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Balthazar Score and Neutrophil-Lymphocytes Ratio in Acute Pancreatitis
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 surgi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medical University Publishing House Craiova
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993759/ https://www.ncbi.nlm.nih.gov/pubmed/32042461 http://dx.doi.org/10.12865/CHSJ.45.03.11 |
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author | PETRESCU, GS GEORGESCU, I PETRESCU, AM RĂDULESCU, D PETRESCU, MO PĂTRAȘCU, Ș |
author_facet | PETRESCU, GS GEORGESCU, I PETRESCU, AM RĂDULESCU, D PETRESCU, MO PĂTRAȘCU, Ș |
author_sort | PETRESCU, GS |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6993759 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Medical University Publishing House Craiova |
record_format | MEDLINE/PubMed |
spelling | pubmed-69937592020-02-10 Balthazar Score and Neutrophil-Lymphocytes Ratio in Acute Pancreatitis PETRESCU, GS GEORGESCU, I PETRESCU, AM RĂDULESCU, D PETRESCU, MO PĂTRAȘCU, Ș Curr Health Sci J Original Paper 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. Medical University Publishing House Craiova 2019 2019-09-30 /pmc/articles/PMC6993759/ /pubmed/32042461 http://dx.doi.org/10.12865/CHSJ.45.03.11 Text en Copyright © 2019, Medical University Publishing House Craiova http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an open-access article distributed under the terms of a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International Public License, which permits unrestricted use, adaptation, distribution and reproduction in any medium, non-commercially, provided the new creations are licensed under identical terms as the original work and the original work is properly cited. |
spellingShingle | Original Paper PETRESCU, GS GEORGESCU, I PETRESCU, AM RĂDULESCU, D PETRESCU, MO PĂTRAȘCU, Ș Balthazar Score and Neutrophil-Lymphocytes Ratio in Acute Pancreatitis |
title | Balthazar Score and Neutrophil-Lymphocytes Ratio in Acute Pancreatitis |
title_full | Balthazar Score and Neutrophil-Lymphocytes Ratio in Acute Pancreatitis |
title_fullStr | Balthazar Score and Neutrophil-Lymphocytes Ratio in Acute Pancreatitis |
title_full_unstemmed | Balthazar Score and Neutrophil-Lymphocytes Ratio in Acute Pancreatitis |
title_short | Balthazar Score and Neutrophil-Lymphocytes Ratio in Acute Pancreatitis |
title_sort | balthazar score and neutrophil-lymphocytes ratio in acute pancreatitis |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6993759/ https://www.ncbi.nlm.nih.gov/pubmed/32042461 http://dx.doi.org/10.12865/CHSJ.45.03.11 |
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