Acute peripancreatic fluid collection in acute pancreatitis: Incidence, outcome, and association with inflammatory markers

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dc.authoridAkar, Mustafa/0000-0002-5589-2849
dc.contributor.authorSolakoglu, Tevfik
dc.contributor.authorKucukmetin, Nurten
dc.contributor.authorAkar, Mustafa
dc.contributor.authorKoseoglu, Hueseyin
dc.date.accessioned2024-10-29T17:59:31Z
dc.date.available2024-10-29T17:59:31Z
dc.date.issued2023
dc.departmentTekirdağ Namık Kemal Üniversitesi
dc.description.abstractBackground: The hospital outcomes and predictors of acute peripancreatic fluid collection (APFC) have not been well-characterized. In this study, we aimed to investigate the clinical outcomes of APFC in patients with acute pancreatitis (AP) and the role of the systemic immune-inflammation index (SII), systemic inflammation response index (SIRI), and C-reactive protein (CRP) level in predicting the occurrence of APFC. Methods: In this retrospective study, the complicated group (patients with APFC) and the uncomplicated group (patients without APFC) were compared for their clinical characteristics, hospital outcomes (mortality rate, intensive care unit admission rate, and length of hospital stay), pseudocyst formation, CRP levels, SII, and SIRI on admission and at 48 hours. Results: Of 132 patients with AP, 51 (38.6%) had APFC and eight (6.1%) had pancreatic pseudocysts. Of 51 patients with APFC, 15.7% had pancreatic pseudocysts. Pseudocyst did not develop in the uncomplicated group. SII value at 48 h [median 859 (541-1740) x 109/L vs. 610 (343-1259) x 109/L, P = 0.01] and CRP level at 48 h [89 (40-237) mg/L vs. 38 (12-122) mg/L, P = 0.01] were higher in the complicated group than in the uncomplicated group. The length of hospital stay was longer in the complicated group, compared with the uncomplicated group [median 8 days (5-15), vs. 4 days (3-7), P < 0.001, respectively]. No significant difference was detected between the two study groups' mortality rates and intensive care unit admission rates. Conclusions: While 38.6% of the AP patients had APFC, 6.1% of all patients and 15.7% of the patients with APFC had pancreatic pseudocysts. APFC was found to lengthen the hospital stay and to be associated with the SII value and CRP level measured at 48 h.
dc.identifier.doi10.4103/sjg.sjg_443_22
dc.identifier.endpage232
dc.identifier.issn1319-3767
dc.identifier.issn1998-4049
dc.identifier.issue4en_US
dc.identifier.pmid37470666
dc.identifier.scopus2-s2.0-85165374136
dc.identifier.scopusqualityQ3
dc.identifier.startpage225
dc.identifier.urihttps://doi.org/10.4103/sjg.sjg_443_22
dc.identifier.urihttps://hdl.handle.net/20.500.11776/14762
dc.identifier.volume29
dc.identifier.wosWOS:001043889100005
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofSaudi Journal of Gastroenterology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAcute pancreatitis
dc.subjectC-reactive protein
dc.subjectperipancreatic fluid collection
dc.subjectsystemic immune-inflammation index
dc.titleAcute peripancreatic fluid collection in acute pancreatitis: Incidence, outcome, and association with inflammatory markers
dc.typeArticle

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