Effect of admission hypertriglyceridemia on the episodes of severe acute pancreatitis.

Abstract

AIM:

To investigate the effect of admission hypertriglyceridemia (HTG) on the episodes of severe acute pancreatitis (SAP).

METHODS:

One hundred and seventy-six patients with SAP were divided into HTG group (n = 45) and control group (n = 131) according to admission triglyceride (TG) > or = 5.65 mmol/L and < 5.65 mmol/L, respectively. Demographics, etiology, underlying diseases, biochemical parameters, Ranson' s score, acute physiology and chronic heath evaluation II (APACHE II) score, Balthazar's computed tomography (CT) score, complications and mortality were compared. Correlation between admission TG and 24-h APACHE II score was analyzed.

RESULTS:

SAP patients with HTG were younger (40.8 +/- 9.3 years vs 52.6 +/- 13.4 years, P < 0.05) with higher etiology rate of overeating, high-fat diet (40.0% vs 14.5%, P < 0.05) and alcohol abuse (46.7% vs 23.7%, P < 0.01), incidence rate of hypocalcemia (86.7% vs 63.4%, P < 0.01) and hypoalbuminemia (84.4% vs 60.3%, P < 0.01), 24-h APACHE II score (13.6 +/- 5.7 vs 10.7 +/- 4.6, P < 0.01) and admission serum glucose (17.7 +/- 7.7 vs 13.4 +/- 6.1, P < 0.01), complication rate of renal failure (51.1% vs 16.8%, P < 0.01), shock (37.9% vs 14.5%, P < 0.01) and infection (37.4% vs 18.3%, P < 0.01) and mortality (13.1% vs 9.1%, P < 0.01). Logistic regression analysis showed a positive correlation between admission TG and 24-h APACHE II score (r = 0 .509, P = 0.004).

CONCLUSION:

The clinical features of SAP patients with HTG are largely consistent with previous studies. HTG aggravates the episodes of SAP.

• Authors: Li-Hui Deng, Ping Xue, Qing Xia, Xiao-Nan Yang, Mei-Hua Wan
• Journal: World journal of gastroenterology (World J Gastroenterol) Vol. 14 Issue 28 Pg. 4558-61 (Jul 28 2008) ISSN: 1007-9327 [Print] United States
• PMID: 18680239 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Triglycerides

Topics

• APACHE
• Acute Disease
• Adult
• Aged
• Aged, 80 and over
• Case-Control Studies
• Diagnostic Tests, Routine
• Female
• Hepatitis (complications)
• Humans
• Hypertriglyceridemia (blood, complications, diagnosis)
• Logistic Models
• Male
• Middle Aged
• Pancreatitis (complications, diagnostic imaging, mortality)
• Renal Insufficiency (complications)
• Shock (complications)
• Tomography, X-Ray Computed
• Triglycerides (blood)