Predictive Analysis of Gallbladder Wall Thickness as a Marker for Bleeding Risk and Need for Transfusion in Dengue Patients

Asghar, Muhammad Sohaib; Yasmin, Farah; Tahir, Muhammad Junaid; Anwar, Sohel; Yaseen, Rabail; Yousaf, Zohaib

doi:10.7883/yoken.jjid.2021.076

Cited by 1 publication

(1 citation statement)

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“…Studies suggested that using GBWT as a noninvasive predictor of gastroesophageal varices in cirrhotic and portal hypertension patients [ 18 ]. Other reports investigate GBWT as a marker of bleeding risk in patients with dengue fever [ 19 ]. The surgeon has a 14.6% chance, based on our data, of operating a patient with a GBWT > 5 mm.…”

Section: Discussionmentioning

confidence: 99%

Gallbladder wall thickness adversely impacts the surgical outcome

Alotaibi

2022

Ann Hepatobiliary Pancreat Surg

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To evaluate surgical outcomes of patients with gallbladder wall thickness (GBWT) > 5 mm. Methods: Patients who underwent cholecystectomy were classified into two groups according to their GBWT status (GBWT+ vs. GBWT-). Results: Among 1,211 patients who underwent cholecystectomy, GBWT+ was seen in 177 (14.6%). The GBWT+ group was significantly older with more males, higher ASA score, higher alkaline phosphatase level, higher international normalized ratio, and lower albumin level than the GBWT-group. On ultrasound, GBWT+ patients had larger stone size, more pericholecystic fluid, more common bile duct stone, and more biliary pancreatitis. Compared with the GBWT-group, the GBWT+ group had more urgent surgeries (12.4% vs. 3.2%, p = 0.001), higher conversion rate (4.5% vs. 0.3%, p = 0.001), prolonged operative time (67 ± 38 vs. 54 ± 29 min; p = 0.001), more bleeding (3.4% vs. 0.5%, p = 0.002), and more need of drain (21.5% vs. 10.5%, p = 0.001). By multivariate analysis, factors associated with increased length of hospital stay were GBWT+ (

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Section: Discussionmentioning

confidence: 99%