Risk factors of recurrent pancreatitis after first acute pancreatitis attack: a retrospective cohort study.

Published on Jan 1, 2020in Scandinavian Journal of Gastroenterology2.13
· DOI :10.1080/00365521.2019.1699598
Joon Hyun Cho3
Estimated H-index: 3
(Yeungnam University),
Yo Han Jeong4
Estimated H-index: 4
(Yeungnam University)
+ 1 AuthorsTae Nyeun Kim21
Estimated H-index: 21
(Yeungnam University)
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Abstract
AbstractBackground and aims: Few studies have been conducted in Asia on the recurrence of acute pancreatitis (AP). This study was designed to investigate characteristics of the disease to predict r...
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References28
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#1Sara Bertilsson (Lund University)H-Index: 5
#2Per Swärd (Lund University)H-Index: 12
Last. Evangelos Kalaitzakis (Lund University)H-Index: 29
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Background & Aims Little is known about recurrence of pancreatitis after an initial episode, and little is known about how the disease progresses or what factors affect progression. We performed a population-based study of patients with acute pancreatitis (AP) to determine their outcomes and associated factors. Methods We performed a retrospective study of patients with first-time AP from 2003 through 2012 in a well-defined area of Sweden. Data were collected from medical records on disease etio...
36 CitationsSource
#1Pier Alberto Testoni (UniSR: Vita-Salute San Raffaele University)H-Index: 39
Acute recurrent pancreatitis (ARP) refers to a clinical entity characterized by episodes of acute pancreatitis which occurs on more than one occasion. Recurrence of pancreatitis generally occurs in a setting of normal morpho-functional gland, however, an established chronic disease may be found either on the occasion of the first episode of pancreatitis or during the follow-up. The aetiology of ARP can be identified in the majority of patients. Most common causes include common bile duct stones ...
46 CitationsSource
#1Kishore Vipperla (University of Pittsburgh)H-Index: 9
#2Georgios I. Papachristou (University of Pittsburgh)H-Index: 49
Last. Dhiraj Yadav (University of Pittsburgh)H-Index: 52
view all 7 authors...
Background & Aims Few data are available on how many patients are readmitted to the hospital after attacks of acute pancreatitis. We aimed to determine the risk and factors that determine early (within 30 days) and late (after 30 days) readmission of patients with acute pancreatitis. Methods In a retrospective study, we collected and analyzed data on 127 surviving patients (median age, 53 y; 52% male; 83% white) hospitalized at the University of Pittsburgh Medical Center for a sentinel attack of...
40 CitationsSource
#1Peter A. Banks (Brigham and Women's Hospital)H-Index: 74
#2Thomas L. BollenH-Index: 44
Last. Santhi Swaroop Vege (Mayo Clinic)H-Index: 50
view all 8 authors...
Background and objective The Atlanta classification of acute pancreatitis enabled standardised reporting of research and aided communication between clinicians. Deficiencies identified and improved understanding of the disease make a revision necessary. Methods A web-based consultation was undertaken in 2007 to ensure wide participation of pancreatologists. After an initial meeting, the Working Group sent a draft document to 11 national and international pancreatic associations. This working dra...
2,517 CitationsSource
#1K TakumaH-Index: 1
#2Terumi KamisawaH-Index: 77
Last. Yoshinori Igarashi (Toho University)H-Index: 25
view all 14 authors...
ABSTRACT Purpose This study was aimed to investigate etiology and clinical profiles of recurrent acute pancreatitis (RAP), particularly from the morphology of the pancreaticobiliary duct system. Material and methods Pancreaticobiliary morphology was examined in 230 of 381 patients with acute pancreatitis (AP) using endoscopic retrograde cholangiopancreatography. We analyzed factors associated with RAP including the pancreaticobiliary duct system. Results RAP was diagnosed in 74 patients (19%). M...
27 CitationsSource
#1Gregory A. Cote (IU: Indiana University)H-Index: 42
#2Thomas F. Imperiale (IU: Indiana University)H-Index: 57
Last. Stuart Sherman (IU: Indiana University)H-Index: 95
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Background & Aims The role of sphincter of Oddi manometry (SOM) in the management of patients with idiopathic recurrent acute pancreatitis requires clarification. We evaluated the therapeutic effects of endoscopic sphincterotomy in patients with recurrent acute pancreatitis and the prognostic significance of pancreatic sphincter dysfunction (SOD). Methods We performed a randomized trial of endoscopic retrograde cholangiopancreatography with SOM for patients with idiopathic recurrent acute pancre...
