A practical means of evaluating the prognosis of acute pancreatitis, as measurement of carotid artery intima-media thickness
Abstract
Backgroung and study aims: Factors such as age, obesity, diabetes mellitus and hyperlipidemia that cause adverse prognosis in acute pancreatitis also cause an increase in carotid intima-media thickness. In this study, we aimed to investigate the usability of the measurement of carotid intima-media thickness, which is an easy to apply, cost-effective means of measurement applied to the patients, in predicting AP prognosis, apart from the criteria currently utilized to predict AP prognosis.
Patient and methods: 101 patients diagnosed with acute pancreatitis were prospectively enrolled into the study. Right and left common carotid artery intima-media thickness, right and left internal carotid artery intima-media thickness were measured with ultrasonographic images performed within the first 24 hours of hospitalization. local or systemic complications and organ failure development were monitored in the follow-up of the patients.
Results: After the ROC analysis was performed and the threshold value was determined. The patients with main and internal carotid artery intima-media thickness above 0.775 mm were seen to have a more severe AP (p = 0.000). Local and systemic complications and organ failure were also more common in these patients.
Conclusions: Measurement of carotid intima-media thickness is a non-invasive method that can be used to predict the prognosis in patients with acute pancreatitis at presentation.
Source
ACTA Gastro-Enterologica BelgicaVolume
84Issue
3URI
https://hdl.handle.net/20.500.12868/1673https://www.ageb.be/ageb-journal/ageb-volume/ageb-article/1931/A%20practical%20means%20of%20evaluating%20the%20prognosis%20of%20acute%20pancreatitis,%20asmeasurement%20of%20carotid%20artery%20intima-media%20thickness/