Publication: Evaluation of concentrations of pro/anti-inflammatory cytokines after complication-free ECRP in cholangiocarcinoma
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YILDIZ, Kemal
Ince, ALİ TÜZÜN
GANGARAPU, Venkatanarayana
BUGDACI, Mehmet Sait
BAYSAL, Birol
KAYAR, Yusuf
Kemik, Ahu Sarbay
Senturk, HAKAN
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Abstract
Background/Aims: Variations in pro and anti-inflammatory cytokine levels occur commonly after ERCP procedure
complications, such as in post-ERCP pancreatitis. Besides, the relationship between increased cytokine levels and
multidrug resistance has been shown in cholangiocarcinoma patients. Our aim was to investigate the impact of cytokine level changes on treatment strategy after uncomplicated ERCP procedures in cholangiocarcinoma patients.
Materials and Methods: Of 75 patients enrolled in this study, 25 were cholangiocarcinoma, and 50 were choledocholithiasis patients. Levels of serum IL-1β, IL-6, IL-8, IL-10, and TNF-α were evaluated 2 hours before and 12 hours
after complication-free ERCP, and statistical analysis of the results was obtained; if p value <0.05, it was accepted as
statistically significant.
Results: There was no statistically significant difference in the distribution of age (23-87 years; range: 59.8±16.6),
gender (37 males vs 38 females), and levels of pre- and post-ERCP serum IL-1β, IL-6, IL-8, IL-10, and TNF-α in both
patient groups, despite the presence of some change in test means (p:0.179, 0.445, 0.522, 0.937, and 0.065, respectively). However, significantly decreased levels of TNF-α were observed in the benign group, when comparing
pre- and post-ERCP period (p<0.05).
Conclusion: Serum concentrations of IL-1β, IL-6, IL-8, IL-10, and TNF-α evaluated after complication-free ERCP performed in patients with cholangiocarcinoma do not cause any change in treatment planning that would affect
multidrug resistance
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YILDIZ K., Ince A. T. , GANGARAPU V., BUGDACI M. S. , BAYSAL B., KAYAR Y., Kemik A. S. , Senturk H., -Evaluation of concentrations of pro/anti-inflammatory cytokines after complication-free ECRP in cholangiocarcinoma-, TURKISH JOURNAL OF GASTROENTEROLOGY, cilt.25, ss.133-137, 2014