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Mean platelet volume in patients with acute pancreatitis

Year 2011, Volume: 2 Issue: 4, 362 - 365, 01.12.2011
https://doi.org/10.5799/ahinjs.01.2011.04.0072

Abstract

Objectives: Platelet contributed tissue damage and inflammations have been of increased interest. It was previously suggested that platelets have an important role in patients with acute pancreatitis (AP). We aimed to assess the mean platelet volume (MPV) which is described as an indicator of platelet activation and platelet count in patients with AP. Materials and methods: The study group consisted of 30 patients with AP and 30 control subjects who were matched for age, gender, body mass index (BMI). MPV values and platelet counts were measured on admission. Results: Mean platelet volume was significantly higher among patients with AP when compared with control group (8.82&plusmn;1.33 vs. 7.94&plusmn;0.54 fL respectively; p < 0.01). Platelet count was significantly lower among AP patients when compared with control group (223.0&plusmn;46.2 vs. 295.3&plusmn;58.9 &times;109/L respectively; p < 0.001). The level of CRP was significantly higher in patients with AP compared with control group. Platelet and MPV were correlated with serum CRP levels in correlation analysis (p

References

  • Cuthbertson CM, Christophi C. Disturbances of the microcirculation in acute pancreatitis. Br J Surg 2006;93(5):518-30.
  • Uhlmann D, Ludwig J, Geissler F, Tannapfel A, Hauss J, Witzzigmann H. Importance of microcirculatory dis- turbances in the pathogenesis of pancreatitis. Zentral- bl Chir 2001;126(11):873-8.
  • Zhang XP, Chen L, Hu QF, et al. Effects of large dose of dexamethasone on inflammatory mediators and pan- creatic cell apoptosis of rats with severe acute pan- creatitis. World J Gastroenterol 2007;13(41):5506-11.
  • A. Abdulla, D. Awla, H. Hartman, M. Rahman, B. Jepps- son, S. Regner and H. Thorlacius. Role of platelets in experimental acute pancreatitis. British Journal of Surgery 2011;98(1):93-103.
  • Mimidis K, Papadopoulos V, Kotsianidis J, et al. Altera- tions of platelet function, number and indexes during acute pancreatitis. Pancreatology 2004;4(1):22-7.
  • Park Y, Schoene N, Haris W. Mean platelet volume as an indicator of platelet activation: Methodological is- sues. Platelets 2002;13(5-6):301-6.
  • Boos CJ, Lip GY. Assesment of mean platelet volume in coronary artery disease-What does it mean? Thromb Res 2007;120(1):11-3.
  • Ranjith MP, Divya R, Mehta VK, Krishnan MG, Kama- lRaj R, Kavishwar A. Significance of platelet volume indices and platelet count in ischaemic heart disease. J Clin Pathol 2009;62(9):830-3.
  • Kakafika A, Papadopoulos V, Mimidis K, Mikhailidis DP. Coagulation, platelets, and acute pancreatitis. Pan- creas 2007;34(1):15-20.
  • Maeda K, Hirota M, Ichihara A, Ohmuraya M, Hashim- oto D, Sugita H, Takamori H, Kanemitsu K, Baba H. Applicability of disseminated intravascular coagula- tion parameters in the assessment of the severity of acute pancreatitis. Pancreas 2006;32(1):87-92.
  • Uhlmann D, Lauer H, Serr F, Witzigmann H. Micro- vasc Res. Pathophysiological role of platelets and platelet system in acute pancreatitis. Microvasc Res 2008;76(2):114-23.
  • Weyrich AS, Elstad MR, McEver RP, et al. Activated platelets signal chemokine synthesis by human mono- cytes. J Clin Invest 1996 15;97(6):1525-34.
  • Bouchard BA, Tracy PB. Platelets, leukocytes, and coagulation. Curr Opin Hematol 2001;8(5):263-9.
  • Fujimura Y, Hirota M, Ichihara A, Takamori H, Baba H. Pancreas 2008;37(2):225-7.
  • Uhlmann D, Lauer H, Serr F, Witzigmann H. Pathophys- iological role of platelets and platelet system in acute pancreatitis. Microvasc Res 2008;76(2):114-23.
  • Abdulla A, Awla D, Hartman H, et al. Role of plate- lets in experimental acute pancreatitis. Br J Surg 2011;98(1):93-103
  • Vagdatli E, Gounari E, Lazaridou E, Katsibourlia E, Tsikopoulou F, Labrianou I. Platelet distribution width: a simple, practical and specific marker of activation of coagulation. Hippokratia 2010;14(1):28-32.
  • Makay B, Türkyilmaz Z, Unsal E. Mean platelet vol- ume in children with familial Mediterranean fever. Clin Rheumatol 2009;28(8):975-8.
  • Mayda-Domaç F, Misirli H, Yilmaz M. Prognostic role of mean platelet volume and platelet count in ischemic and hemorrhagic stroke. J Stroke Cerebrovasc Dis 2010;19(1):66-72.
  • Yazici S, Yazici M, Erer B, e al. The platelet indices in patients with rheumatoid arthritis: mean platelet volume reflects disease activity. Platelets 2010;21(2):122-5.
  • Mohan JS, Lip GY, Bareford D, Blann AD. Platelet P- selectin and platelet mass, volume and component in sickle cell disease: relationship to genotype. Thromb Res 2006;117(6):623-9.
  • Gasparyan AY. Platelets in inflammation and thrombo- sis. Inflamm Allergy Drug Targets 2010;9(5):319-21.
  • Francis RB Jr. Platelets, coagulation, and fibrinolysis in sickle cell disease: their possible role in vascular occlusion. Blood Coagul Fibrinolysis 1991;2(2):341- 53
  • Cay S, Biyikoglu F, Cihan G, Korkmaz S. Mean platelet volume in patients with cardiac syndrome X. J Thromb Thrombolysis 2005;20:175-78
  • Papachristtou GI, Whitcomb DC. ‘Inflammatory mark- ers of disease severity in acute pancreatitis’. Clin Lab Med 2005;25(1):17-37
  • Kisacik B, Tufan A, Kalyoncu U, et al. Mean platelet volume (MPV) as an inflammatory marker in ankylo- sing spondylitis and rheumatoid arthritis. Joint Bone Spine 2008;75(3):291-4.
  • Yüksel O, Helvaci K, Başar O, et al. An overlooked indicator of disease activity in ulcerative colitis: mean platelet volume. Platelets 2009;20(4):277-81.
  • Gasparyan AY, Ayvazyan L, Mikhailidis DP, Kitas GD. Mean platelet volume: a link between thrombosis and inflammation? Pancreatology 2005;5(2-3):132-44.
  • Stevens T, Parsi MA, Walsh RM. Acute pancreatitis: problems in adherence to guidelines. Cleve Clin J Med 2009;76(12):697-704.
  • Gür A, Nas K, Çevik R, Erdoğan F, Karakoç M. Com- parison of Arthritis of impact measurement scale (aims) and Health assessment Questionnaire (Haq) according to onset age of Rheumatoid arthritis. Dicle Tıp Dergisi 2000; 27(2):61-8
  • Dursun M, Yılmaz Ş, Canoruç F, Batum S, Kaplan A. Akut pankreatitli olgularımızın analizi. Dicle Tıp Dergi- si 2001; 28(2):19-27.

