Analysis of variables predictive of severity in biliary peritonitis


COD: 05_2012_445-450 Categorie: ,

Raimondo Gabriele, Antonio Bolognese, Giorgio De Toma, Luca Impara, Marco Conte*, Pierfrancesco Di Cello, Anna Rita Forcione, Paolo Izzo, Virgilio Nicolanti, Federico Pugliese, Luciano Izzo

Ann. Ital. Chir., 2012 83: 445-449

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OBJECTIVE: To analyze clinical and laboratory findings in order to find variables predictive of severity of Biliary Peritonitis (BP). METHODS: Physical findings, course of illness, imaging and laboratory data were evaluated in 22 patients with BP, and statistically analysed to assess their prognostic significance.
RESULTS: Serious illness and worse outcome were associated with: age > 60 years (P= 0.034), long time between onset of symptoms and treatment (P= 0.025), fever > 38°C (P= 0.009), WBC count > 17.000 cell/mm3 (P=0.043), diffuse abdominal pain (P= 0.034), and infected bile (P= 0.048).
CONCLUSIONS: Most patients become severely ill due to supervening infection, while early bile drainage avoids serious complications. In addition, abdominal pain, fever and WBC count are also predictive of severity of BP