Prognostic Analysis of Acute Pancreatitis with Fatty Liver

Abstract

Objective: To investigate the effects of fatty liver on the progression and prognosis of acute pancreatitis. METHODS: 538 patients with acute pancreatitis admitted to our department from January 2014 to September 2018 were enrolled, including 210 patients with fatty liver disease and 328 patients without fatty liver. The two groups were retrospectively analyzed to analyze the disease of the two groups. There were no differences in progression, morbidity, and average hospitalization days. Results: 1. The proportion of patients with severe pancreatitis in the fatty liver group was higher than that in the non-fatty liver group (P<0.01). 2. The incidence of complications in the fatty liver group was higher than that in the non-fatty liver group (P<0.01). The average hospitalization period of the fatty liver group was longer than that of the non-fatty liver group (P<0.01). There was no clear correlation between the severity of fatty liver and the severity of pancreatitis (P>0.05). Conclusion: The prognosis of patients with acute pancreatitis complicated with fatty liver is worse than that of patients with simple pancreatitis. The incidence of complications is increased and the hospitalization period is prolonged. Fatty liver is a high risk factor for the progression and prognosis of acute pancreatitis.