Prognostic value of increased B type natriuretic peptide in cases with acute pancreatitis

Abstract Background Acute pancreatitis (AP) is a systemic disease with a rising incidence. Cardiac dysfunction may occur as an early complication of AP. B type natriuretic factor (BNP) is a diagnostic and prognostic indicator of cardiac disorders. Therefore, in this study we aimed to assess the rela...

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Bibliographic Details
Published in:European journal of internal medicine 2012-06, Vol.23 (4), p.e97-e100
Main Authors: Bugdaci, Mehmet Sait, Oztekin, Erkan, Kara, Ekrem, Koker, Ibrahim, Tufan, Ayhan
Format: Article
Language:English
Subjects:
Acute pancreatitis
Adolescent
Adult
BNP
Female
Humans
Internal Medicine
Linear Models
Male
Middle Aged
Natriuretic Peptide, Brain - blood
Pancreatitis - blood
Pancreatitis - complications
Pancreatitis, Acute Necrotizing - blood
Pancreatitis, Acute Necrotizing - complications
Prognosis
ROC Curve
Young Adult
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Summary:Abstract Background Acute pancreatitis (AP) is a systemic disease with a rising incidence. Cardiac dysfunction may occur as an early complication of AP. B type natriuretic factor (BNP) is a diagnostic and prognostic indicator of cardiac disorders. Therefore, in this study we aimed to assess the relationship between serum BNP concentrations and severity of AP. Methods Patients with AP who were admitted to gastroenterology clinic of our center, were included in this study. BNP measurements were performed twice, once on admission to the hospital and another after clinical and laboratory remission of the disease. All patients underwent echocardiography, abdominal ultrasonography and/or computed tomography chest X-ray and routine biochemical assays. Disease severity was determined by Ranson, Balthazar and Glasgow scoring systems. Results A total of 55 patients with AP (33 male, 60%) were enrolled in the study. Causes of AP were biliary in 32 patients (58%), alcoholic in 10 (18%), idiopathic in 8 (15%), hyperlipidemic in 4 (7%) and ERCP related in one patient (2%), respectively. Serum BNP levels in first 2 days of admission and after the clinical and laboratory remission of disease were 444 ± 295.9 and 124 ± 109.5 pg/ml, respectively (p < 0.001). Increased serum BNP levels were positively correlated with severity of the disease (p < 0.001). We could not find a difference between serum BNPe levels of edematous and necrotizing patients (P = 0.683). Conclusion Increased serum BNP levels might be a plausible indicator of severity of AP during the course of the disease.
ISSN:0953-6205
1879-0828
DOI:10.1016/j.ejim.2012.02.012