Kocaeli Med J. 2020; 9(1): 124-130 | DOI: 10.5505/ktd.2020.14632

The Role Of Apache II, Ranson And Balthazar Scoring Systems On Morbitidy In Patients With Acute Biliary Pancreatitis

Abidin Tüzün¹, Erkan Dalbaþý², Mesut Gül^3
1Healty Science University Diyarbakýr Gazi Yaþargil Education And Research Hospital, General Surgeon Clinics
²Diyarbakýr Memorial Hospital,Deparment of General Surgeon
³Gaziantep Medikal Park Hospital, Deparment of General Surgeon

INTRODUCTION: The treatment of patients diagnosed with acute pancreatitis depends on the severity of the disease. The severity of acute pancreatitis is very important for predicting clinical complications and for identifying potential risk of death.

OBJECTÝVE:
We aimed to investigate the efficacy of APACHE II, Ranson and Balthazar scoring systems on morbidity estimation and their superiority to each other in order to determine the severity of pancreatitis in patients with acute biliary pancreatitis.

METHODS: We prospective investigated 131 consecutive patients with acute biliary pancreatitis between 2009 and 2011. APACHE II, Ranson and Balthazar severity scores were determined.
RESULTS: We observed totally 77 of the patients ( % 58.8 ) with complications, ýn turn, 51 of the patients ( %38.9 )were local and 68 ( % 51.9 ) had systemic complications. We determined patients with severe pancreatitis according of the APACHE II, Ranson and Balthazar scores respectively, 61 (%46.6), 77 (%58.8), göre 58 (%44.3).
DISCUSSION AND CONCLUSION: APACHE II, Ranson and Balthazar scoring systems were found to be effective in predicting morbidity of patients with acute biliary pancreatitis but Balthazar scoring system was found to be more effective in predicting morbidity and local complications, and APACHE II scoring system was more effective in predicting systemic complications than other scoring systems.

Keywords: Acute biliary pancreatitis, morbidity, severe pancreatitis, APACHE II, Ranson, Balthazar

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Akut Biliyer Pankreatit’li Hastalarda Apache II, Ranson Ve Balthazar Skorlama Sistemlerinin Morbidite Tahminindeki Rolü

Abidin Tüzün¹, Erkan Dalbaþý², Mesut Gül^3
1Saðlýk Bilimleri Üniversitesi Diyarbakýr Gazi Yaþargil Eðitim Ve Araþtýrma Hastanesi, Genel Gerrahi Kliniði
²Memorial Diyarbakýr Hastanesi, Genel Cerrahi Kliniði
³Medikal Park Gaziantep Hastanesi, Genel Cerrahi Kliniði

GÝRÝÞ ve AMAÇ: Akut pankreatit tanýsý alan hastalarýn tedavisinin planlanmasý hastalýðýn þiddetinin belirlenmesine baðlýdýr. Akut pankreatit þiddetinin belirlenmesi, klinik komplikasyonlarýn öngörülmesi ve potansiyel ölüm riskinin saptanmasý için çok önemlidir
Akut biliyer pankreatitli hastalarda pankreatit þiddetini belirlemek ve hastalarýn takiplerinde kullanýlmak üzere APACHE II, Ranson ve Balthazar skorlama sistemlerinin morbidite tahminindeki etkinliklerini ve varsa birbirlerine üstünlüklerini araþtýrmayý amaçladýk.

YÖNTEM ve GEREÇLER: 2009 - 2011 yýllarý arasýnda kliniðimize baþvuran 131 akut biliyer pankreatitli hasta prospektif araþtýrýldý. Hastalarýn APACHE II, Ranson ve Balthazar þiddet skorlarý belirlendi.
BULGULAR: Hastalarýn 51’inde (%38.9) lokal, 68’inde (%51.9) sistemik komplikasyon olmak üzere toplam 77 hastada (%58.8) morbidite geliþtiði gözlendi. APACHE II skoruna göre 61 (%46.6), Ranson skoruna göre 77 (%58.8), Balthazar skoruna göre 58 (%44.3) hastada þiddetli pankreatit saptandý.
TARTIÞMA ve SONUÇ: APACHE II, Ranson ve Balthazar skorlama sistemlerinin akut biliyer pankreatit hastalarýnýn morbidite tahmininde etkin olduðu ancak Balthazar skorlama sisteminin morbidite ve lokal komplikasyon tahmininde, APACHE II skorlama sisteminin ise sistemik komplikasyon tahmininde diðer skorlama sistemlerinden daha etkin olduðu saptandý.

Anahtar Kelimeler: Akut biliyer pankreatit, morbidite, þiddetli pankreatit, APACHE II, Ranson, Balthazar

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