Factors associated with prior acute pancreatitis episodes among patients with chronic pancreatitis

Published on Mar 20, 2021in Digestive and Liver Disease3.57
· DOI :10.1016/J.DLD.2021.03.001
Nan Ru3
Estimated H-index: 3
Jia-Hui Zhu4
Estimated H-index: 4
+ 10 AuthorsZhuan Liao19
Estimated H-index: 19
Abstract Background The relationship between chronic pancreatitis (CP) and acute pancreatitis (AP) is complex and not well understood. CP could be preceded by antecedent episodes of AP. Aims The aim of this study was to explore both genetic and environmental factors associated with AP episodes before the diagnosis of CP. Methods This was a cross-sectional study including 1022 patients. Detailed demographic, genetic, and clinical data were collected. Based on the presence of AP episode(s) before diagnosis of CP, patients were divided into AP group (further classified into single episode of AP group and recurrent AP group) and non-AP group. Related factors among these groups were assessed using multivariate logistic regression model. Results Before diagnosis of CP, 737 patients (72.1%) had a history of AP. Smoking(P = 0.005) and heavy alcohol consumption(P = 0.002) were risk factors for AP while age at CP onset(P  Conclusions SPINK1 mutations served as protective factor for AP episodes, suggesting SPINK1 mutation might play a pathogenic role in CP occurrence with occult clinical manifestations.
#1Terrell E. Jones (University of Pittsburgh)H-Index: 1
#2Melena D. Bellin (UMN: University of Minnesota)H-Index: 41
Last. Aatur D. Singhi (University of Pittsburgh)H-Index: 41
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Abstract Background The identification of genetic risk factors for chronic pancreatitis, such as PRSS1, CFTR and SPINK1, provides the opportunity to define key pathologic hallmarks and etiologic-specific changes. For example, pancreata from PRSS1 and CFTR patients exhibit progressive lipomatous atrophy without significant fibrosis. Considering the pathology of SPINK1-associated pancreatitis is ill-defined, we examined the pancreata of SPINK1 patients with chronic pancreatitis. Methods Histologic...
3 CitationsSource
#1Nan Ru ('SMMU': Second Military Medical University)H-Index: 3
#2Chao Hui HeH-Index: 1
Last. Zhuan Liao ('SMMU': Second Military Medical University)H-Index: 19
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AIM Sinistral portal hypertension (SPH) is an uncommon complication of chronic pancreatitis (CP) and can result in severe gastrointestinal bleeding. The aim of this study was to determine the prevalence and the potential risk factors for SPH and related gastrointestinal variceal bleeding in CP patients. METHODS This is a case-control study. We retrospectively reviewed all patients with SPH due to CP admitted to our hospital from July 2014 to June 2019. The CP patients without SPH were randomly s...
1 CitationsSource
#1Yu Liu ('SMMU': Second Military Medical University)H-Index: 4
#2Dan Wang ('SMMU': Second Military Medical University)H-Index: 12
Last. Liang-Hao Hu ('SMMU': Second Military Medical University)H-Index: 17
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OBJECTIVE The study concerns identifying risk factors and developing nomogram for pancreatic pseudocyst (PPC) in idiopathic chronic pancreatitis (ICP) to facilitate early diagnosis. METHODS From January 2000 to December 2013, ICP patients admitted to our center were enrolled. Cumulative incidence of PPC was determined by Kaplan-Meier method. Patients were randomized into training group and validation group in a 2:1 ratio. Risk factors of PPC were determined through Cox proportional hazards regre...
2 CitationsSource
#1Marcus Hollenbach (Leipzig University)H-Index: 9
#2Luca Barresi (ISMETT)H-Index: 22
2 CitationsSource
#1Samagra Agarwal (AIIMS: All India Institute of Medical Sciences)H-Index: 6
#1Samagra Agarwal (AIIMS: All India Institute of Medical Sciences)H-Index: 12
Last. Anoop Saraya (AIIMS: All India Institute of Medical Sciences)H-Index: 21
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ABSTRACT BACKGROUND The natural course of chronic pancreatitis(CP) and its complications has been inadequately explored. We aimed to describe the natural history and factors affecting the progression of alcoholic(ACP), idiopathic juvenile(IJCP) and idiopathic senile(ISCP) variants of CP. METHODS This study was a retrospective analysis from a prospectively maintained database of patients with CP following up at a tertiary care centre from 1998 to 2019. Cumulative rates of pain resolution, diabete...
11 CitationsSource
#1Lu Hao (ZJU: Zhejiang University)H-Index: 2
#2Yu Liu ('SMMU': Second Military Medical University)H-Index: 2
Last. Liang-Hao Hu ('SMMU': Second Military Medical University)H-Index: 17
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Background: Pancreatic stones are pathognomonic of chronic pancreatitis (CP). This study aimed to determine the incidence, identify risk factors, and develop a nomogram for pancreatic stones in CP patients. Methods: Patients with CP admitted to our center from January 2000 to December 2013 were enrolled. Cumulative rates of pancreatic stones after the onset of CP and after the diagnosis of CP were calculated. Patients were randomly assigned, in a 2:1 ratio, to the training and validation cohort....
4 CitationsSource
#1Vikesh K. Singh (Johns Hopkins University)H-Index: 48
#2Dhiraj Yadav (University of Pittsburgh)H-Index: 52
Last. Pramod Kumar Garg (AIIMS: All India Institute of Medical Sciences)H-Index: 48
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Importance Chronic pancreatitis (CP) is a chronic inflammatory and fibrotic disease of the pancreas with a prevalence of 42 to 73 per 100 000 adults in the United States. Observations Both genetic and environmental factors are thought to contribute to the pathogenesis of CP. Environmental factors associated with CP include alcohol abuse (odds ratio [OR], 3.1; 95% CI, 1.87-5.14) for 5 or more drinks per day vs abstainers and light drinkers as well as smoking (OR, 4.59; 95% CI, 2.91-7.25) for more...
59 CitationsSource
#1Nelly Muller (Paris Diderot University)H-Index: 3
#2Ioannis Sarantitis (RLUH: Royal Liverpool University Hospital)H-Index: 3
Last. Vinciane Rebours (Paris Diderot University)H-Index: 38
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Abstract Background The aim was to describe genetic, clinical and morphological features in a large, multicentre European cohort of patients with SPINK1 related pancreatitis, in comparison with patients with idiopathic pancreatitis (IP). Methods All SPINK1 mutation carriers with pancreatic symptoms from two French and one English centers were included. Patients with IP were included in a control group. Genetic, clinical, radiological and biochemical data were collected. Findings 209 and 302 pati...
9 CitationsSource
#1Søren Schou Olesen (AAU: Aalborg University)H-Index: 28
#2Asbjørn Mohr Drewes (AAU: Aalborg University)H-Index: 78
Last. Camilla NøjgaardH-Index: 12
view all 4 authors...
3 CitationsSource
#1Yasuki Hori (Nagoya City University)H-Index: 13
#2Santhi Swaroop Vege (Mayo Clinic)H-Index: 50
Last. Mark Topazian (Mayo Clinic)H-Index: 65
view all 12 authors...
Abstract Background The sentinel acute pancreatitis event (SAPE) hypothesis for pathogenesis of chronic pancreatitis (CP) postulates that acute pancreatitis (AP), especially recurrent AP (RAP), precedes development of CP. However, in a recent population-based study, 52/89 (58.4%) of CP had no prior episodes of AP. In a large clinic-based CP cohort we aimed to determine the incidence and timing of prior AP in patients diagnosed with CP. Methods We retrospectively identified 499 consecutive patien...
10 CitationsSource
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