Diagnostic utility of the neutrophil-lymphocyte ratio in patients with acute mesenteric ischemia: A retrospective cohort study [Akut mezenterik iskemili hastalarda nötrofil-lenfosit oranının tanısal yararı: Geriye dönük kohort çalışma]

BACKGROUND: Acute mesenteric ischemia (AMI) remains fatal in 50-70% of cases. AMI is recognized as a vascular emergency, requiring rapid and efficient clinical evaluation and treatment. In the present retrospective study, the possible utility of the neutrophillymphocyte ratio (NLR) in the early diagnosis of AMI was explored. The potential use of this ratio to distinguish AMI from non-vascular bowel necrosis (NVBN) was investigated. METHODS: A total of 58 AMI, 62 NVBN, and 62 control patients were enrolled between May 1, 2010 and April 30, 2015. Patients who underwent laparotomies and/or bowel resections to treat AMI were included, as were NVBN patients who underwent segmental bowel resection to treat incarcerated and strangulated hernias. Controls were patients who presented to the emergency room with non-specific abdominal pain. RESULTS: Mortality rate was 51.7% in the AMI and 4.8% in the NVBN groups. White blood cell (WBC) count, C-reactive protein (CRP) level, and red cell distribution width (RDW) were highest in the AMI group. NLR was higher in the AMI and NVBN groups than in the control group (p<0.001), though no difference in NLR was found between the AMI and NVBN groups. In addition, WBC count, CRP level, and NLR were higher in the NVBN group than in the controls (p<0.001). CONCLUSION: We suggest that preoperative NLR aids in the diagnosis of AMI, and can be used to distinguish this condition from NVBN. NLR should be calculated, in addition to clinical examination. © 2016 TJTES.

Yazar Tanrıkulu Y.
Tanrıkulu C.Ş.
Sabuncuoğlu M.Z.
Temiz A.
Köktürk F.
Yalçın B.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/5100
Tek Biçim Adres 10.5505/tjtes.2015.28235
Konu Başlıkları Acute mesenteric ischemia
Diagnosis
NLR
Serum markers
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
Dergi Adı Ulusal Travma ve Acil Cerrahi Dergisi
Dergi Cilt Bilgisi 22
Dergi Sayısı 4
Sayfalar 344 - 349
Yayın Yılı 2016
Eser Adı
[dc.title]
Diagnostic utility of the neutrophil-lymphocyte ratio in patients with acute mesenteric ischemia: A retrospective cohort study [Akut mezenterik iskemili hastalarda nötrofil-lenfosit oranının tanısal yararı: Geriye dönük kohort çalışma]
Yazar
[dc.contributor.author]
Tanrıkulu Y.
Yazar
[dc.contributor.author]
Tanrıkulu C.Ş.
Yazar
[dc.contributor.author]
Sabuncuoğlu M.Z.
Yazar
[dc.contributor.author]
Temiz A.
Yazar
[dc.contributor.author]
Köktürk F.
Yazar
[dc.contributor.author]
Yalçın B.
Yayın Yılı
[dc.date.issued]
2016
Yayıncı
[dc.publisher]
Turkish Association of Trauma and Emergency Surgery
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
BACKGROUND: Acute mesenteric ischemia (AMI) remains fatal in 50-70% of cases. AMI is recognized as a vascular emergency, requiring rapid and efficient clinical evaluation and treatment. In the present retrospective study, the possible utility of the neutrophillymphocyte ratio (NLR) in the early diagnosis of AMI was explored. The potential use of this ratio to distinguish AMI from non-vascular bowel necrosis (NVBN) was investigated. METHODS: A total of 58 AMI, 62 NVBN, and 62 control patients were enrolled between May 1, 2010 and April 30, 2015. Patients who underwent laparotomies and/or bowel resections to treat AMI were included, as were NVBN patients who underwent segmental bowel resection to treat incarcerated and strangulated hernias. Controls were patients who presented to the emergency room with non-specific abdominal pain. RESULTS: Mortality rate was 51.7% in the AMI and 4.8% in the NVBN groups. White blood cell (WBC) count, C-reactive protein (CRP) level, and red cell distribution width (RDW) were highest in the AMI group. NLR was higher in the AMI and NVBN groups than in the control group (p<0.001), though no difference in NLR was found between the AMI and NVBN groups. In addition, WBC count, CRP level, and NLR were higher in the NVBN group than in the controls (p<0.001). CONCLUSION: We suggest that preoperative NLR aids in the diagnosis of AMI, and can be used to distinguish this condition from NVBN. NLR should be calculated, in addition to clinical examination. © 2016 TJTES.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Acute mesenteric ischemia
Konu Başlıkları
[dc.subject]
Diagnosis
Konu Başlıkları
[dc.subject]
NLR
Konu Başlıkları
[dc.subject]
Serum markers
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
1306696X
İlk Sayfa Sayısı
[dc.identifier.startpage]
344
Son Sayfa Sayısı
[dc.identifier.endpage]
349
Dergi Adı
[dc.relation.journal]
Ulusal Travma ve Acil Cerrahi Dergisi
Dergi Sayısı
[dc.identifier.issue]
4
Dergi Cilt Bilgisi
[dc.identifier.volume]
22
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.5505/tjtes.2015.28235
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/5100
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
31
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
08 Nisan 2024 02:04
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Tıklayınız
groups patients diagnosis underwent distinguish control between higher emergency addition clinical C-reactive should calculated examination condition Mortality RESULTS abdominal protein suggest though controls CONCLUSION highest distribution preoperative difference non-specific BACKGROUND neutrophillymphocyte utility possible retrospective present
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