Bibliographic Details
| Title: |
FOLLOW-UP OF THE FATTY LIVER IN PATIENTS WITH ACUTE PANCREATITIS. |
| Authors: |
Török, Imola1, Bățaga, Simona1, Macarie, Melania1, Ciorba, Marius1, Gáll, Arnold2, Szász, Zsombor2, Dobos, Norbert2, Koffol, Borbála1 |
| Source: |
Journal of Gastrointestinal & Liver Diseases. 2023 Supplement, Vol. 32, p47-47. 1/2p. |
| Subject Terms: |
*FATTY liver, *NECROTIZING pancreatitis, *PANCREATITIS, *GASTROINTESTINAL diseases, *PROGNOSIS |
| Abstract: |
Introduction. Acute pancreatitis is one of the most prevalent gastrointestinal diseases requiring emergency care globally, associated with high morbidity and mortality. The disease is often associated with other pathologies, one of the most common is fatty liver. Objective. The aim of our study is to follow-up the relationship between acute pancreatitis and comorbid fatty liver, to draw conclusions between the presence of steatosis and the severity course of pancreatitis by processing the data. Methods. In our retrospective study, we follow-up patients admitted to the Gastroenterology Department of the Emergency Clinical Hospital in Târgu Mureş between January 2019 and December 2020 with acute pancreatitis, based on the following aspects: presence of fatty liver, triglyceride level, severity of pancreatitis, the age and gender of patients. The diagnosis of fatty liver was made by imagistics (ultrasound, CT). Alcoholic and nonalcoholic fatty liver cases were not separated. The statistical processing of the data was carried out using Microsoft Excel and GraphPad Prism programs. Results. Over the course of 2 years studied, 216 patients with acute pancreatitis were found, 65 women (30.09%) and 151 men (69.91%). The average age was 56.09 years.123 cases was associated with fatty liver - 56.94%, of which 35 are women (28.45%) and 88 are men (71.54%). The average age was 54.03 years. The presence of fatty liver was more common in severe acute pancreatitis, but the difference was not statistically significant (p=0.5143). Hypertriglyceridemia was found in 48 cases (22.2%), 30 patients had fatty liver. When fatty liver and acute pancreatitis were present together, hypertriglyceridemia increased the incidence of severe acute pancreatitis and the difference was statistically significant (p=0.0067). Conclusion. The results of our study confirm that fatty liver is often associated with acute pancreatitis - in our cases, it was present at more than half of the patients with acute pancreatitis. The severity of acute pancreatitis is not affected by the presence of fatty liver, but if hypertriglyceridemia is associated, this indicates a significantly poor prognostic factor for the course of pancreatitis. [ABSTRACT FROM AUTHOR] |
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