The Relationship of Perforated Appendicitis with Total and Direct Bilirubin

dc.authoridkaratas, turgay/0000-0002-1480-606X
dc.authorwosidkaratas, turgay/ABI-7721-2020
dc.contributor.authorKanlioz, Murat
dc.contributor.authorKaratas, Turgay
dc.date.accessioned2024-08-04T21:02:11Z
dc.date.available2024-08-04T21:02:11Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractIntroduction Very different results have been reported regarding the relationship between bilirubin and perforated appendicitis. We observed this relationship with our own studies. Methods The patients, who underwent appendectomy, were retrospectively categorized as perforated and non-perforated based on their files. Those with a total bilirubin (TB) 1.20 mg/dL or less were considered normal whereas those with a 1.21 mg/dL or higher were considered having a high. Those with a direct bilirubin (DB) 0.50 mg/dL or less were considered normal whereas those with a 0.51 mg/dL or higher were considered having a high. The patients were assessed under two groups. Perforated appendicitis (PA) and non-perforated appendicitis (NPA) were analyzed according to the TB in Group 1 and the DB in Group 2. Results Group 1 included 269 patients whose TB were measured. Of those, 218 had NPA and 51 had PA. The rate of patients with high TB among the patients with PA was 1.37 times higher than those with NPA (p (<) 0.01). Group 2 included 258 patients whose DB values were measured. Of those, 208 had NPA and 50 had PA. The rate of patients with high TB among the patients with PA was 1.71 times higher than those with NPA (p (<) 0.001). Conclusion In the diagnosis of PA, both TB and DB show low diagnostic values. In the diagnosis, they can only be considered as a supportive factor to other parameters. However, in the case of a differential diagnosis, we recommend using DB since it has a higher sensitivity and specificity.en_US
dc.identifier.doi10.7759/cureus.6326
dc.identifier.issn2168-8184
dc.identifier.issue12en_US
dc.identifier.pmid31938617en_US
dc.identifier.urihttps://doi.org/10.7759/cureus.6326
dc.identifier.urihttps://hdl.handle.net/11616/104547
dc.identifier.volume11en_US
dc.identifier.wosWOS:000504822400005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringernatureen_US
dc.relation.ispartofCureus Journal of Medical Scienceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectperforated appendicitisen_US
dc.subjecttotal bilirubinen_US
dc.subjectdirect bilirubinen_US
dc.subjectacute appendicitisen_US
dc.subjectacute appendicitisen_US
dc.titleThe Relationship of Perforated Appendicitis with Total and Direct Bilirubinen_US
dc.typeArticleen_US

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