OBJECTIVE: To analyze clinical and laboratory findings in order to find variables predictive of severity of Biliary Peritonitis (BP). METHODS: Physical findings, course of illness, imaging and laboratory data were evaluated in 22 patients with BP? and statistically analysed to assess their prognostic significance. RESULTS: Serious illness and worse outcome were associated with: age > 60 years (P= 0.034), long time between onset of symptoms and treatment (P= 0.025), fever > 38 degrees C (P= 0.009), WBC count > 17.000 cell/mm(3) (P=0.043), diffuse abdominal pain (P= 0.034), and infected bile (P= 0.048). CONCLUSIONS: Most patients become severely ill due to supervening infection, while early bile drainage avoids serious complications. In addition, abdominal pain, fever and WBC count are also predictive of severity of BP.

Analysis of variables predictive of severity in biliary peritonitis / Gabriele, Raimondo; Bolognese, Antonio; DE TOMA, Giorgio; Luca, Impara; M., Conte; P., Di Cello; Forcione, Annarita; Izzo, Paolo; Nicolanti, Virgilio; Pugliese, Federico; Izzo, Luciano. - In: ANNALI ITALIANI DI CHIRURGIA. - ISSN 0003-469X. - STAMPA. - 83:5(2012), pp. 445-449.

Analysis of variables predictive of severity in biliary peritonitis

GABRIELE, Raimondo;BOLOGNESE, Antonio;DE TOMA, Giorgio;FORCIONE, Annarita;IZZO, PAOLO;NICOLANTI, Virgilio;PUGLIESE, FEDERICO;IZZO, Luciano
2012

Abstract

OBJECTIVE: To analyze clinical and laboratory findings in order to find variables predictive of severity of Biliary Peritonitis (BP). METHODS: Physical findings, course of illness, imaging and laboratory data were evaluated in 22 patients with BP? and statistically analysed to assess their prognostic significance. RESULTS: Serious illness and worse outcome were associated with: age > 60 years (P= 0.034), long time between onset of symptoms and treatment (P= 0.025), fever > 38 degrees C (P= 0.009), WBC count > 17.000 cell/mm(3) (P=0.043), diffuse abdominal pain (P= 0.034), and infected bile (P= 0.048). CONCLUSIONS: Most patients become severely ill due to supervening infection, while early bile drainage avoids serious complications. In addition, abdominal pain, fever and WBC count are also predictive of severity of BP.
bile drainage; severity prognosis; biliary peritonitis; infected bile; abdominal pain
01 Pubblicazione su rivista::01a Articolo in rivista
Analysis of variables predictive of severity in biliary peritonitis / Gabriele, Raimondo; Bolognese, Antonio; DE TOMA, Giorgio; Luca, Impara; M., Conte; P., Di Cello; Forcione, Annarita; Izzo, Paolo; Nicolanti, Virgilio; Pugliese, Federico; Izzo, Luciano. - In: ANNALI ITALIANI DI CHIRURGIA. - ISSN 0003-469X. - STAMPA. - 83:5(2012), pp. 445-449.
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/492343
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 2
  • Scopus 5
  • ???jsp.display-item.citation.isi??? 2
social impact