Publications by authors named "Bank Keczer"
Article Synopsis
- Pancreatic cysts vary in their risk of cancer, making it important to differentiate between mucinous and non-mucinous types, as mucinous cysts can become malignant.
- This study compares the effectiveness of measuring intracystic glucose and carcinoembryonic antigen (CEA) levels using endoscopic ultrasound for diagnosing these cysts, involving data from 91 patients who had fine-needle aspiration.
- Results showed that while intracystic glucose is highly sensitive (96.2%) for identifying mucinous cysts, its specificity (79.5%) is lower compared to CEA, which is very specific (100%) but less sensitive (69.2%).
Extracellular vesicles (EV) carry their cargo in a membrane protected form, however, their value in early diagnostics is not well known. Although pancreatic cysts are heterogeneous, they can be clustered into the larger groups of pseudocysts (PC), and serous and mucinous pancreatic cystic neoplasms (S-PCN and M-PCN, respectively). In contrast to PCs and S-PCNs, M-PCNs may progress to malignant pancreatic cancers.
View Article and Find Full Text PDFBackground: Intraoperative hypotension is a risk factor for postoperative complications. Preoperative dehydration is a major contributor, although it is difficult to estimate its severity. Point-of-care ultrasound offers several potential methods, including measurements of the inferior vena cava.
View Article and Find Full Text PDFBackground: Endoscopic ultrasound (EUS)-guided transmural drainage allows treatment of symptomatic peripancreatic fluid collections (PFCs), with lumen-apposing metal stents (LAMS) and double pigtail plastic stents (DPPS) being the 2 most frequently used modalities.
Methods: Consecutive patients undergoing PFC drainage in 10 European centers were retrospectively retrieved. Technical success (successful deployment), clinical success (satisfactory drainage), rate and type of early adverse events, drainage duration and complications on stent removal were evaluated.
Endoscopic ultrasonography (EUS) is the most accurate imaging modality for the evaluation of different types of pancreatic cystic lesions. Our aim was to analyze EUS images of pancreatic cystic lesions using an image processing software. We specified the echogenicity of the lesions by measuring the gray value of pixels inside the selected areas.
View Article and Find Full Text PDFUnlabelled: Összefoglaló. Bevezetés: Az epeúti kövesség meglétének valószínűsége különböző klinikai prediktorok alapján megbecsülhető, e faktorok szenzitivitása és specificitása azonban nem kielégítő. Az endoszkópos ultrahangvizsgálat az epeúti kövesség diagnosztizálásának szemiinvazív precíz eszköze.
View Article and Find Full Text PDFBackground: There is an ongoing debate that non-steroidal anti-inflammatory drugs (NSAID) or prophylactic pancreatic stents (PPS) are more beneficial in preventing post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis (PEP). In our present network meta-analysis, we aimed to compare PPSs to rectal NSAIDs in the prevention of moderate and severe PEP in average- and high-risk patients.
Methods: We performed a systematic search for randomized controlled trials (RCT) from MEDLINE (via PubMed), Embase and Cochrane Central databases.
Article Synopsis
- - Biliary injuries, although rare, are a significant risk associated with laparoscopic cholecystectomy (LC), with a complication rate of 0.66% in primary LCs and 7.95% in converted LCs, based on a study conducted at Semmelweis University from 2006 to 2016.
- - Among patients with biliary injuries, 61% experienced bilio-vascular complications, and endoscopic retrograde cholangiopancreatography (ERCP) was successfully performed in 25 cases (92% success rate), with 41% requiring reoperation.
- - The study highlighted the complexity of treating LC-related complications, recommending that these cases be managed in specialized institutions with