Abstract:

Acute pancreatitis (AP) is an auto-digestive, inflammatory disease of the pancreas, and a quarter of patients can be affected with acute pancreatitis (RAP) attacks. The aim of our study is to examine whether the association of non-alcoholic fatty liver disease (NAYKH) in patients with RAP is different from in patients with AP. Instruments and Methods: Patients placed in the gastroenterology clinic with AP in 2014-2017 were scaned retrospectively. According to Atlanta criteria, a total of 428 patients diagnosed with AP and non-alcoholic AP etiology were included in the study. 40 patients who suffered more than one attack were identified as RAP. Patient groups of age, hemoglobin, platelet, AST, ALT, ALP, GGT, total bilirubin, direct bilirubin, calcium, TG measurements; scraper operation, number of ERCP processes, liver USG and pancreas USG reports were statistically compared. Results: Grade I, II and III fertilization rates in patients with AP were respectively 8%, 10.8% and 14.6% and 66.6% of patients with steatosis were not detected. In patients with RAP, grade I, II and III fertilization rates were 5%, 12.5% and 10%, respectively, and 72.5% of patients with steatosis were not diagnosed. When compared AP and RAP groups, there was no statistically significant difference in hepatobilier USG in terms of liver fertilization (p = 0.761). In our patients, the RAP rate was 9.34%. In the biochemical parameters evaluated between the two patients groups, only TG values were significantly higher in the RAP group (p = 0,002). In addition, patients with ERCP in the RAP group were significantly high (p = 0,003). The result: in patients with RAP, the frequency of NAYKH was identified similar to in patients with AP. New studies will be needed in this field to clarify the role of NAYKH in the ethology of AP recurrences.

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