Mean platelet volume in patients with acute pancreatitis

Year 2011, Volume: 2 Issue: 4, 362 - 365, 01.12.2011
https://doi.org/10.5799/ahinjs.01.2011.04.0072

Abstract

Amaç: Trombosit ile ilgili doku hasarı ve inflamasyon son zamanlarda ilgi çeken bir konudur. Daha önce de belirtildiği üzere, akut pankreatitli (AP) hastalarda trombosit önemli rol oynamaktadır. Bizim amacımız, AP hastalarda trombosit aktivasyonu ve trombosit sayısının belirteci olarak bildirilen MPV\'yi araştırmaktır. Gereç ve yöntem: Çalışma grubu 30 AP hastası ve 30 kontrol hastasından ibaret olup yaş, cinsiyet ve BMI oranları eşleştirilmiştir. MPV değerleri ve trombosit sayıları ölçüldü. Bulgular: Akut pankreatit hastalarında MPV değerleri kontrol grubuyla karşılaştırıldığında ileri derecede yüksek bulunmuştur (8.82&plusmn;1.33 vs. 7.94&plusmn;0.54 fL sırayla; p < 0.01). Trombosit sayısı AP hastalarda kontrol grubuyla karşılaştırıldığında anlamlı olarak düşük bulunmuştur (223.0&plusmn;46.2 vs. 295.3&plusmn;58.9 &times;109/L sırayla; p < 0.001). C-reaktif protein seviyesi ise AP hastalarında kontrol grupla karşılaştırıldığında anlamlı olarak yüksekti. Korelasyon analizinde trombosit ve MPV değerleri serum CRP değerleriyle korele olduğu görüldü (p < 0.01; r = -0.364, r = 0.406 sırayla). AP hastalarında trombosit aktivasyonunu gösteren MPV değerinin yüksek olduğu tespit edilmiştir. Trombosit sayısı ise düşük bulunmuştur. İnflamasyon belirteci olarak bilinen CRP seviyesi ise MPV değeri ve trombosit sayıları ile koreledir. Sonuç: Sonuç olarak, AP hastalarında artmış MPV seviyesi AP\'nin teşhisi için bir markır olabilir.

