Metabolic syndrome and complicated cholecystitis in adult women

Síndrome Metabólico y colecistitis complicada en mujeres adultas

Published 2016-12-31


https://doi.org/10.30554/archmed.16.2.1734.2016
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Vol. 16 No. 2
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Artículos de Investigación
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Díaz-Rosales, J. de D., Alcocer-Moreno, J. A., & Enríquez-Domíguez, L. (2016). Metabolic syndrome and complicated cholecystitis in adult women. Archivos De Medicina , 16(2), 304-311. https://doi.org/10.30554/archmed.16.2.1734.2016
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https://doi.org/10.30554/archmed.16.2.1734.2016
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Díaz-Rosales, J. de D., Alcocer-Moreno, J. A., & Enríquez-Domíguez, L. (2016). Metabolic syndrome and complicated cholecystitis in adult women. Archivos De Medicina , 16(2), 304-311. https://doi.org/10.30554/archmed.16.2.1734.2016

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Juan de Dios Díaz-Rosales
Universidad Autónoma de Ciudad Juárez Hospital General de Zona No. 35 / Instituto Mexicano del Seguro Social
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http://orcid.org/0000-0002-7076-7544 ORCID
Juan Antonio Alcocer-Moreno
Instituto Mexicano del Seguro Social
Lenin Enríquez-Domíguez
Instituto Mexicano del Seguro Social
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Juan de Dios Díaz-Rosales,

General Surgeon. Surgery Service - Hospital General de Zona No. 35 / Instituto Mexicano del Seguro Social

Assistan Professor. Medical Sciences Department - Universidad Autónoma de Ciudad Juárez

Juan Antonio Alcocer-Moreno,

Cirujano General

Departamento de Cirugía - Hospital General Regional No. 66 / Instituto Mexicano del Seguro Social

Lenin Enríquez-Domíguez,

Cirujano General

Departamento de Cirugía - Hospital General de Zona No. 6 / Instituto Mexicano del Seguro Social 

Objective: observe the prevalence of metabolic syndrome in patients with cholecystitis and analyze the relation with its severity. Materials and Methods: cross-sectional study in female patients with acute cholecystitis. Divided into two groups: group I - patients with acute cholecystitis without any other complication and, group II - patients with acute cholecystitis with any complication as: mucocele, empyema, choledocolithiasis, cholangitis, biliary pancreatitis, necrosis and, perforation. Variables measured were: weight, body mass index, waist, blood pressure, blood glucose and lipids levels, type 2 diabetes, arterial hypertension, dyslipidemia, and metabolic syndrome. Results: of 204 patients studied, 80 (39,2%) patients were complicated. There were statistical differences between groups in waist (98,9 cm vs 103,4 cm; p=0,04), patients with risk tryglicerides level (≥150 mg/dL) (41,9% vs 75%; p=0,001), and presence of metabolic syndrome (46,8% vs 67,5%; p=0,004). However, when adjusted logistic regression were realized, just risk tryglicerides level (≥150 mg/dL) were found as real risk factor (OR 4,058, IC 95% 1,870-8,807; p=0,000) for complicated cholecystitis group. Conclusion: neither metabolic syndrome nor waist circumference appear as risk factors for complicated cholecystitis, however, if the patients present tryglicerides level ≥150 mg/dL, the risk for complication increases significantly.

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