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Overweight is an additional prognostic factor in acute pancreatitis: a meta-analysis
Shi-qi Wang1, Shu-jun Li, Quan-xin Feng
1Xijing Hospital of Digestive Diseases, Fourth Military Medical University, Xian, Shaanxi Province, China.
Overweight individuals with acute pancreatitis (AP) face a higher risk of severe AP, local complications, and mortality. This study confirms obesity also worsens AP prognosis.
Area of Science:
- Gastroenterology
- Clinical Medicine
- Public Health
Background:
- Obesity is linked to poor outcomes in acute pancreatitis (AP).
- The impact of overweight on AP prognosis remains unclear.
- This study investigates the correlation between overweight and AP outcomes.
Purpose of the Study:
- To determine if overweight status is a prognostic factor in acute pancreatitis.
- To analyze the association between body mass index (BMI) and AP severity, complications, and mortality.
Main Methods:
- A meta-analysis of prospective clinical studies was conducted.
- Searched MEDLINE and PubMed for studies on AP, obesity, overweight, and BMI.
- Endpoints included severe AP, local complications, systemic complications, and mortality.
Main Results:
- Eight studies with 939 patients were analyzed.
- Overweight patients had increased rates of severe AP, local complications, and mortality.
- Obesity was confirmed as a factor for poor AP prognosis.
Conclusions:
- Overweight status is an independent prognostic factor for AP severity.
- Overweight is associated with increased local complications and mortality in AP.
- Findings highlight the importance of weight status in managing AP.
Related Concept Videos
Acute Pancreatitis II: Clinical Manifestations and Management
Chronic Pancreatitis I: Introduction
Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Acute Pancreatitis I: Introduction
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Acute Pancreatitis I: Introduction
Chronic Pancreatitis II: Pathophysiology

