Diagnostic utility of the neutrophil-to-lymphocyte ratio in patients with acute mesenteric ischemia: A retrospective cohort study

Tanrıkulu, Yusuf; Tanrıkulu, Ceren Şen; Sabuncuoğlu, Mehmet Zafer; Temiz, Ayetullah; Köktürk, Fürüzan; Yalcin, Boran

doi:10.5505/tjtes.2015.28235

Cited by 29 publications

(34 citation statements)

References 17 publications

(25 reference statements)

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“…In our study, small bowel ischemia was found in 42 patients (80.08%), colonic ischemia was found in 2 patients (3.8%) and both small bowel and colonic affection were present in 8 patients (15.4%), which match the results of Yusuf et al, 2016 where (72.4%) patients exhibited only small bowel involvement, but (27.6%) exhibited both small intestinal and colonic involvement [5].…”

Section: Discussionsupporting

confidence: 91%

“…Therefore, the need for a new diagnostic marker is essential as earlier diagnosis with a simple laboratory test would be a major breakthrough. An ideal biochemical marker for AMI should be specific, sensitive, released from the intestinal mucosa to detect ischemia at the earliest stage, noninvasive and measurable in the peripheral blood [5].…”

Section: Introductionmentioning

confidence: 99%

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Diagnostic Value of α-Glutathione S-transferase in Acute Mesenteric Ischemia

Elshoura¹,

Ibrahim²,

Hazzaa³

et al. 2018

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Background: Acute mesenteric ischemia (AMI) is a life-threatening problem, and the early clinical manifestations of it are non-specific. Despite the advances in laboratory & radiological diagnostic procedures, the mortality rate of AMI is still high. Aim: The purpose of the study to evaluate the ability of α-glutathione S-transferase (α-GST) to predict AMI in patients with abdominal pain. Methods: This prospective study was conducted in Tanta University Hospitals between November 2014 and December 2017. Nighty patients were included after clinical suspicious of AMI. Serum levels of α-GST were measured in the collected stored samples, and other biochemical markers were performed (e.g. LDH, PH, and WBC). AMI was confirmed by CT angiography or laparotomy. Patients without ischemic bowel were considered to be controls. Results: A total of 90 patients in the study, the ischemic group included 52 patients, and the non-ischemic group included 38 patients. Patients with intestinal ischemia had significant higher serum values of D-dimer, LDH and α-GST. Where α-GST diagnosed AMI by accuracy of 84.4%. Conclusion: Measurement of plasma α-GST is a simple, early, easy, and effective procedure making it a useful serum biomarker for early diagnosis of AMI.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Diagnostic Value of α-Glutathione S-transferase in Acute Mesenteric Ischemia

Elshoura¹,

Ibrahim²,

Hazzaa³

et al. 2018

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“…These variables, other than NLR, have been already reported to be candidate predictors of bowel ischemia in patients with HPVG [16,[22][23][24][25][26][27]. However, no previous reports have described an association between high NLR and bowel ischemia in HPVG patients, although some researchers have suggested that NLR might be useful for the identi cation of, and assessment of the severity of, acute mesenteric ischemia [28]. Therefore, further research regarding the predictive value of NLR in larger groups of patients should be conducted, because some institutions do not routinely measure other variables, such as CRP [29].…”

Section: Discussionmentioning

confidence: 99%

Clinical features of patients with hepatic portal venous gas

Fujii

Yamashita

Tanaka

et al. 2020

Preprint

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Background: Hepatic portal venous gas (HPVG) is a rare clinical condition that is caused by a variety of underlying diseases. However, the factors that would permit accurate identification of bowel ischemia, requiring surgery, in patients with HPVG have not been fully investigated.Methods: Thirty patients that had been diagnosed with HPVG using computed tomography between 2010 and 2019 were allocated to two groups on the basis of clinical and intraoperative findings: those with (Group 1; n = 12 [40%]) and without (Group 2; n = 18 [60%]) bowel ischemia. Eleven patients underwent emergency surgery, and bowel ischemia was identified in eight of these (73%). Four patients in Group 1 were diagnosed with bowel ischemia, but treated palliatively because of their general condition. We compared the characteristics and outcomes of Groups 1 and 2 and identified possible prognostic factors for bowel ischemia.Results: At admission, patients in Group 1 more commonly showed the peritoneal irritation sign, had lower base excess, higher lactate, and higher C-reactive protein, and more frequently had comorbid intestinal pneumatosis. Of the eight bowel ischemia surgery patients, four (50%) died, mainly because of anastomotic leak following bowel resection and primary anastomosis (3/4, 75%). All except one patient in Group 2, who presented with aspiration pneumonia, responded better to treatment.Conclusions: Earlier identification and grading of bowel ischemia according to the findings at admission should benefit patients with HPVG by reducing the incidence of unnecessary surgery and increasing the use of safer procedures, such as prophylactic stoma placement.

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“…Recently, popular inflammatory markers such as mean platelet volume (MPV), red blood cell distribution width (RDW) and neutrophil / lymphocyte ratio have been studied 5 . MPV and RDW markers have been studied in the literature in many diseases ranging from acute appendicitis to mesenteric ischemia, from coronary artery disease to pulmonary embolism and have been accepted as important markers [6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

The Effects Of Red Blood Cell Distribution Width and Mean Platelet Volume on Prognosis in Acute Lower Extremity Ischemia

Durmaz¹

2020

jamp

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Acute lower extremity ischemia is an emergent situation with high rates of morbidity and mortality. In our study, we plan to investigate the effects of easily accessible and prognostic inflammatory markers for the prevention of complications and mortality in this clinical presentation in which early diagnosis and good management have great importance. Patients who underwent embolectomy between January 2010 and May 2018 were included in the study. The patients were divided into two groups with and without amputation. The patient's demographic, clinical features, diagnosis and treatment methods were recorded. In addition, RDW, MPV values and ABI indices in the time of admission to the hospital were recorded and compared statistically. A total of 198 patients were included in the study. 156 (78.78%) of patients had no amputation and 42 patients (21.22%) had amputation in the study. RDW values of patients with amputation were found to be 15.72 ± 3.12, and RDW values of patients without amputation were found to be 14.81 ± 2.33 (p = 0.04). When the MPV values of the patients who underwent amputation were examined, 9.74 ± 1.2 was observed and 10.15 ± 1.23 were found in patients without amputation (p = 0.04). The preoperative ankle-brachial indexes of the patients in both groups were 0.51 ± 0.17 and 0.61 ± 0.12, respectively. RDW and MPV are important inflammatory markers in predicting prognosis in acute lower extremity ischemia.

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Diagnostic utility of the neutrophil-to-lymphocyte ratio in patients with acute mesenteric ischemia: A retrospective cohort study

Cited by 29 publications

References 17 publications

Diagnostic Value of α-Glutathione S-transferase in Acute Mesenteric Ischemia

Diagnostic Value of α-Glutathione S-transferase in Acute Mesenteric Ischemia

Clinical features of patients with hepatic portal venous gas

The Effects Of Red Blood Cell Distribution Width and Mean Platelet Volume on Prognosis in Acute Lower Extremity Ischemia

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