Hyponatremia Is a Specific Marker of Perforation in Sigmoid Diverticulitis or Appendicitis in Patients Older Than 50 Years
Introduction. This study aimed to evaluate symptoms and signs, inflammation markers, electrolytes, and ECG signs of increased vagal tone as markers of colon perforation in sigmoid diverticulitis or appendicitis. Methods. The records of all patients older than fifty years (only these had routine ECG...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/462891 |
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| author | S. A. Käser R. Furler D. C. Evequoz C. A. Maurer |
| author_facet | S. A. Käser R. Furler D. C. Evequoz C. A. Maurer |
| author_sort | S. A. Käser |
| collection | DOAJ |
| description | Introduction. This study aimed to evaluate symptoms and signs, inflammation markers, electrolytes, and ECG signs of increased vagal tone as markers of colon perforation in sigmoid diverticulitis or appendicitis. Methods. The records of all patients older than fifty years (only these had routine ECG done) admitted to our emergency station between January 2008 and December 2010 with sigmoid diverticulitis (, diagnosed by computer tomography) or appendicitis (, diagnosed intraoperatively) were retrospectively evaluated. Pain score, heart rate, blood pressure, and body temperature were assessed at presentation. Before starting infusion therapy, blood was taken to do a blood count and to analyze CRP, the electrolytes, and creatinine levels. Then an ECG was done. Results. The perforation rate was 37% (). Body temperature, heart rate, sodium, CRP, and leukocytes correlated significantly with infectious colon perforation. However, only body temperature, CRP, and sodium correlated significantly with infectious colon perforation if compared by logistic regression analysis. The prevalence of hyponatremia (sodium level mmol/L) was 29% in the group with infectious colon perforation and 16% in the group without (). Conclusion. Hyponatremia is a specific marker of infectious colon perforation in patients older than fifty years. |
| format | Article |
| id | doaj-art-f23ddac324fb4d41afd777d79329bf10 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
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| series | Gastroenterology Research and Practice |
| spelling | doaj-art-f23ddac324fb4d41afd777d79329bf102025-02-03T01:02:43ZengWileyGastroenterology Research and Practice1687-61211687-630X2013-01-01201310.1155/2013/462891462891Hyponatremia Is a Specific Marker of Perforation in Sigmoid Diverticulitis or Appendicitis in Patients Older Than 50 YearsS. A. Käser0R. Furler1D. C. Evequoz2C. A. Maurer3Department of General, Visceral, Vascular, and Thoracic Surgery, Hospital of Liestal of The University of Basel, Rheinstrasse 26, 4410 Liestal, SwitzerlandDepartment of General, Visceral and Trauma Surgery, Hospital Center of Oberwallis (SZO), Pflanzettastrasse 6, 3930 Visp, SwitzerlandDivision of Cardiology, Department of Internal Medicine, Hospital Center of Oberwallis (SZO), Pflanzettastrasse 6, 3930 Visp, SwitzerlandDepartment of General, Visceral, Vascular, and Thoracic Surgery, Hospital of Liestal of The University of Basel, Rheinstrasse 26, 4410 Liestal, SwitzerlandIntroduction. This study aimed to evaluate symptoms and signs, inflammation markers, electrolytes, and ECG signs of increased vagal tone as markers of colon perforation in sigmoid diverticulitis or appendicitis. Methods. The records of all patients older than fifty years (only these had routine ECG done) admitted to our emergency station between January 2008 and December 2010 with sigmoid diverticulitis (, diagnosed by computer tomography) or appendicitis (, diagnosed intraoperatively) were retrospectively evaluated. Pain score, heart rate, blood pressure, and body temperature were assessed at presentation. Before starting infusion therapy, blood was taken to do a blood count and to analyze CRP, the electrolytes, and creatinine levels. Then an ECG was done. Results. The perforation rate was 37% (). Body temperature, heart rate, sodium, CRP, and leukocytes correlated significantly with infectious colon perforation. However, only body temperature, CRP, and sodium correlated significantly with infectious colon perforation if compared by logistic regression analysis. The prevalence of hyponatremia (sodium level mmol/L) was 29% in the group with infectious colon perforation and 16% in the group without (). Conclusion. Hyponatremia is a specific marker of infectious colon perforation in patients older than fifty years.http://dx.doi.org/10.1155/2013/462891 |
| spellingShingle | S. A. Käser R. Furler D. C. Evequoz C. A. Maurer Hyponatremia Is a Specific Marker of Perforation in Sigmoid Diverticulitis or Appendicitis in Patients Older Than 50 Years Gastroenterology Research and Practice |
| title | Hyponatremia Is a Specific Marker of Perforation in Sigmoid Diverticulitis or Appendicitis in Patients Older Than 50 Years |
| title_full | Hyponatremia Is a Specific Marker of Perforation in Sigmoid Diverticulitis or Appendicitis in Patients Older Than 50 Years |
| title_fullStr | Hyponatremia Is a Specific Marker of Perforation in Sigmoid Diverticulitis or Appendicitis in Patients Older Than 50 Years |
| title_full_unstemmed | Hyponatremia Is a Specific Marker of Perforation in Sigmoid Diverticulitis or Appendicitis in Patients Older Than 50 Years |
| title_short | Hyponatremia Is a Specific Marker of Perforation in Sigmoid Diverticulitis or Appendicitis in Patients Older Than 50 Years |
| title_sort | hyponatremia is a specific marker of perforation in sigmoid diverticulitis or appendicitis in patients older than 50 years |
| url | http://dx.doi.org/10.1155/2013/462891 |
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