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Hypertriglyceridemia-induced acute pancreatitis: A prospective, multicenter, international cohort analysis of 716 acute pancreatitis cases
D. Mosztbacher, L. Hanák, N. Farkas, A. Szentesi, A. Mikó, J. Bajor, P. Sarlós, J. Czimmer, Á. Vincze, PJ. Hegyi, B. Erőss, T. Takács, L. Czakó, BC. Németh, F. Izbéki, A. Halász, L. Gajdán, J. Hamvas, M. Papp, I. Földi, KE. Fehér, M. Varga, K....
Jazyk angličtina Země Švýcarsko
Typ dokumentu časopisecké články, multicentrická studie
- MeSH
- dospělí MeSH
- hypertriglyceridemie komplikace MeSH
- internacionalita MeSH
- kohortové studie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- pankreatitida etiologie MeSH
- prospektivní studie MeSH
- rizikové faktory MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři nad 80 let MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
BACKGROUND: Hypertriglyceridemia is the third most common cause of acute pancreatitis (AP). It has been shown that hypertriglyceridemia aggravates the severity and related complications of AP; however, detailed analyses of large cohorts are contradictory. Our aim was to investigate the dose-dependent effect of hypertriglyceridemia on AP. METHODS: AP patients over 18 years old who underwent triglyceride measurement within the initial three days were included into our cohort analysis from a prospective international, multicenter AP registry operated by the Hungarian Pancreatic Study Group. Data on 716 AP cases were analyzed. Six groups were created based on the highest triglyceride level (<1.7 mmol/l, 1.7-2.19 mmol/l, 2.2-5.59 mmol/l, 5.6-11.29 mmol/l, 11.3-22.59 mmol/l, ≥22.6 mmol/l). RESULTS: Hypertriglyceridemia (≥1.7 mmol/l) presented in 30.6% of the patients and was significantly and dose-dependently associated with younger age and male gender. In 7.7% of AP cases, hypertriglyceridemia was considered as a causative etiological factor (≥11.3 mmol/l); however, 43.6% of these cases were associated with other etiologies (alcohol and biliary). Hypertriglyceridemia was significantly and dose-dependently related to obesity and diabetes. The rates of local complications and organ failure and maximum CRP level were significantly and dose-dependently raised by hypertriglyceridemia. Triglyceride above 11.3 mmol/l was linked to a significantly higher incidence of moderately severe AP and longer hospital stay, whereas triglyceride over 22.6 mmol/l was significantly associated with severe AP as well. CONCLUSION: Hypertriglyceridemia dose-dependently aggravates the severity and related complications of AP. Diagnostic workup for hypertriglyceridemia requires better awareness regardless of the etiology of AP.
1st Department of Medicine Faculty of Medicine University of Szeged Szeged Hungary
1st Department of Medicine Medical School University of Pécs Pécs Hungary
1st Department of Paediatrics Faculty of Medicine Semmelweis University Budapest Hungary
Bajcsy Zsilinszky Hospital Budapest Hungary
Borsod Abaúj Zemplén County Hospital and University Teaching Hospital Miskolc Hungary
Centrum Péče o Zažívací Trakt Vítkovická Nemocnice a s Ostrava Czech Republic
Consorci Sanitari Del Garraf Sant Pere de Ribes Barcelona Spain
Department of Gastroenterology Bács Kiskun County Hospital Kecskemét Hungary
Department of Gastroenterology Dr Réthy Pál Hospital of County Békés Békéscsaba Hungary
Department of Gastroenterology Heim Pál Children's Hospital Budapest Hungary
Doctoral School of Theoretical Medicine Faculty of Medicine University of Szeged Szeged Hungary
Dr Bugyi István Hospital Szentes Hungary
Hospital of Bezmialem Vakif University School of Medicine Istanbul Turkey
Institute of Bioanalysis Medical School University of Pécs Pécs Hungary
Pándy Kálmán Hospital of County Békés Gyula Hungary
Saint Luke Clinical Hospital St Petersburg Russia
Szent György Teaching Hospital of County Fejér Székesfehérvár Hungary
Citace poskytuje Crossref.org
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- $a Mosztbacher, Dóra $u First Department of Paediatrics, Faculty of Medicine, Semmelweis University, Budapest, Hungary; Institute for Translational Medicine, Szentágothai Research Center, Medical School, University of Pécs, Pécs, Hungary; Doctoral School of Theoretical Medicine, Faculty of Medicine, University of Szeged, Szeged, Hungary
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- $a BACKGROUND: Hypertriglyceridemia is the third most common cause of acute pancreatitis (AP). It has been shown that hypertriglyceridemia aggravates the severity and related complications of AP; however, detailed analyses of large cohorts are contradictory. Our aim was to investigate the dose-dependent effect of hypertriglyceridemia on AP. METHODS: AP patients over 18 years old who underwent triglyceride measurement within the initial three days were included into our cohort analysis from a prospective international, multicenter AP registry operated by the Hungarian Pancreatic Study Group. Data on 716 AP cases were analyzed. Six groups were created based on the highest triglyceride level (<1.7 mmol/l, 1.7-2.19 mmol/l, 2.2-5.59 mmol/l, 5.6-11.29 mmol/l, 11.3-22.59 mmol/l, ≥22.6 mmol/l). RESULTS: Hypertriglyceridemia (≥1.7 mmol/l) presented in 30.6% of the patients and was significantly and dose-dependently associated with younger age and male gender. In 7.7% of AP cases, hypertriglyceridemia was considered as a causative etiological factor (≥11.3 mmol/l); however, 43.6% of these cases were associated with other etiologies (alcohol and biliary). Hypertriglyceridemia was significantly and dose-dependently related to obesity and diabetes. The rates of local complications and organ failure and maximum CRP level were significantly and dose-dependently raised by hypertriglyceridemia. Triglyceride above 11.3 mmol/l was linked to a significantly higher incidence of moderately severe AP and longer hospital stay, whereas triglyceride over 22.6 mmol/l was significantly associated with severe AP as well. CONCLUSION: Hypertriglyceridemia dose-dependently aggravates the severity and related complications of AP. Diagnostic workup for hypertriglyceridemia requires better awareness regardless of the etiology of AP.
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