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Cited by 296Pancreatitis Pathology and TreatmentGallbladder and Bile Duct DisordersSepsis Diagnosis and Treatment

Elevated Serum Triglycerides are Independently Associated With Persistent Organ Failure in Acute Pancreatitis

Nawaz, Haq, Koutroumpakis, Efstratios, Easler, Jeffrey, Slivka, Adam, Whitcomb, David C, Singh, Vijay P, Yadav, Dhiraj, Papachristou, Georgios I·2015·American Journal of Gastroenterology
DOI 10.1038/ajg.2015.261
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Abstract

OBJECTIVES: Hypertriglyceridemia (HTG) represents a major health problem with prevalence exceeding 30% in the U.S. The present study aims to assess the effect of elevated serum triglyceride (TG) levels on the severity of acute pancreatitis (AP). METHODS: Prospectively enrolled AP patients were categorized into normal, mild, moderate, and severe/very severe categories based on their TG levels and compared in respect to demographics, comorbidities, and clinical outcomes. Multivariate analysis determined whether elevated TG levels were independently associated with persistent organ failure. RESULTS: Two hundred and one out of 400 AP patients had serum TGs measured within 72 h of presentation, of which 115 had normal TG levels and 86 HTG (20 mild, 41 moderate, and 25 severe/very severe). Patients with HTG were of younger age (44 vs. 52 years), predominantly male (65% vs. 45%), obese (57% vs. 34%), diabetic (38% vs. 17%), and developed more frequently persistent organ failure (40% vs. 17%) compared with those with normal TGs (P<0.02). The rate of persistent organ failure increased proportionally with HTG severity grades (17% when normal TGs, 30% in mild, 39% in moderate, and 48% in severe/very severe HTG, Ptrend<0.001). On multivariate analysis controlling for age, gender, body mass index, diabetes, and alcohol etiology, moderate HTG (odds ratio (OR), 2.6; P=0.04) and severe/very severe HTG (OR, 4.9; P=0.009) were independently associated with persistent organ failure. CONCLUSIONS: Elevated serum TGs in AP patients are independently and proportionally correlated with persistent organ failure regardless of etiology. TG-mediated lipotoxicity may be an attractive target to design novel interventions for severe AP.

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  • Hypertriglyceridemia-induced acute pancreatitis is highly morbid, with in-hospital mortality up to 8%.

    “Hypertriglyceridemia-induced acute pancreatitis is a highly morbid condition that can lead to multiorgan failure, admission to an intensive care unit, and prolonged hospitalization, with an in-hospital mortality up to 8%. 15”

    From Olezarsen, Acute Pancreatitis, and Familial Chylomicronemia Syndrome (2024) · cites this paper as [15]

  • Patients with HTG-induced acute pancreatitis may have a more severe course, leading to longer median hospital stays, increased need for intensive care, a higher rate of pancreatic necrosis, more frequent persistent organ failure, and higher rates of mortality.

    “acute pancreatitis may have a more severe course, leading to longer median hospital stays, increased need for intensive care, a higher rate of pancreatic necrosis, more frequent persistent organ failure, and higher rates of mortality.9”

    From Familial chylomicronemia syndrome: Bringing to life dietary recommendations throughout the life span (2018) · cites this paper as [9]

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Authors
Nawaz, H., Koutroumpakis, E., Easler, J., Slivka, A., Whitcomb, D. C., Singh, V. P., Yadav, D., & Papachristou, G. I.
Affiliations
  • University of Pittsburgh Medical Center (US)
  • Mayo Clinic in Arizona (US)
  • VA Pittsburgh Healthcare System (US)
Corresponding author
Papachristou, Georgios I
ORCID
Venue
American Journal of Gastroenterology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2015-10
Volume
110
Issue
10
Pages
1497-1503
ISSN
0002-9270 (ISSN-L)
DOI
10.1038/ajg.2015.261
OpenAlex
W2165736533
Semantic Scholar
83ea41698f976f440bac3ce344db8266d6f3eabb
Cited by
296
References
41
Citations by year
2026: 30 · 2025: 47 · 2024: 24 · 2023: 37 · 2022: 29 · 2021: 25 · 2020: 27 · 2019: 30 · 2018: 20 · 2017: 17 · 2016: 10
FWCI
15.79
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (unspecified)
Locations
  • The American Journal of Gastroenterology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Pancreatitis Pathology and Treatment
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Gallbladder and Bile Duct Disorders
  • Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
Keywords
acute pancreatitis, hypertriglyceridemia, serum triglycerides, persistent organ failure, disease severity, lipotoxicity, clinical outcomes
MeSH terms
Acute Disease, Adult, Age Factors, Aged, Diabetes Mellitus, Female, Humans, Male, Middle Aged, Multiple Organ Failure, Obesity, Pancreatitis, Prospective Studies, Severity of Illness Index, Sex Factors, Triglycerides, United States, Hypertriglyceridemia, Cohort Studies, Comorbidity, Body Mass Index, Multivariate Analysis, Logistic Models, Pancreatitis, Alcoholic

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