References

  • Cuthbertson CM, Christophi C. Disturbances of the microcirculation in acute pancreatitis. Br J Surg 2006;93(5):518-30.
  • Uhlmann D, Ludwig J, Geissler F, Tannapfel A, Hauss J, Witzzigmann H. Importance of microcirculatory dis- turbances in the pathogenesis of pancreatitis. Zentral- bl Chir 2001;126(11):873-8.
  • Zhang XP, Chen L, Hu QF, et al. Effects of large dose of dexamethasone on inflammatory mediators and pan- creatic cell apoptosis of rats with severe acute pan- creatitis. World J Gastroenterol 2007;13(41):5506-11.
  • A. Abdulla, D. Awla, H. Hartman, M. Rahman, B. Jepps- son, S. Regner and H. Thorlacius. Role of platelets in experimental acute pancreatitis. British Journal of Surgery 2011;98(1):93-103.
  • Mimidis K, Papadopoulos V, Kotsianidis J, et al. Altera- tions of platelet function, number and indexes during acute pancreatitis. Pancreatology 2004;4(1):22-7.
  • Park Y, Schoene N, Haris W. Mean platelet volume as an indicator of platelet activation: Methodological is- sues. Platelets 2002;13(5-6):301-6.
  • Boos CJ, Lip GY. Assesment of mean platelet volume in coronary artery disease-What does it mean? Thromb Res 2007;120(1):11-3.
  • Ranjith MP, Divya R, Mehta VK, Krishnan MG, Kama- lRaj R, Kavishwar A. Significance of platelet volume indices and platelet count in ischaemic heart disease. J Clin Pathol 2009;62(9):830-3.
  • Kakafika A, Papadopoulos V, Mimidis K, Mikhailidis DP. Coagulation, platelets, and acute pancreatitis. Pan- creas 2007;34(1):15-20.
  • Maeda K, Hirota M, Ichihara A, Ohmuraya M, Hashim- oto D, Sugita H, Takamori H, Kanemitsu K, Baba H. Applicability of disseminated intravascular coagula- tion parameters in the assessment of the severity of acute pancreatitis. Pancreas 2006;32(1):87-92.
  • Uhlmann D, Lauer H, Serr F, Witzigmann H. Micro- vasc Res. Pathophysiological role of platelets and platelet system in acute pancreatitis. Microvasc Res 2008;76(2):114-23.
  • Weyrich AS, Elstad MR, McEver RP, et al. Activated platelets signal chemokine synthesis by human mono- cytes. J Clin Invest 1996 15;97(6):1525-34.
  • Bouchard BA, Tracy PB. Platelets, leukocytes, and coagulation. Curr Opin Hematol 2001;8(5):263-9.
  • Fujimura Y, Hirota M, Ichihara A, Takamori H, Baba H. Pancreas 2008;37(2):225-7.
  • Uhlmann D, Lauer H, Serr F, Witzigmann H. Pathophys- iological role of platelets and platelet system in acute pancreatitis. Microvasc Res 2008;76(2):114-23.
  • Abdulla A, Awla D, Hartman H, et al. Role of plate- lets in experimental acute pancreatitis. Br J Surg 2011;98(1):93-103
  • Vagdatli E, Gounari E, Lazaridou E, Katsibourlia E, Tsikopoulou F, Labrianou I. Platelet distribution width: a simple, practical and specific marker of activation of coagulation. Hippokratia 2010;14(1):28-32.
  • Makay B, Türkyilmaz Z, Unsal E. Mean platelet vol- ume in children with familial Mediterranean fever. Clin Rheumatol 2009;28(8):975-8.
  • Mayda-Domaç F, Misirli H, Yilmaz M. Prognostic role of mean platelet volume and platelet count in ischemic and hemorrhagic stroke. J Stroke Cerebrovasc Dis 2010;19(1):66-72.
  • Yazici S, Yazici M, Erer B, e al. The platelet indices in patients with rheumatoid arthritis: mean platelet volume reflects disease activity. Platelets 2010;21(2):122-5.
  • Mohan JS, Lip GY, Bareford D, Blann AD. Platelet P- selectin and platelet mass, volume and component in sickle cell disease: relationship to genotype. Thromb Res 2006;117(6):623-9.
  • Gasparyan AY. Platelets in inflammation and thrombo- sis. Inflamm Allergy Drug Targets 2010;9(5):319-21.
  • Francis RB Jr. Platelets, coagulation, and fibrinolysis in sickle cell disease: their possible role in vascular occlusion. Blood Coagul Fibrinolysis 1991;2(2):341- 53
  • Cay S, Biyikoglu F, Cihan G, Korkmaz S. Mean platelet volume in patients with cardiac syndrome X. J Thromb Thrombolysis 2005;20:175-78
  • Papachristtou GI, Whitcomb DC. ‘Inflammatory mark- ers of disease severity in acute pancreatitis’. Clin Lab Med 2005;25(1):17-37
  • Kisacik B, Tufan A, Kalyoncu U, et al. Mean platelet volume (MPV) as an inflammatory marker in ankylo- sing spondylitis and rheumatoid arthritis. Joint Bone Spine 2008;75(3):291-4.
  • Yüksel O, Helvaci K, Başar O, et al. An overlooked indicator of disease activity in ulcerative colitis: mean platelet volume. Platelets 2009;20(4):277-81.
  • Gasparyan AY, Ayvazyan L, Mikhailidis DP, Kitas GD. Mean platelet volume: a link between thrombosis and inflammation? Pancreatology 2005;5(2-3):132-44.
  • Stevens T, Parsi MA, Walsh RM. Acute pancreatitis: problems in adherence to guidelines. Cleve Clin J Med 2009;76(12):697-704.
  • Gür A, Nas K, Çevik R, Erdoğan F, Karakoç M. Com- parison of Arthritis of impact measurement scale (aims) and Health assessment Questionnaire (Haq) according to onset age of Rheumatoid arthritis. Dicle Tıp Dergisi 2000; 27(2):61-8
  • Dursun M, Yılmaz Ş, Canoruç F, Batum S, Kaplan A. Akut pankreatitli olgularımızın analizi. Dicle Tıp Dergi- si 2001; 28(2):19-27.
There are 31 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Nigar Yılmaz This is me

