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Information Journal Paper

Title

MEASUREMENT OF SERUM TNF-α AS AN ACCURATE MARKER IN DIAGNOSING EXTRAHEPATIC BILIARY ATRESIA

Pages

  143-145

Abstract

 Background: Most diagnostic tests for biliary atresia (BA) are invasive. This study evaluates the sensitivity and specificity of serum tumor necrosis factor-a (TNF-a) for diagnosing extra hepatic biliary duct atresia (EHBA) in infants.Materials and Methods: Infants with CHOLESTASIS who were admitted to Children′s Medical Center Hospital were evaluated. A total of 50 infants (20 with EHBA and 30 non-EHBA) were included in this study. We evaluated the definite cause of CHOLESTASIS. Intra-operative cholangiography and, if possible, Kasai portoenterostomy were performed in infants with high suspicion for EHBA. Upon admission and prior to surgical intervention, infants had their serum TNF-a levels measured by ELISA. We compared the mean TNF-a level between the two groups, in addition to the sensitivity and specificity of serum TNF-α for diagnosis of EHBA.Results: This study enrolled 28 (56%) male and 22 (44%) female infants. Infants'' mean age was 2.87 months in the EHBA group and 2.6 months in the non-EHBA group. Sensitivity of serum TNF was 60% and its specificity was 76.66% for predicting EHBA. The positive predictive value was calculated as 63.1%, the negative predictive value was 74.1%, and accuracy was 70%. There was a significantly higher mean serum TNF-a level in the EHBA group (220 pg/ml) compared to the non-EHBA group (79.8 pg/ml, p=0.023). Serum TNF-a cut off point for determining EHBA from non-EHBA was calculated as 80 pg/ml. Mean serum TNF-a in males (171.28 pg/ml) was more than females (90.80 pg/ml).Conclusion: There was a significantly higher mean serum TNF-a level in the EHBA group than the non-EHBA group. Serum TNF-α could be a proper test that has comparatively good sensitivity, specificity, positive predictive value and negative predictive value for predicting EHBA.

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    APA: Copy

    FARIBORZI, MOHAMMADREZA, FARAHMAND, FATEMEH, FALLAHI, GHOLAMHOSEIN, ASHTYANI, MOHAMMADTAGHI, HASHEMI, MASUMEH, KIUMARSI, AZADEH, & ALLAMEH, MOHAMMAD MAHDY. (2014). MEASUREMENT OF SERUM TNF-α AS AN ACCURATE MARKER IN DIAGNOSING EXTRAHEPATIC BILIARY ATRESIA. GOVARESH JOURNAL, 19(2), 143-145. SID. https://sid.ir/paper/629169/en

    Vancouver: Copy

    FARIBORZI MOHAMMADREZA, FARAHMAND FATEMEH, FALLAHI GHOLAMHOSEIN, ASHTYANI MOHAMMADTAGHI, HASHEMI MASUMEH, KIUMARSI AZADEH, ALLAMEH MOHAMMAD MAHDY. MEASUREMENT OF SERUM TNF-α AS AN ACCURATE MARKER IN DIAGNOSING EXTRAHEPATIC BILIARY ATRESIA. GOVARESH JOURNAL[Internet]. 2014;19(2):143-145. Available from: https://sid.ir/paper/629169/en

    IEEE: Copy

    MOHAMMADREZA FARIBORZI, FATEMEH FARAHMAND, GHOLAMHOSEIN FALLAHI, MOHAMMADTAGHI ASHTYANI, MASUMEH HASHEMI, AZADEH KIUMARSI, and MOHAMMAD MAHDY ALLAMEH, “MEASUREMENT OF SERUM TNF-α AS AN ACCURATE MARKER IN DIAGNOSING EXTRAHEPATIC BILIARY ATRESIA,” GOVARESH JOURNAL, vol. 19, no. 2, pp. 143–145, 2014, [Online]. Available: https://sid.ir/paper/629169/en

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