231226

Serum Endocan Levels In Patients with Spontaneous Bacterial Peritonitis

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Last updated: 04 Jan 2025

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Abstract

Background: Spontaneous bacterial peritonitis (SBP) is a common severe complication in patients with liver cirrhosis. Endocan is a proteoglycan (PG) secreted by vascular endothelium,its serum level is elevated with an inflammatory or a malignant process. Aim: The aim of this study was to investigate the role of serum endocan levels to identify patient with spontaneous bacterial peritonitis. Methodologies: A total of 83 patients with cirrhotic ascites were included in the study.41 of them had SBP . The severity of liver cirrhosis was assessed using the Child-Pugh score, the Model for End Stage Liver Disease (MELD), and its update (uMELD) scores . Ascetic fluid samples were collected for leucocytic count differentiation, albumin, glucose estimation, and the serum-ascetic albumin gradient. . If the polymorph-nuclear leucocytic count in ascetic fluid was moreless than 250/mm3, SBP was diagnosed. Results: The serum endocan level was significantly higher in patients with SBP ROC analysis of serum endocan as a marker for SBP diagnosis revealed: sensitivity of 88.9%, specificity of 61.5% , and area under curve (AUC) of 0.792 at a cut-off value of 67.1(pg/ml). Conclusion: Although endocan level was higher in serum of SBP patients, it can not be used as adiagnostic marker in SBP.

DOI

10.21608/bmfj.2022.118948.1538

Keywords

endocan, Cirrhosis, ascites, Spontaneous Bacterial Peritonitis, SBP

Authors

First Name

Fatma

Last Name

Abdel Salam

MiddleName

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Affiliation

Professor of Hepatology, Gastroenterology and Infectious Diseases Faculty of Medicine- Benha University

Email

fatmamohamedabdelsalam@gmail.com

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Orcid

-

First Name

Naglaa

Last Name

El-Toukhy

MiddleName

-

Affiliation

Professor of Hepatology, Gastroenterology and Infectious Diseases Faculty of Medicine- Benha University

Email

naglaael-toukhyramadanel-toukhy@yahoo.com

City

-

Orcid

-

First Name

Enas

Last Name

El- kharbotly

MiddleName

-

Affiliation

Fellow of Hepatology, Gastroenterology and Infectious Diseases Faculty of Medicine- Benha University

Email

enasmohamedel-kharbotly@gmail.com

City

-

Orcid

-

First Name

Manar

Last Name

Mohamed

MiddleName

Monir

Affiliation

MBBCH

Email

manarmonir85@yahoo.com

City

-

Orcid

-

First Name

Seham

Last Name

Ameen

MiddleName

-

Affiliation

Lecturer of Clinical and Chemical Pathology Faculty of Medicine- Benha University

Email

sehamgoudaameen@yahoo.com

City

-

Orcid

-

Volume

39

Article Issue

2

Related Issue

35838

Issue Date

2022-07-01

Receive Date

2022-01-29

Publish Date

2022-07-01

Page Start

372

Page End

382

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_231226.html

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https://bmfj.journals.ekb.eg/service?article_code=231226

Order

4

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

Serum Endocan Levels In Patients with Spontaneous Bacterial Peritonitis

Details

Type

Article

Created At

22 Jan 2023