Page 91 - Magyar Gasztroenterológiai Társaság 2020. november 6–7. – ONLINE KONGRESSZUS

Előadáskivonatok / Abstracts

pancreatitis. Therefore, patients presenting with acute Conclusion: Newly developing pseudocysts in acute
pancreatitis and a preexisting pseudocyst need close follow- pancreatitis are associated with a more severe disease
up as they are at high risk of developing chronic pancreatitis. course, and when new pseudocysts can be detected much
earlier than current knowledge would suggest.
149. NEWLY DEVELOPING PSEUDOCYSTS IN ACUTE
PANCREATITIS ARE ASSOCIATED WITH THE SEVERITY 150. THE ASSOCIATION BETWEEN BODY MASS INDEX
OF ACUTE PANCREATITIS AND APPEAR EARLIER AND GASTROINTESTINAL BLEEDING - ANALYSIS OF
THAN PREVIOUSLY THOUGHT - ANALYSIS OF A 100 GASTROINTESTINAL BLEEDING CASES FROM A
PROSPECTIVE COHORT PROSPECTIVE COHORT
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Vörhendi N. , Tinusz B. , Gede N. , Vincze A. , Takács T. , Vörhendi N. , Berki D. , Csontos A. , Frim L. , Vincze A. ,
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Czakó L. , Izbéki F. , Gajdán L. , Dunás-Varga V. , Hamvas Szabó I. , Hegyi P. , Hágendorn R. , Erőss B.
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J. , Papp M. , Fehér K. , Mickevicius A. , Török I. , Ocskay 1. Institute for Translational Medicine, Medical School,
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K. , Juhász F. , Váncsa S. , Faluhelyi N. , Farkas O. , University of Pécs, Pécs, Hungary; 2. Division of
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Miseta A. , Vereczkei A. , Mikó A. , Hegyi P. , Szentesi Gastroenterology, First Department of Medicine, Medical
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A. 1,3,15 , Párniczky A. , Erőss B. , Hegyi P. 1,3,15 , Varga M. School, University of Pécs, Pécs, Hungary
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1. Institute for Translational Medicine, Medical School,
University of Pécs, Pécs, Hungary; 2. Division of Introduction: There is a lack of studies describing the
Gastroenterology, First Department of Medicine, Medical association between anthropometric data (body weight, body
School, University of Pécs, Pécs, Hungary; 3. First height, body mass index (BMI)) and gastrointestinal bleeding
Department of Medicine, University of Szeged, Szeged, (GIB).
Hungary; 4. Szent György University Teaching Hospital of Aims: We aimed to provide a descriptive analysis of body
Fejér County, Székesfehérvár, Hungary; 5. Peterfy Hospital, weight and BMI in patients with GIB.
Budapest, Hungary; 6. Department of Internal Medicine, Methods: From 2019 October to 2020 February, 100
Division of Gastroenterology, University of Debrecen, patients consented to participate in the Hungarian
Debrecen, Hungary; 7. County Emergency Clinical Hospital Gastrointestinal Bleeding Registry. Data on body weight and
- Gastroenterology and University of Medicine, Pharmacy, height were extracted, and BMI was calculated for all
Sciences and Technology, Targu Mures, Romania; 8. Vilnius participants. Mean BMIs with standard deviation were
University Hospital Santaros Clinics, Vilnius, Lithuania calculated for all participants, genders, and etiologies. The
Clinics of Abdominal Surgery, Nephrourology and distribution of bodyweight categories was assessed for all
Gastroenterology, Faculty of Medicine, Vilnius University, patients according to the internationally defined BMI
Vilnius, Lithuania; 9. Heim Pál National Institute of Pediatrics; categories.
