Creatine phosphokinase as a predictor of acute destructive cholecystitis

Yashnov A.A.; Lobanov S.L.; Konovalova O.G.; Burtseva M.A.

doi:https://doi.org/10.17116/hirurgia202206127

A.A. Yashnov

Chita State Medical Academy

S.L. Lobanov

Chita State Medical Academy

O.G. Konovalova

Chita State Medical Academy

M.A. Burtseva

Chita Clinical Hospital

Creatine phosphokinase as a predictor of acute destructive cholecystitis

Authors:

A.A. Yashnov, S.L. Lobanov, O.G. Konovalova, M.A. Burtseva

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Journal: Pirogov Russian Journal of Surgery. 2022;(6): 27‑31

DOI: 10.17116/hirurgia202206127

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To cite this article:

Yashnov AA, Lobanov SL, Konovalova OG, Burtseva MA. Creatine phosphokinase as a predictor of acute destructive cholecystitis. Pirogov Russian Journal of Surgery. 2022;(6):27‑31. (In Russ.)
https://doi.org/10.17116/hirurgia202206127

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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OBJECTIVE

To analyze creatine phosphokinase as a predictor of destructive cholecystitis.

MATERIAL AND METHODS

We analyzed 105 patients with various clinical variants of acute calculous cholecystitis (catarrhal, phlegmonous, gangrenous), and comparable age, gender and comorbidities. The study included patients with gallstone disease and gallbladder inflammation aged 30—7 years who underwent laparoscopic cholecystectomy, open cholecystectomy, cholecystectomy through mini-laparotomy. We excluded patients with gallstone disease complicated by mechanical jaundice aged under 30 years and over 70 years old. Control group consisted of 35 patients with exacerbation of chronic calculous cholecystitis. Creatinine phosphokinase (CPK) was analyzed at admission by standard kinetic colorimetric method in all patients with suspected acute cholecystitis. Statistical analysis of data was carried out using the SPSS Statistics 7.0 software in compliance with the principles of statistical analysis adopted for research in biology and medicine.

RESULTS

CPK level was 257.7±27.9 U/L (p<0.05) in patients with acute calculous cholecystitis that is 3.5 times higher than in the control group. We found an increase of concentration of this enzyme depending on severity of gallbladder wall destruction.

CONCLUSION

Analysis of serum creatine phosphokinase can be included in the algorithm of preoperative examination to study the prospects of this approach for predicting severity of acute cholecystitis.

Keywords:

prognosis

acute cholecystitis

destructive cholecystitis

gallstone disease

creatine phosphokinase

Authors:

A.A. Yashnov

Chita State Medical Academy

S.L. Lobanov

Chita State Medical Academy

O.G. Konovalova

Chita State Medical Academy

M.A. Burtseva

Chita Clinical Hospital

Received:

08.10.2021

Accepted:

11.11.2021

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References:

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