Clinical characteristics of acute pancreatitis patients with elevated serum triglyceride concentration.
OBJECTIVE
To evaluate the clinical characteristics of acute pancreatitis (AP) patients with elevated serum triglyceride (TG) concentration.


METHODS
Ninety-nine cases of AP admitted from January 2000 to January 2002 were analyzed: 28 cases comprised the TG-elevated group (serum TG >1.7 mmol/L) and 71 cases were the TG-normal group (serum TG </=1.7 mmol/L).


RESULTS
The AP patients with elevated serum TG accounted for 11.3% (9/80) of all AP cases during the study period. Pulmonary, cardiovascular and renal dysfunction within 72 h of onset of AP were all higher in the TG-elevated group than in the group with normal TG (25.0% vs 1.4%; 17.9% vs 1.4%; 14.3% vs 1.4%, respectively; P < 0.05). The incidence of pancreatic pseudocyst was 53.6% and 4.2%, respectively, in the group with elevated TG and in the group with normal TG (P < 0.05).


CONCLUSIONS
Patients with AP and elevated serum TG concentration have organ dysfunction at an earlier stage and increased local complications. Non-surgical therapy was common for the majority of these patients.
Jiang
Chong Yi
CY
Department of Surgery, Ruijin Hospital, Shanghai Second Medical University, Shanghai Institute of Digestive Surgery, Shanghai, China.
Han
Tian Quan
TQ
Feng
Fei Ling
FL
Kong
Lei
L
Cai
Xing Xing
XX
Zhang
Sheng Dao
SD
D000208:Acute Disease; D000328:Adult; D000368:Aged; D002318:Cardiovascular Diseases / Q000209:etiology; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology; D008171:Lung Diseases / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010192:Pancreatic Pseudocyst / Q000453:epidemiology; D010195:Pancreatitis / Q000150:complications* / Q000473:pathology*; D011379:Prognosis; D014280:Triglycerides / Q000097:blood*
D014280:Triglycerides