The impact of obesity on the course and outcome of acute pancreatitis

Abu Hilal, Mohammed and Armstrong, Thomas (2008) The impact of obesity on the course and outcome of acute pancreatitis Obesity Surgery, 18, (3), pp. 326-328. (doi:10.1007/s11695-007-9298-5). (PMID:18202895).


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Obesity has reached epidemic proportions in many countries and is an established risk factor in many chronic illnesses, but its role in acute illness is less clear. Pancreatologists have long recognized obesity as a risk factor for a poor outcome in severe acute pancreatitis. There are now several studies that have identified obesity as a primary risk factor for developing local complications (abscess, pseudocyst, necrosis), organ failure, and death. Indeed, meta-analysis of these studies gives a relative risk of 4.3 for local complications, 2.0 for systemic complications, and 2.1 for death. This has led to proposed modifications of acute pancreatitis scoring systems to include obesity as an independent primary predictive factor of severe disease. Obesity is associated with a low-grade inflammatory state, which may predispose obese patients to such complications. Furthermore, visceral obesity and visceral adipose tissue may be particularly important in underlying the pathophysiology of these observations.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1007/s11695-007-9298-5
ISSNs: 0960-8923 (print)
Keywords: severe acute pancreatitis, obesity as a risk factor, complications

ePrint ID: 172247
Date :
Date Event
March 2008Published
Date Deposited: 25 Jan 2011 09:40
Last Modified: 18 Apr 2017 03:24
Further Information:Google Scholar

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