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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


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  • 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 published monthly.

Editor-in-Chief

 

Perioperative or intraoperative blood transfusion increases the risk of postoperative pancreatic fistula following pancreaticoduodenectomy (p.2585-91)

Perioperative or intraoperative blood transfusion increases the risk of postoperative pancreatic fistula following pancreaticoduodenectomy (p.2585-91)

Aydin Aktas, Arif Burak Cekic, Muhammet Ates, Murat Emre Reis, Mehmet Ulusahin, Ali Guner, Serdar Turkyilmaz
Department of Surgery, Karadeniz Technical University, Trabzon, Turkey
Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.

Abstract

Aim: Postoperative pancreatic fistula (POPF) is one of the most common causes of morbidity following pancreaticoduodenectomy (PD). The optimum way of reducing the prevalence of POPF is to prevent its development. In this study, we attempted to identify the potential perioperative risk factors of POPF and suggestions were made for its.
Material and Methods: In this study, we included patients who had undergone PD from January 2010 to April 2020. POPF was defined as per the International Study Group on Pancreatic Fistula. The patients were followed up for 30 days for POPF.
Results: Fifty-two (52) patients whose medical records were available were enrolled. POPF developed in 19 patients (36.5%). Grade-A POPF developed in six patients (11.5%), Grade-B POPF in eight patients (15.4%), and Grade-C POPF in five patients (9.6%). Percutaneous drainage was performed in a patient with Grade-B POPF, and reoperation was performed for five patients with Grade-C POPF. In univariate analysis, female sex (p=0.03), perioperative blood transfusion (p=0.03), and the number of harvested lymph nodes ≥12 (p=0.008) were related to POPF. In logistic regression analysis, the number of harvested lymph nodes ≥12 (p=0.005) and female sex (p=0.03) were independent risk factors of POPF. Although perioperative blood transfusion increased the POPF risk, the effect was not statistically significant (p=0.10).
Conclusion: POPF was observed to be the most important cause of morbidity following PD in our study. We also found that reduce the POPF risk, it is important to avoid blood transfusion whenever possible.

Keywords: Pancreatic fistula; whipple; risk factor; morbidity; outcome

 

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doi: 10.5455/annalsmedres.2020.07.693          

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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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