Original Article

Similarities and Differences Between Gerontal and Young Patients with Acute Pancreatitis: Evaluation of Clinical Characteristics and Outcomes

Volume 33 · Issue 10 Publish Date: October 15, 2022
Emra Asfuroğlu Kalkan Çağdaş Kalkan Sabite Kaçar Sezgin Barutçu Mahmut Yüksel Özge Güçbey Türker Burak Göre Tolga Canlı Umut Asfuroğlu Berrak Barutçu Asfuroğlu Mevlüt Hamamcı Vedat Kılıç Tankut Köseoğlu Ersan Özaslan Bülent Ödemiş Mesut Kılıç İlhami Yüksel Osman Ersoy Emin Altıparmak İhsan Ateş İrfan Soykan
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Turkish Journal of Gastroenterology

Volume 33 · Issue 10

Pages: 874-884

History

Published Online: October 15, 2022

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright © 2022 Emra Asfuroğlu Kalkan, Çağdaş Kalkan, Sabite Kaçar, Sezgin Barutçu, Mahmut Yüksel, Özge Güçbey Türker, Burak Göre, Tolga Canlı, Umut Asfuroğlu, Berrak Barutçu Asfuroğlu, Mevlüt Hamamcı, Vedat Kılıç, Tankut Köseoğlu, Ersan Özaslan, Bülent Ödemiş, Mesut Kılıç, İlhami Yüksel, Osman Ersoy, Emin Altıparmak, İhsan Ateş, İrfan Soykan

Emra Asfuroğlu Kalkan
Department of Internal Medicine, Ministry of Health, Ankara City Hospital, Ankara, Turkey
Çağdaş Kalkan
Department of Gastroenterology, Ankara University School of Medicine İbn-i Sina Hospital, Ankara, Turkey
Sabite Kaçar
Department of Gastroenterology, Ankara Yüksek İhtisas Research and Training Hospital, Ankara, Turkey
Sezgin Barutçu
Department of Gastroenterology, Adıyaman Training and Research Hospital, Adıyaman, Turkey
Mahmut Yüksel
Department of Gastroenterology, Türkiye Yüksek İhtisas University Hospital, Ankara, Turkey
Özge Güçbey Türker
Department of Internal Medicine, Ankara City Hospital, Ministry of Health, Ankara, Turkey
Burak Göre
Department of Internal Medicine, Ankara City Hospital, Ministry of Health, Ankara, Turkey
Tolga Canlı
Department of Internal Medicine, Ankara City Hospital, Ministry of Health, Ankara, Turkey
Umut Asfuroğlu
Department of Radiology, Ministry of Health, Abdulkadir Yüksel Hospital, Gaziantep, Turkey
Berrak Barutçu Asfuroğlu
Department of Radiology, Ministry of Health, Abdulkadir Yüksel Hospital, Gaziantep, Turkey
Mevlüt Hamamcı
Department of Gastroenterology, Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, Turkey
Vedat Kılıç
Department of Gastroenterology, Ankara City Hospital, Ministry of Health, Ankara, Turkey
Tankut Köseoğlu
The Departments of Gastroenterology Hacettepe University, Faculty of Pharmacy, Ankara
Ersan Özaslan
Ankara Numune Hospital Department of Gastroenterology Clinic, Ankara
Bülent Ödemiş
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Mesut Kılıç
Gastroenterology Clinic, Türkiye Yüksek İhtisas Hospital, Ankara
İlhami Yüksel
Departments of Gastroenterology, Etlik İhtisas Educational and Research Hospital, Ankara
Osman Ersoy
Department of Gastroenterology, Yıldırım Beyazıt University School of Medicine, Ankara, Turkey
Emin Altıparmak
Department of Gastroenterology, Ankara Numune Educational and Research Hospital, Ankara, Turkey
İhsan Ateş
Department of Internal Medicine, Ministry of Health, Ankara City Hospital, Ankara, Turkey
İrfan Soykan
Department of Gastroenterology, Ankara University School of Medicine İbn-i Sina Hospital, Ankara, Turkey
Asfuroğlu Kalkan, E., Kalkan, Çağdaş, Kaçar, S., Barutçu, S., Yüksel, M., Güçbey Türker, Özge, … Soykan, İrfan. (2022). Similarities and Differences Between Gerontal and Young Patients with Acute Pancreatitis: Evaluation of Clinical Characteristics and Outcomes. Turkish Journal of Gastroenterology, 33(10), 874–884. https://doi.org/10.5152/tjg.2022.22227
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Abstract