65 CitationsSource
#1Dhiraj Yadav (University of Pittsburgh)H-Index: 52
#2Michael O’ConnellH-Index: 22
Last. Georgios I. PapachristouH-Index: 26
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RESULTS: In all, 7,456 unique residents (mean age 58 ± 20 years, 45 % male, 80 % White) with incident AP admission were identifi ed. Common etiologies included biliary (28 % ), alcohol (19 % ), and idiopathic (36 % ). Compared with other causes, alcoholic AP patients were signifi cantly younger and more likely to be male and Black. Among survivors (98.1 % ) and those without pancreatic cancer, follow-up (median 40 months, interquartile range 18, 69) was available for 84 % of patients. Readmissio...
188 CitationsSource
This study was undertaken to evaluate the long-term prognosis of acute pancreatitis (AP) in Japan and to identify factors that predict major complications. In 1987, 2533 patients with moderate or severe acute pancreatitis were registered in a national survey in Japan. Follow-up studies were done in 2000 and in 2004 to evaluate recurrence of acute pancreatitis, transition to chronic pancreatitis, development of diabetes mellitus, and mortality. The relationship between incidence of complications ...
105 CitationsSource
OBJECTIVES: It is unknown whether after an initial attack of acute pancreatitis, the inflamed gland heals completely, or whether and under what circumstances the disease progresses to chronic pancreatitis. Therefore, the aim of this study was to investigate the progression of disease from acute to chronic pancreatitis. METHODS: During a 20-year period, 532 patients who were hospitalized after an initial attack of acute pancreatitis were followed up for an average of 7.8 years (range: 1 day to 19...
265 CitationsSource
#1Dhiraj Yadav (University of Pittsburgh)H-Index: 52
#2Robert H. Hawes (MUSC: Medical University of South Carolina)H-Index: 2
Last. David C. Whitcomb (University of Pittsburgh)H-Index: 89
view all 21 authors...
Background Recurrent acute pancreatitis (RAP) and chronic pancreatitis (CP) are associated with alcohol consumption and cigarette smoking. The etiology of RAP and CP is complex, and effects of alcohol and smoking may be limited to specific patient subsets. We examined the current prevalence of alcohol use and smoking and their association with RAP and CP in patients evaluated at US referral centers. Methods The North American Pancreatitis Study 2, a multicenter consortium of 20 US centers, prosp...
394 CitationsSource
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Background Analytic morphometric assessment has recently been proposed to be applied to the study of acute pancreatitis (AP). However, the relationship between body composition and the outcomes of hypertriglyceridemic pancreatitis (HTGP) is still unclear. The aim of this study was to evaluate body composition in relation to the length of hospital stay (LOS) and recurrence of HTGP. Methods Patient characteristics, admission examination data, body composition parameters, LOS, and recurrence within...
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Abstract Background We aimed to assess factors impacting the endoscopic minor papilla sphincterotomy (EMPS) success rate, clinical efficacy, and safety in a large cohort of patients with symptomatic pancreas divisum (PD). Methods Retrospective study including patients with PD referred to the Pancreas Institute of Verona from May 2009 to May 2020 to undergo EMPS. The whole population was analyzed to assess EMPS technical success, defined as the rate of deep cannulation of the dorsal duct. Patient...
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#1Emese Réka Bálint (University of Szeged)H-Index: 5
#2Gabriella Fűr (University of Szeged)H-Index: 2
Last. Zoltán Rakonczay (University of Szeged)H-Index: 36
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The main causes of acute pancreatitis (AP) are biliary disease, alcohol consumption, hypertriglyceridaemia (HTG) and endoscopic retrograde cholangiopancreatography (ERCP). The aim of this meta-analysis was to evaluate the effects of these aetiological factors on the severity and outcome of AP. Pubmed and Embase were searched between 01/01/2012 and 31/05/2020. Included articles involved adult alcoholic, biliary, HTG- or post-ERCP AP (PAP) patients. Primary outcome was severity, secondary outcomes...
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