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The predictive value of laboratory factors in evaluating the necessity of surgical treatment in Crohn’s disease

Emine Ozlem Gur, Elif Saritas Yuksel, Selda Haciyanli, Cem Cekic, Osman Nuri Dilek, Mehmet Haciyanli.




Abstract
Cited by 1 Articles

Aim: The primary treatment of Crohn’s disease (CD) is medical but approximately 70% of all patients with CD undergo surgical intervention throughout their lives. We aimed to determine which parameters can guide decision making before surgical treatment and to determine the effectiveness of the Glasgow prognostic index (GPI) and prognostic nutritional index (PNI) in predicting the necessity of surgery.
Material and Methods: Patients who underwent surgery or medical treatment for CD were matched for age and sex. Group 1: operated patients; Group 2: received medical treatment. Hemogram and biochemistry test results were recorded. Platelet to neutrophil ratio (PNR), Neutrophil to lymphocyte ratio (NLR), and Lymphocyte to monocyte ratio (LMR) were calculated. Patients who had both a serum elevation of CRP (>1.0 mg/dL) and hypoalbuminemia (

Key words: Crohn’s disease; blood test; surgery;medical treatment






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