Orhan Veli Özkan This is me

Sadık Büyükbaş This is me

Yeşim Can This is me

O. Hasan Öztürk This is me

Akın Aydoğan This is me

Zafer Yönden This is me

Publication Date December 1, 2011
Published in Issue Year 2011 Volume: 2 Issue: 4

Cite

APA Yılmaz, N., Özkan, O. V., Büyükbaş, S., Can, Y., et al. (2011). Mean platelet volume in patients with acute pancreatitis. Journal of Clinical and Experimental Investigations, 2(4), 362-365. https://doi.org/10.5799/ahinjs.01.2011.04.0072
AMA Yılmaz N, Özkan OV, Büyükbaş S, Can Y, Öztürk OH, Aydoğan A, Yönden Z. Mean platelet volume in patients with acute pancreatitis. J Clin Exp Invest. December 2011;2(4):362-365. doi:10.5799/ahinjs.01.2011.04.0072
Chicago Yılmaz, Nigar, Orhan Veli Özkan, Sadık Büyükbaş, Yeşim Can, O. Hasan Öztürk, Akın Aydoğan, and Zafer Yönden. “Mean Platelet Volume in Patients With Acute Pancreatitis”. Journal of Clinical and Experimental Investigations 2, no. 4 (December 2011): 362-65. https://doi.org/10.5799/ahinjs.01.2011.04.0072.
EndNote Yılmaz N, Özkan OV, Büyükbaş S, Can Y, Öztürk OH, Aydoğan A, Yönden Z (December 1, 2011) Mean platelet volume in patients with acute pancreatitis. Journal of Clinical and Experimental Investigations 2 4 362–365.
IEEE N. Yılmaz, O. V. Özkan, S. Büyükbaş, Y. Can, O. H. Öztürk, A. Aydoğan, and Z. Yönden, “Mean platelet volume in patients with acute pancreatitis”, J Clin Exp Invest, vol. 2, no. 4, pp. 362–365, 2011, doi: 10.5799/ahinjs.01.2011.04.0072.
ISNAD Yılmaz, Nigar et al. “Mean Platelet Volume in Patients With Acute Pancreatitis”. Journal of Clinical and Experimental Investigations 2/4 (December 2011), 362-365. https://doi.org/10.5799/ahinjs.01.2011.04.0072.
JAMA Yılmaz N, Özkan OV, Büyükbaş S, Can Y, Öztürk OH, Aydoğan A, Yönden Z. Mean platelet volume in patients with acute pancreatitis. J Clin Exp Invest. 2011;2:362–365.
MLA Yılmaz, Nigar et al. “Mean Platelet Volume in Patients With Acute Pancreatitis”. Journal of Clinical and Experimental Investigations, vol. 2, no. 4, 2011, pp. 362-5, doi:10.5799/ahinjs.01.2011.04.0072.
Vancouver Yılmaz N, Özkan OV, Büyükbaş S, Can Y, Öztürk OH, Aydoğan A, Yönden Z. Mean platelet volume in patients with acute pancreatitis. J Clin Exp Invest. 2011;2(4):362-5.