenal diverticula and 92 patients with duodenal diverticula who underwent ERCP.
Results: The mean age was 73.09 ± 15.32 years for the 92 patients with PAD (group A) and 60,2 ± 18.85 years for the 724 patients without duodenal diverticulum (group B). Forty-eight percent of the study sample was aged over 65 years, 54.3% were female and 45.7% were male. Duodenal diverticulum was present in 11.3% of the patients. In addition, 22 (23.9%) patients in the PAD group and 155 (21.4%) patients without duodenal diverticula required a second ERCP (P = 0.583). The mean duration of hospitalization was 6.67 ± 6.23 days in patients with duodenal diverticula and 6.17 ± 5.16 days in the control group and the mean cost of hospitalization was $ 442.02 ± 512.06.
Conclusion: In conclusion, ERCP may not always be difficult in patients with a diverticulum in the periampullary region, and the difficulty of the procedure depends on the location of the papillary orifice and the type of the diverticulum. In patients with periampullary diverticula, it would be appropriate to consider surgical treatment in the presence of failed CBD cannulation and large stones that cannot be removed from the CBD.

Keywords: Common bile duct; diverticulum; endoscopic retrograde cholangiopancreatography

 

 

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doi: 10.5455/annalsmedres.2020.03.287

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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