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Curr Health Sci J. 2019 Jul-Sep;45(3):316-320. doi: 10.12865/CHSJ.45.03.11. Epub 2019 Sep 30.

Balthazar Score and Neutrophil-Lymphocytes Ratio in Acute Pancreatitis.

Current health sciences journal

G S Petrescu, I Georgescu, A M Petrescu, D Rădulescu, M O Petrescu, Ș Pătrașcu

Affiliations

  1. PhD student, University of Medicine and Pharmacy of Craiova, Romania.
  2. Department I of Surgery, University of Medicine and Pharmacy of Craiova, Romania.
  3. University of Medicine and Pharmacy of Craiova, Romania.

PMID: 32042461 PMCID: PMC6993759 DOI: 10.12865/CHSJ.45.03.11

Abstract

Acute pancreatitis is a pathological entity that poses numerous diagnostic and treatment problems. Severe form is a real challenge for a physician because it has multiple obscure causes, as well as a complex pathophysiology. Thus, the diagnosis is difficult and the choice of the right time for surgical treatment is controversial, the treatment being more frequently nonspecific, supportive for the various affected systems and organs. On a group of 337 patients, laboratory and imaging investigations were performed to diagnose and determine the severity score of acute pancreatitis and the correlation level between the neutrophil-lymphocytes ratio values and the Balthazar score, as a valid assessment method for local and systemic inflammatory changes. The distribution's study of acute pancreatitis by gender according to etiology confirms the predominance of the acute ethanolic pancreatitis in male, but also the higher proportion (54%) of male pancreatitis (181 man vs. 156 women) with gender ratio male/female 1.16/1. The neutrophil-lymphocytes ratio mean value varied according with the Balthazar severity score, that got higher as acute pancreatitis got more advanced and with a certain cut-off value can be considered a simple indicator to determine the severity of acute pancreatitis.

Copyright © 2019, Medical University Publishing House Craiova.

Keywords: Acute pancreatitis; Balthazar score; neutrophil-lymphocytes ratio

References

  1. Int J Colorectal Dis. 2011 Aug;26(8):1059-65 - PubMed
  2. Pancreatology. 2017 Mar - Apr;17(2):155-165 - PubMed
  3. Gut. 1998 Jun;42 Suppl 2:S1-13 - PubMed
  4. Gastroenterology. 2018 May;154(6):1729-1736 - PubMed
  5. Int Surg. 2012 Oct-Dec;97(4):299-304 - PubMed
  6. Ulus Travma Acil Cerrahi Derg. 2014 Jan;20(1):19-22 - PubMed
  7. Radiol Clin North Am. 1989 Jan;27(1):19-37 - PubMed
  8. Surg Clin North Am. 2011 Aug;91(4):805-20, viii - PubMed
  9. Eur J Cancer. 2012 Jan;48(2):202-8 - PubMed
  10. Crit Care Med. 2000 Apr;28(4):1224-5 - PubMed
  11. Br J Surg. 1989 Mar;76(3):268-72 - PubMed
  12. Shock. 2007 May;27(5):474-81 - PubMed
  13. Clin Nutr ESPEN. 2019 Apr;30:185-189 - PubMed
  14. Pancreatology. 2011;11(4):445-52 - PubMed
  15. Intern Med. 2015;54(17):2109-14 - PubMed
  16. BMC Res Notes. 2017 Jan 3;10(1):12 - PubMed
  17. Keio J Med. 1995 Sep;44(3):93 - PubMed
  18. Radiology. 1990 Feb;174(2):331-6 - PubMed
  19. Curr Health Sci J. 2017 Apr-Jun;43(2):127-131 - PubMed
  20. Pancreas. 2017 Apr;46(4):482-488 - PubMed
  21. Gut. 1996 Jun;38(6):799-800 - PubMed
  22. Am J Surg. 2000 May;179(5):352-5 - PubMed
  23. Gastrointest Endosc. 2003 Oct;58(4):549-53 - PubMed
  24. Ann Surg Oncol. 2012 Jan;19(1):217-24 - PubMed
  25. Dig Dis Sci. 2001 Nov;46(11):2470-4 - PubMed
  26. Eur J Cancer. 2011 Nov;47(17):2633-41 - PubMed
  27. Am Heart J. 2007 Nov;154(5):995-1002 - PubMed
  28. Angiology. 2013 Aug;64(6):456-65 - PubMed

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