Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jun 27, 2024; 16(6): 1647-1659
Published online Jun 27, 2024. doi: 10.4240/wjgs.v16.i6.1647
Clinical study of neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio in hypertriglyceridemia-induced acute pancreatitis and acute biliary pancreatitis with persistent organ failure
Mu-Sen Xu, Jia-Le Xu, Xin Gao, Shao-Jian Mo, Jia-Yu Xing, Jia-Hang Liu, Yan-Zhang Tian, Xi-Feng Fu
Mu-Sen Xu, Jia-Le Xu, Shao-Jian Mo, Jia-Yu Xing, Jia-Hang Liu, Yan-Zhang Tian, Xi-Feng Fu, The Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan 030032, Shanxi Province, China
Xin Gao, Department of Environmental Health, School of Public Health, Shanxi Medical University, Taiyuan 030032, Shanxi Province, China
Author contributions: Xu MS and Mo SJ designed the study; Xu MS, Xu JL, and Gao X collected data; Xu JL and Gao X analyzed and interpreted the results; Xu MS and Mo SJ drafted and revised the manuscript; all authors have approved the final manuscript.
Supported by Shanxi Province “136” Revitalization Medical Project Construction Funds, No. 2019XY004.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Shanxi Bethune Hospital (approval No. YXLL-2023-237)
Informed consent statement: Informed consent was voluntarily signed by the patients when they received treatment, and the informed consent forms were stored in Hospital Information System.
Conflict-of-interest statement: The authors declare that they have no competing interests.
Data sharing statement: The data that support the findings of this study are available on request from the corresponding author, The data are not publicly available due to privacy or ethical restrictions.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xi-Feng Fu, MMed, Chief Physician, The Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, No. 88 Longcheng Street, Taiyuan 030032, Shanxi Province, China. fxfyisheng@163.com
Received: February 3, 2024
Revised: March 10, 2024
Accepted: May 14, 2024
Published online: June 27, 2024
Processing time: 147 Days and 17.9 Hours
Abstract
BACKGROUND

The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are novel inflammatory indicators that can be used to predict the severity and prognosis of various diseases. We categorize acute pancreatitis by etiology into acute biliary pancreatitis (ABP) and hypertriglyceridemia-induced acute pancreatitis (HTGP).

AIM

To investigate the clinical significance of NLR and PLR in assessing persistent organ failure (POF) in HTGP and ABP.

METHODS

A total of 1450 patients diagnosed with acute pancreatitis (AP) for the first time at Shanxi Bethune Hospital between January 2012 and January 2023 were enrolled. The patients were categorized into two groups according to the etiology of AP: ABP in 530 patients and HTGP in 241 patients. We collected and compared the clinical data of the patients, including NLR, PLR, and AP prognostic scoring systems, within 48 h of hospital admission.

RESULTS

The NLR (9.1 vs 6.9, P < 0.001) and PLR (203.1 vs 160.5, P < 0.001) were significantly higher in the ABP group than in the HTGP group. In the HTGP group, both NLR and PLR were significantly increased in patients with severe AP and those with a SOFA score ≥ 3. Likewise, in the ABP group, NLR and PLR were significantly elevated in patients with severe AP, modified computed tomography severity index score ≥ 4, Japanese Severity Score ≥ 3, and modified Marshall score ≥ 2. Moreover, NLR and PLR showed predictive value for the development of POF in both the ABP and HTGP groups.

CONCLUSION

NLR and PLR vary between ABP and HTGP, are strongly associated with AP prognostic scoring systems, and have predictive potential for the occurrence of POF in both ABP and HTGP.

Keywords: Acute pancreatitis, Gallstone, Hypertriglyceridemia, Neutrophil-to-lymphocyte ratio, Platelet-to-lymphocyte ratio, Persistent organ failure

Core Tip: The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are novel inflammatory indicators that can effectively predict disease severity and prognosis. In this study, starting from the two common causes of acute pancreatitis (AP), the difference between the NLR and PLR in hypertriglyceridemia-induced acute pancreatitis (HTGP) and acute biliary pancreatitis (ABP) was explored retrospectively, and the predictive value of the NLR and PLR for persistent organ failure in HTGP and ABP were determined. To help clinicians maintain a high degree of vigilance in the early stages of AP, timely treatment interventions are needed to reduce the mortality of AP.