Correlation of Body Mass Index and Waist-Hip Ratio with Severity and Complications of Hyperlipidemic Acute Pancreatitis in Chinese Patients.
Hyperlipidemic acute pancreatitis (HLAP) is characterized by critical condition and high recurrence rate compared with non-HLAP. We conducted this study to investigate the value of body mass index and waist-hip ratio in predicting severity and local complications in HLAP. 96 patients with HLAP were categorized by body mass index and waist-hip ratio, respectively. According to the body mass index, they were divided into 3 groups, including normal weight, overweight, and obesity. According to the waist-hip ratio, they were divided into central obesity group and no central obesity group. The body mass index and waist-hip ratio were compared in severity, local complications, and systematic complications of HLAP, using chi-square test and Monte Carlo simulations. The body mass index and waist-hip ratio were correlated with the severity of acute pancreatitis (MAP, MSAP, and SAP), respiratory failure, and circulatory failure in HLAP (p< 0.05), but not correlated with the local complications (walled-off necrosis, pancreatic abscess, and pancreatic pseudocyst), renal failure, and gastrointestinal bleeding.The body mass index and waist-hip ratio are valuable in predicting severity and complication in HLAP. We demonstrated that obese patients had an increased risk of developing more serious condition and more complications in HLAP.
Department of Gastroenterology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Lixin
0000-0002-7361-7584
L
Yang
Department of Internal Medicine, Beijing First Hospital of Integrated Chinese and Western Medicine, Beijing, China.
Jing
J
Liu
Department of Gastroenterology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Yun
Y
Xing
Department of Gastroenterology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Lichuan
L
Du
Department of Gastroenterology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Jing
J
Chen
Department of Internal Medicine, Hebei Xianghe People's Hospital, Hebei Province, China.
Xin
X
Liu
Department of Gastroenterology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Jianyu
J
Hao