Background: Acute pancreatitis is an abrupt inflammatory disease of the exocrine pancreas and it can occur in different severities. It is becoming more common and more mortal in the gerontal population. The aim of our study was to explore the similarities and differences between young and gerontal patients with acute pancreatitis, with a special emphasis on patients over 80 years of age. Methods: Medical records of patients (n = 1150) with acute pancreatitis were analyzed retrospectively. Several scoring systems including Bedside index for severity in acute pancreatitis, Ranson’s score, Harmless acute pancreatitis score, Acute Physiology and Chronic Health Evaluation, Balthazar Grade, Glasgow score, and Japanese severity score were applied at admission. Patients were divided into 3 groups; group I, young group (n = 706), if they were aged <65 years; group II, older group (n = 338), if they were aged ≥65 years to <80 years; group III, octogenarian group (n = 106), if they were aged ≥ 0 years. Results: In total, 1150 patients with acute pancreatitis were analyzed. Octogenarian group (n = 42, 39.6%) showed a more severe acute pancreatitis compared to patients in group I (n = 15, 2.1%) and II (n = 50, 14.8%, P < .001). Complications were more common in patients in group III (P < .001). Mortality rate was higher in patients in group III (n = 53, 50%) compared to group I (n = 8, 1.1%) and group II (n = 53, 15.7%) (P < .001). Conclusion: Gerontal patients with acute pancreatitis tend to have more severe disease and systemic and local complications. Mortality rates were higher in older patients compared to younger patients. Cite this article as: Asfuroğlu Kalkan E, Kalkan Ç, Kaçar S, et al. Similarities and differences between gerontal and young patients with acute pancreatitis: Evaluation of clinical characteristics and outcomes. Turk J Gastroenterol. 2022;33(10):874-884.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 33 · Issue 10
Pages 874-884
DOI 10.5152/tjg.2022.22227
History
Published Online October 15, 2022
License
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright
Copyright (c) 2022 Emra Asfuroğlu Kalkan, Çağdaş Kalkan, Sabite Kaçar, Sezgin Barutçu, Mahmut Yüksel, Özge Güçbey Türker, Burak Göre, Tolga Canlı, Umut Asfuroğlu, Berrak Barutçu Asfuroğlu, Mevlüt Hamamcı, Vedat Kılıç, Tankut Köseoğlu, Ersan Özaslan, Bülent Ödemiş, Mesut Kılıç, İlhami Yüksel, Osman Ersoy, Emin Altıparmak, İhsan Ateş, İrfan Soykan
Affiliations
Emra Asfuroğlu Kalkan
Department of Internal Medicine, Ministry of Health, Ankara City Hospital, Ankara, Turkey
Çağdaş Kalkan
Department of Gastroenterology, Ankara University School of Medicine İbn-i Sina Hospital, Ankara, Turkey
Sabite Kaçar
Department of Gastroenterology, Ankara Yüksek İhtisas Research and Training Hospital, Ankara, Turkey
Sezgin Barutçu
Department of Gastroenterology, Adıyaman Training and Research Hospital, Adıyaman, Turkey
Mahmut Yüksel
Department of Gastroenterology, Türkiye Yüksek İhtisas University Hospital, Ankara, Turkey
Özge Güçbey Türker
Department of Internal Medicine, Ankara City Hospital, Ministry of Health, Ankara, Turkey
Burak Göre
Department of Internal Medicine, Ankara City Hospital, Ministry of Health, Ankara, Turkey
Tolga Canlı
Department of Internal Medicine, Ankara City Hospital, Ministry of Health, Ankara, Turkey
Umut Asfuroğlu
Department of Radiology, Ministry of Health, Abdulkadir Yüksel Hospital, Gaziantep, Turkey
Berrak Barutçu Asfuroğlu
Department of Radiology, Ministry of Health, Abdulkadir Yüksel Hospital, Gaziantep, Turkey
Mevlüt Hamamcı
Department of Gastroenterology, Dışkapı Yıldırım Beyazıt Education and Research Hospital, Ankara, Turkey
Vedat Kılıç
Department of Gastroenterology, Ankara City Hospital, Ministry of Health, Ankara, Turkey
Tankut Köseoğlu
The Departments of Gastroenterology Hacettepe University, Faculty of Pharmacy, Ankara
Ersan Özaslan
Ankara Numune Hospital Department of Gastroenterology Clinic, Ankara
Bülent Ödemiş
Department of Gastroenterology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
Mesut Kılıç
Gastroenterology Clinic, Türkiye Yüksek İhtisas Hospital, Ankara
İlhami Yüksel
Departments of Gastroenterology, Etlik İhtisas Educational and Research Hospital, Ankara
Osman Ersoy
Department of Gastroenterology, Yıldırım Beyazıt University School of Medicine, Ankara, Turkey
Emin Altıparmak
Department of Gastroenterology, Ankara Numune Educational and Research Hospital, Ankara, Turkey
İhsan Ateş
Department of Internal Medicine, Ministry of Health, Ankara City Hospital, Ankara, Turkey
İrfan Soykan
Department of Gastroenterology, Ankara University School of Medicine İbn-i Sina Hospital, Ankara, Turkey
Cite this Article
Asfuroğlu Kalkan, E., Kalkan, Çağdaş, Kaçar, S., Barutçu, S., Yüksel, M., Güçbey Türker, Özge, … Soykan, İrfan. (2022). Similarities and Differences Between Gerontal and Young Patients with Acute Pancreatitis: Evaluation of Clinical Characteristics and Outcomes. Turkish Journal of Gastroenterology, 33(10), 874–884. https://doi.org/10.5152/tjg.2022.22227
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