Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2018 / Cilt: 52 - Sayı: 4

Evaluation of Laboratory Findings and Mortality in Elderly Patients with Acute Biliary Pancreatitis

Pages
274–278
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The rate of detection of choledocholithiasis was significantly higher in elderly patients (p 65 years.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Gallstones are the most common cause of acute biliary pancreatitis.
📊
Key Findings & Data:Hospitalization rate is also higher in elderly patients.
💡
Conclusion & Impact:The rate of detection of choledocholithiasis was significantly higher in elderly patients (p 65 years.
🔬Design:Research Article
📍Scope:2006 Verileri
⚙️Variables:Domain Parameters

Özet

Objectives: Gallstones are the most common cause of acute biliary pancreatitis. Laboratory and imaging findings as well as ageare important predictors for mortality. Hospitalization rate is also higher in elderly patients. In this study, we investigated clinicalparameters and total mortality in patients with acute pancreatitis aged >65 years.Methods: In this study, 852 patients who entered the Gastroenterology Clinic for acute biliary pancreatitis between April 2006 andOctober 2013 were included. Data were retrospectively collected from the electronic record system. The patients with elevatedaspartate aminotransferase levels (i.e. three times higher than normal value), cholelithiasis, cholecystectomy history, or choledocholithiasiswere accepted as the patients with acute biliary pancreatitis. Patients were divided into two groups based on their age,i.e., >65 and 65 years, urea, leukocyte, and C-reactive protein levels were significantly different. Median hospital staywas similar in both the groups. The rate of detection of choledocholithiasis was significantly higher in elderly patients (p 65 years.

🔖

Cite This Article

VATANSEVER, S., DOĞRU, R., PAKOZ, Z. B., GENÇ, H., ÜNSAL, B. (2018). Evaluation of Laboratory Findings and Mortality in Elderly Patients with Acute Biliary Pancreatitis. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 52 - Sayı: 4, 274–278. https://ajindex.com/articles/364018

References (14)

  1. Tenner S, Baillie J, DeWitt J, Vege SS; American College of Gastroenterology. American College of Gastroenterology guideline: management of acute pancreatitis. Am J Gastroenterol 2013;108:1400–15; 1416
  2. Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG, et al; Acute Pancreatitis Classification Working Group. Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus. Gut 2013;62:102–11
  3. Peery AF, Crockett SD, Barritt AS, Dellon ES, Eluri S, Gangarosa LM, et al. Burden of Gastrointestinal, Liver, and Pancreatic Diseases in the United States. Gastroenterology 2015;149:1731–41
  4. Fagenholz PJ, Fernández-del Castillo C, Harris NS, Pelletier AJ, Camargo CA Jr. Direct medical costs of acute pancreatitis hospitalizations in the United States. Pancreas 2007;35:302–7
  5. Busquets J, Fabregat J, Pelaez N, Millan M, Secanella L, Garcia- Borobia F, et al. Factors influencing mortality in patients undergoing surgery for acute pancreatitis: importance of peripancreatic tissue and fluid infection. Pancreas 2013;42:285–92
  6. Marshall JC, Cook DJ, Christou NV, Bernard GR, Sprung CL, Sibbald WJ. Multiple organ dysfunction score: a reliable descriptor of a complex clinical outcome. Crit Care Med 1995;23:1638–52
  7. Tenner S, Sica G, Hughes M, Noordhoek E, Feng S, Zinner M, et al. Relationship of necrosis to organ failure in severe acute pancreatitis. Gastroenterology 1997;113:899–903
  8. Abu-Zidan FM, Bonham MJ, Windsor JA. Severity of acute pancreatitis: a multivariate analysis of oxidative stress markers and modified Glasgow criteria. Br J Surg 2000;87:1019–23
  9. Ranson JH, Rifkind KM, Roses DF, Fink SD, Eng K, Spencer FC. Prognostic signs and the role of operative management in acutepancreatitis. Surg Gynecol Obstet 1974;139:69–81
  10. Balthazar EJ, Robinson DL, Megibow AJ, Ranson JH. Acute pancreatitis: value of CT in establishing prognosis. Radiology 1990;174:331–6
  11. Larvin M, McMahon MJ. APACHE-II score for assessment and monitoring of acute pancreatitis. Lancet 1989;2:201–5
  12. Goldacre MJ, Roberts SE. Hospital admission for acute pancreatitis in an English population, 1963-98: database study of incidence and mortality. BMJ 2004;328:1466–9
  13. Yadav D, Lowenfels AB. Trends in the epidemiology of the first attack of acute pancreatitis: a systematic review. Pancreas 2006;33:323–30
  14. Losurdo G, Iannone A, Principi M, Barone M, Ranaldo N, Ierardi E, et al. Acute pancreati