The Effect of Sarcopenia on the Prognosis of Biliary Pancreatitis Patients

Authors : Leyla Zeynep Tigrel, Gamze Çıtlak, Sercan Yüksel, Tuba Selçuk Can

Pages : 1-10

View : 25 | Download : 19

Publication Date : 2024-05-31

Article Type : Research Paper

Abstract :Background: To compare the current scoring systems used for predicting acute biliary pancreatitis prognosis and to determine the importance of sarcopenia in prognosis. Materials and Methods: 70 acute biliary pancreatitis patients Ranson’s, Harmless Acute Pancreatitis Score (HAPS), Bedside Index of Acute Pancreatitis Severity (BISAP) Glasgow-Imrie scores and computed tomography (CT) severity index results were recorded. Patients bioelectrical impedance were analyzed and psoas muscle cross-sectional areas were measured on CT images to determine presence of sarcopenia. Results: Increased BISAP (p = 0.024) and CT severity index (p=0.050) scores were associated with longer hospitalization. Ranson’s, HAPS and Glasgow-Imrie scores were ineffective to predict hospitalization length and complications. High body fat percentage (p=0,039) and CT severity index (p=0.000) were associated with increased complications. The prevalence of sarcopenia according to age was higher than expected in patient group (47%). There was no relationship between sarcopenia and the prognosis of pancreatitis. Conclusion: BISAP and CT severity index are reliable scoring systems to determine prognosis of acute biliary pancreatitis. Understanding the effect of sarcopenia in acute pancreatitis warrants further investigation.
Keywords : Pankreatit, Sarkopeni, Obezite, Ranson kriterleri, BISAP, BT şiddet indeksi