Evidence map›Paper›PMID 40312365›Full record

ArticleEuropean journal of medical research2025

The role of serum and urıne neopterın levels on the determınatıon of acute cholecystıtıs severıty.

Mesut Yavaş, Yunushan Furkan Aydoğdu, Ramazan Kozan, Cemalettin Aybay, Mustafa Şare

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Article in European journal of medical research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Mesut YavaşDepartment of General Surgery, Lösante Child and Adult Hospital, Ankara, Turkey.ORCID http://orcid.org/0000-0002-4285-8908
Yunushan Furkan AydoğduDepartment of General Surgery, Ankara Training and Research Hospital, Ankara, Turkey. yfaydogdu92@gmail.com.ORCID http://orcid.org/0000-0002-2418-2393
Ramazan KozanFaculty of Medicine, Department of General Surgery, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-3835-8759
Cemalettin AybayFaculty of Medicine, Department of Immunology, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0002-1534-2770
Mustafa ŞareFaculty of Medicine, Department of General Surgery, Gazi University, Ankara, Turkey.ORCID http://orcid.org/0000-0003-0534-1157

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAcute cholecystitis (AC) is one of the most common causes of hospital admissions due to abdominal pain. Early diagnosis and prompt initiation of treatment positively impact morbidity and mortality in AC. The aim of our study was to determine serum and urine concentrations of additional biomarkers at different stages of the disease, beyond those currently used in acute cholecystitis severity staging, and to evaluate their potential inclusion as new staging parameters.

methodsThis study prospectively analyzed data from 63 patients diagnosed with acute cholecystitis and treated by the same surgical team in 2020. In patients with AC, WBC, CRP, and PCT values, as outlined in the TG18 guidelines, showed an increasing trend. These values are commonly used to determine disease stage.

resultsA correlated increase in these infectious parameters was observed as disease severity progressed. The mean S-NEO value in Stage 1-2 patients was 20.082 ± 9.517 nmol/L, while the mean U-NEO value was 3.46 ± 2.95 µmol/L. In Stage 3 patients, the mean S-NEO value was 40.92 ± 7.878 nmol/L, and the mean U-NEO value was 4.4 ± 2.42 µmol/L. The Mann-Whitney U test revealed a significant difference in S-NEO values between Stage 1-2 and Stage 3 groups (p < 0.001). However, no significant difference was observed between these groups in terms of U-NEO values (p = 0.18).

conclusionIn patients with acute cholecystitis, S-NEO and U-NEO levels can serve as complementary biomarkers alongside existing diagnostic and staging parameters. Particularly in staging severity, S-NEO levels may play a crucial role in early diagnosis and timely initiation of treatment, given their high specificity and sensitivity at defined cut-off values.

Indexed as

Cholecystitis, AcuteUreaAdultAgedAged, 80 and overBiomarkersFemaleHumansMaleMiddle AgedProspective StudiesSeverity of Illness IndexBiomarkersUreaAcute cholecystitisBiomarker for inflammationInflammatory markers in cholecystitisSerum neopterin (S-NEO)Urine neopterin (U-NEO)

Identifiers

PMID40312365
PMCPMC12046923

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.