アルコール誘発性壊死性膵炎:集中治療室入室予測因子としての血清リン酸値に関する後向き研究
Usamah Al-Anbagi1, Abdulrahman Saad2, Abdelkarim H Mohamed1
1Internal Medicine, Hamad Medical Corporation, Doha, QAT.
Background:
Alcohol-induced acute pancreatitis remains a major cause of hospitalization globally. While most cases resolve without complication, a subset progresses to necrotizing pancreatitis requiring intensive care. Identifying early biochemical predictors of severe disease can improve triage and management.
Methods:
We conducted a retrospective observational study at Hazm Mebaireek General Hospital, Qatar, including adult male patients diagnosed with alcohol-induced necrotizing pancreatitis between May 2020 and May 2025. Data were extracted from electronic medical records, including demographic, clinical, biochemical, and radiologic variables. The association between hypophosphatemia (serum phosphate <0.8 mmol/L) and intensive care unit (ICU) admission was explored descriptively.
Results:
Fifteen patients were included (mean age: 38 years). Hypophosphatemia occurred in 60% of cases and was strongly associated with ICU admission (eight of nine ICU patients, 89%). Common complications included pleural effusion (40%), splenic vein thrombosis (20%), and acute kidney injury (13%). Patients with hypophosphatemia exhibited higher BISAP scores, prolonged hospitalization, and greater morbidity.
Conclusion:
Hypophosphatemia is a frequent finding in alcohol-induced necrotizing pancreatitis and may serve as a simple, inexpensive early marker of disease severity. Routine phosphate measurement upon admission may help identify patients at risk for deterioration and guide timely intervention.
関連する概念動画
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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.
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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.
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Assessment:
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