10. Department of Radiology, Medical School, University of Results: Of the 100 patients, 97 had height and weight
Pécs, Pécs, Hungary; 11. Department of Laboratory measurements. The mean BMI was 27.2±5.7 kg/m2. The
Medicine, Medical School, University of Pécs, Pécs, male and female ratio was 55:45. The mean BMI was
Hungary; 12. Department of Surgery, Medical School, 27.5±5,2 kg/m2 among the males, 26.8±6,3 kg/m2 among
University of Pécs, Pécs, Hungary; 13. First Department of the females. In the underweight (<18.5 kg/m2 ) group were 3
Medicine, Medical School, University of Pécs, Pécs, patients. 32 participants had normal weight (18.5-24.9
Hungary; 14. Dr. Réthy Pál Hospital, Békéscsaba, Hungary; kg/m2), 35 patients were overweight (25-29.9 kg/m2 ). 27
15. Division of Translational Medicine, First Department of patients had obesity, 18, 5, 4 in class I, II, III, respectively. In
Medicine, Medical School, University of Pécs, Pécs, Hungary the group of variceal bleeding, non-variceal upper GI, lower
GI bleeding, iatrogenic bleeding and unknown source of
Introduction: Pseudocysts are the most common late local bleeding the mean BMI and the standard deviation were
complications of acute pancreatitis (AP) occurring at least 26.5±5, 25.9±4.3, 27.5±5.1, 30.2±7.9, 29.3±8.2, respectively.
four weeks after the onset of the disease. Conclusion: Here, we demonstrated that accurate data is
Aims: We aimed to analyze the risk factors and outcomes of collected in our registry. At present, results do not suggest
newly developing pseudocysts in AP. any significant differences. In future analyses, we will use
Methods: Data were extracted from the prospective Acute these data to determine the role of BMI as a risk factor for the
Pancreatitis Registry of the Hungarian Pancreatic Study outcomes of GI bleeding.
Group. The cases were divided into two groups: patients with
newly developing pseudocysts and no pseudocyst. Data on 151. ACCURACY OF THE HELICOBACTER PYLORI
the role of etiology, the rate of severity, the on admission, and DIAGNOSTIC TESTS IN PATIENTS WITH PEPTIC ULCER
maximum inflammatory markers, the rate of necrosis, the BLEEDING- THE RESULTS OF A NETWORK META-
time of development of pseudocysts were analyzed. Case ANALYSIS
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numbers, percentages, medians with standard deviation Vörhendi N. , Soós A. , Hegyi P. , Tinusz B. , Engh M. ,
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were calculated. Sarlós P. , Szakács Z. , Pécsi D. , Mikó A. , Erőss B.
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Results: Out of the 1270 cases, there were 51 newly 1. Institute for Translational Medicine, Medical School,
developing pseudocysts (NEW-P) and 1161 cases without University of Pécs, Pécs, Hungary; 2. Division of
pseudocyst (NO-P). Biliary was the most common etiology in Gastroenterology, First Department of Medicine, Medical
NEW-P 14/51(27.45%). In comparison with NO-P, NEW-P School, University of Pécs, Pécs, Hungary
cases were more severe (65.46%vs.7.48% mild disease
course). NEW-P cases were associated with higher levels of Introduction: Peptic ulcer is the most frequent source of
on admission levels of C-reactive protein (CRP) and white gastrointestinal bleeding, and Helicobacter pylori is its main
blood cell count (WBC) (51.1±73.9vs.75.3±96.9 mg/l; etiologic factor. Some studies suggest the accuracy of the
13.2±5.8vss.14.7±4.7 G/l, respectively) higher levels of diagnostic tests is decreased in peptic ulcer bleeding. The
maximum CRP and WBC (143.0±119.0 vs. 232.0±117.0 international guidelines are very vague on the method of
mg/l; 14.6±6.7 vs. 16.1±6.7 G/l, respectively), and more testing in the setting of acute peptic ulcer bleeding.
pancreatic necrosis (8%vs.45%). The mean first detection of Aims: We aimed to update the most recent meta‐analysis,
newly developing pseudocysts was on day 13.4±8.1days. which included studies until 2006 and to asses the accuracy
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Central European Journal of Gastroenterology and Hepatology 89
Volume 6, Supplementum 2 / November 2020