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| 1 | Ultrasound guided percutaneous cholecystostomy in high-risk patients for surgical intervention显示文摘AIM: To assess the efficacy and safety of ultrasound guided percutaneous cholecystostomy (PC) in the treatment of acute cholecystitis in a well-defined high risk patients under general anesthesia. METHODS: The data of 27 consecutive patients who underwent percutaneous transhepatic cholecystostomy for the management of acute cholecystitis from January 1999 to June 2003 was retrospectively evaluated. All of the patients had both clinical and sonographic signs of acute cholecystitis and had comorbid diseases. RESULTS: Ultrasound revealed gallbladder stones in 25 patients and acalculous cholecystitis in two patients. Cholecystostomy catheters were removed 14-32 d (mean 23 d) after the procedure in cases where complete regression of all symptoms was achieved. There were statistically significant reductions in leukocytosis, (13.7 × 103 ± 1.3 × 103 μg/L vs 13 × 103 ± 1 × 103 μg/L, P < 0.05 for 24 h after PC; 13.7 × 103 ± 1.3 × 103 μg/L vs 8.3 × 103 ± 1.2 × 103 μg/L, P < 0.0001 for 72 h after PC), C -reactive protein (51.2 ± 18.5 mg/L vs 27.3 ± 10.4 mg/L, P < 0.05 for 24 h after PC; 51.2 ± 18.5 mg/L vs 5.4 ± 1.5 mg/L, P < 0.0001 for 72 h after PC), and fever (38 ± 0.35℃ vs 37.3 ± 0.32℃, P < 0.05 for 24 h after PC; 38 ± 0.35℃ vs 36.9 ± 0.15℃, P < 0.0001 for 72 h after PC). Sphincterotomy and stone extraction was performed successfully with endoscopic retrograde cholangio-pancreatography (ERCP) in three patients. After cholecystostomy, 5 (18%) patients underwent delayed cholecystectomy without any complications. Three out of 22 patients were admitted with recurrent acute cholecystitis during the follow-up and recoveredwith medical treatment. Catheter dislodgement occurred in three patients spontaneously, and two of them were managed by reinsertion of the catheter. CONCLUSION: As an alternative to surgery, percutan- eous cholecystostomy seems to be a safe method in critically ill patients with acute cholecystitis and can be performed with low mortality and morbidity. Delayed cholecystectomy and ERCP, if needed, can be performed after the acute period has been resolved by percutaneous cholecystostomy. | Huseyin Bakkaloglu Hakan Yanar Recep Guloglu Korhan Taviloglu Fatih Tunca Murat Aksoy Cemalettin Ertekin Arzu Poyanli | 2006 | World Journal of Gastroenterology2006，12，44： | 15 |
| 2 | Value of the new hone classification system in pediatric renal osteodystrophy显示文摘 | Bakkaloglu SA Wesseling Perry K Pereira RC | 2010 | Clin J Am Soc Nephrol2010，5，10： | 1 |
| 3 | A CMOS adaptive antenna-impedance-tuning IC operating in the 850MHz to 2GHz band显示文摘 | Song H Bakkaloglu B Aberle J T | 2009 | IEEE solid-state circuit2009，，： | 1 |
| 4 | Henoeh Schonlein purpura in childhood: clinical analysis of 254 cases over a 3-year period 显示文摘 | PERU H SOYLEMEZOGLU O BAKKALOGLU SA | 2008 | Clin Rheumatol Belgium2008，27，9： | 1 |
| 5 | Screening of various types biomass for removal and recovery of heavy metals (Zn, Cu, Ni) by biosorption, sedimentation and desorption显示文摘 | Bakkaloglu I Butter T J Evison L M | 1998 | Wat Sci Tech1998，38，3： | 1 |
| 6 | Henoch Schonlein purpura in childhood: clinical analysis of 254 cases over a 3 -year period显示文摘 | Peru H Soylemezoglu O Bakkaloglu S A | 2008 | Clin Rheumatol2008，27，9： | 1 |
| 7 | Henoeh Schonlein purpura in childhood : Clinical analysis of 254 cases over a 3 - year period 显示文摘 | Peru H Soylemezoglu O Bakkaloglu SA | 2008 | Clin Rheumatol Belgium2008，27，9： | 1 |
| 8 | Improving outcomes from acute kidney injury: report of an initiative 显示文摘 | Bagga A Bakkaloglu A Devarajan P | 2007 | Pediatr Nephrol2007，22，10： | 1 |
| 9 | The kinetics of metal up- take by microbial biomass : Implications for the design of a biosorption reactor显示文摘 | Bakkaloglu I Butter T J Evison L M | 1998 | Wat Sci Tech1998，38，： | 1 |
| 10 | Screening of various types biomass for removal and recovery of heavy metals (Zn,Cu, Ni) by biosorption, sedimentation and desorption显示文摘 | Bakkaloglu I Butter T J Evison L Metal | 1998 | Wat Sci Tech1998，38，： | 1 |
| 11 | The significance of IgA class of antineutrophll cytoplasmic antibodies (ANCA)in childhood Henoch-Schonlein pur- pura 显示文摘 | Ozaltin F Bakkaloglu A Ozen S | 2004 | Clin Rheumatol2004，23，6： | 1 |
| 12 | Coronary artery bypass grafting in the awake patient:three years'experience in 137patients显示文摘 | Karagoz HY Kurtoglu M Bakkaloglu B | 2003 | J Thorac Cardiovasc Surg2003，125，6： | 1 |
| 13 | A CMOS low noise, chopper stabilized low-dropout regulator with current- mode feedback error amplifier显示文摘 | Wonseok Oh Bertan Bakkaloglu | 2008 | IEEE Trans Cir- cuits System--I: REGULAR PAPERS2008，55，10： | 1 |
| 14 | Closed-loop nonlinear modeling of wideband sigma delta fractional-N frequency synthesizers显示文摘 | Hiva Hedayati Bertan Bakkaloglu Waleed Khalil | 2006 | IEEE Transactions on Microwave Theory and Techniques2006，54，10： | 1 |
| 15 | Henoch Schonlein purpura in childhood:clinical analysis of 254 cases over a 3-year period显示文摘 | PERU H SOYLEMEZOGLU O BAKKALOGLU SA | 2008 | Clin Rheumatol2008，27，： | 1 |
| 16 | Henoch Schonlein purpura in childhood:clinical analysis of 254 eases over a 3-year period 显示文摘 | Peru H Soylemezoglu Q Bakkaloglu SA | 2008 | Clin Rheumato12008，27，9： | 1 |
| 17 | High serum adiponectin levels during steroid- responsive nephrotic syndrome relapse 显示文摘 | Bakkaloglu SA Soylemezoglu O Buyan N | 2005 | Pediatr Nephrol2005，20，4： | 1 |
| 18 | A CMOS low noise, chopper stabilized low-dropout regulator with current-mode feedback buffer amplifier 显示文摘 | OH W BAKKALOGLU B WANG C | 2008 | IEEE Trans Circ arid Syst2008，55，10： | 1 |
| 19 | Xanthomatous hypophysitis显示文摘 | Niyazoglu M Celik O Bakkaloglu DV | 2012 | J Clin Neurosci2012，19，12： | 1 |
| 20 | The role of cathepsin D in pathogenesis of acute post streptococcal glomerulonephritis显示文摘 | Karan A Saatci U Bakkaloglu A | 1976 | Acta Paediatrica Scandinavica1976，65，3： | 1 |
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