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    Hepatic portal venous gas and pneumatosis intestinalis
    (Cukurova Univ, Fac Medicine, 2017) Yilmaz, Tugba Kiper; Tasar, Pinar Tosun; Timur, Ozge; Binici, Dogan Nasir; Aslan, Adem; Kahraman, Mustafa; Sahin, Sevnaz
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    Hepatik portal vende hava ve pnömatozis intestinalis
    (2017) Yılmaz, Tuğba Kiper; Taşar, Pınar Tosun; Timur, Özge; Binici, Doğan Nasır; Aslan, Adem; Kahraman, Mustafa; Şahin, Sevnaz
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    High C-Reactive Protein and Low Albumin Levels Predict High 30-Day Mortality in Patients Undergoing Percutaneous Endoscopic Gastrotomy
    (Elmer Press Inc, 2017) Karasahin, Omer; Tasar, Pinar Tosun; Timur, Ozge; Binici, Dogan Nasir; Yilmaz, Tugba Kiper; Aslan, Adem; Sahin, Sevnaz
    Background: Percutaneous endoscopic gastrotomy (PEG) enables long-term enteral feeding. The aim of this study was to identify biomarkers that may guide the decision of whether to perform the elective procedure of PEG. Methods: The medical records of all patients who underwent PEG in our hospital from 2010 to 2016 were screened retrospectively. Patients with mortality within a 30-day follow-up period and those without were compared using the Chi-square test, and continuous variables were compared with the Kruskal-Wallis and Mann-Whitney U tests. Receiver operating characteristic (ROC) curve analysis was used to demonstrate the ability of biomarkers to predict mortality; a cut-off point was determined and its sensitivity, specificity, and positive and negative predictive values were calculated. The Youden index was used to determine the cut-off point. Kaplan-Meier analysis was used to identify PEG-related mortality risk factors and a Cox regression model was applied for risk characterization. Results: A total of 120 patients who underwent PEG were evaluated in the study. The mean age was 67.00 +/- 18.00 years. The most common indication for PEG was cerebrovascular disease, in 69 (57.5%) of the patients. Infection of the PEG site was most common within 14 days after PEG tube placement, occurring in 13 patients (10.3%). The mortality rate among patients with post-PEG infection was 68.2%, significantly higher than in patients without infection (P = 0.012). Thirty-four patients (28.3%) died within 30 days of undergoing PEG. CRP values >= 78.31 mg/ L increased mortality by 8.756-fold, and albumin levels < 2.71 g/dL increased mortality by 2.255-fold. Conclusion: Our results indicate that the presence of both high CRP level and low albumin level were associated with significantly higher rate of mortality (73.1%) in patients who underwent PEG.