Epidemiology, natural history, and predictors of disease outcome in acute and chronic pancreatitis

Banks, Peter A.

doi:10.1016/s0016-5107(02)70016-3

Cited by 128 publications

(54 citation statements)

References 40 publications

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“…It is the severe and debilitating abdominal pain of pancreatitis, however, that is the hallmark of the disease and the most common symptom that causes patients to seek treatment [2]. Analgesics for pain management are used extensively but rarely lead to suitable relief and often are a precursor to the abuse of narcotics [3,4]. Other techniques that may be of benefit include nerve blocks and endoscopic or surgical decompression of the main pancreatic duct [4].…”

Section: Introductionmentioning

confidence: 99%

“…Analgesics for pain management are used extensively but rarely lead to suitable relief and often are a precursor to the abuse of narcotics [3,4]. Other techniques that may be of benefit include nerve blocks and endoscopic or surgical decompression of the main pancreatic duct [4]. For a subset of patients for whom medical and surgical approaches have failed, a total pancreatectomy (TP) is effective in alleviating chronic pain syndromes of pancreatic origin [5].…”

Section: Introductionmentioning

confidence: 99%

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MRI Prediction of Islet Yield for Autologous Transplantation After Total Pancreatectomy for Chronic Pancreatitis

et al. 2012

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

MRI Prediction of Islet Yield for Autologous Transplantation After Total Pancreatectomy for Chronic Pancreatitis

et al. 2012

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“…The incidence rates for acute pancreatitis range from 5 to 80 cases pr 100,000 inhabitants per year [1,2]. The incidence rates of acute pancreatitis is increasing in Norway and varies between 14.6/100.000 -30/100.000 per year [3,4].…”

Section: Introductionmentioning

confidence: 99%

The Risk Factors of Intensive Care Unit Admittance during First Attack of Acute Pancreatitis

Dale¹,

Omdal²,

Lie³

et al. 2012

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Background: A proportion of patients with acute pancreatitis develop severe organ dysfunction requiring admittance in an intensive care unit. Patient characteristics associated with ICU admittance were evaluated in this consecutive series of patients. Methods: The clinical course of patients with first attack of acute pancreatitis in urban Norway between 01.01.1996 and 31.12.2006 was reviewed. Patient characteristics, comorbidity, pre hospital delay and likely aetiology of acute pancreatitis were analysed as risk factors for ICU admittance. Results: This study includes 565 patients, 299 women and 266 men (p = 0.089), with a median age of 60 years (range: 17 -98). 50 (9%) of the patients were admitted to the ICU. Men were more at risk than women for ICU admittance (OR 2.34; 95% CI: 1.27 -4.32). Patients with alcohol associated pancreatitis (OR 5.94; 95%, CI: 2.61 -13.53), miscellaneous aetiologies (OR: 2.81, 95% CI: 1.02 -7.73) and non-assessed aetiology (OR 2.71, 95%, CI: 1.26 -5.82) were more at risk of ICU admittance than patients with bile stones associated pancreatitis. Pre hospital delay increased the risk of ICU admittance amongst patients with alcohol associated pancreatitis (OR 4.23; 95%, CI: 1.11 -16.18). Two comorbid conditions conveyed increased risk (OR 8.78; 95%,). The case fatality rate was 24% in the ICU and 1.6% in the ward (OR 20.01, 95% CI: 7.71 -51.93). Conclusions: Aetiology of acute pancreatitis, especially alcohol, pre-hospital delay and male gender are associated with increased of risk of ICU admittance and increased fatality rate during first attack of AP.

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“…In 2002, Banks concluded that the two main etiologies of chronic pancreatitis were alcohol and tropical pancreatitis [6]. Two recent studies from 2004 and 2008 have reported that etiological features of chronic pancreatitis have changed.…”

Section: Introductionmentioning

confidence: 99%

Incidence, Prevalence, Etiology, and Prognosis of First-Time Chronic Pancreatitis in Young Patients: A Nationwide Cohort Study

et al. 2010

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Epidemiology, natural history, and predictors of disease outcome in acute and chronic pancreatitis

Cited by 128 publications

References 40 publications

MRI Prediction of Islet Yield for Autologous Transplantation After Total Pancreatectomy for Chronic Pancreatitis

MRI Prediction of Islet Yield for Autologous Transplantation After Total Pancreatectomy for Chronic Pancreatitis

The Risk Factors of Intensive Care Unit Admittance during First Attack of Acute Pancreatitis

Incidence, Prevalence, Etiology, and Prognosis of First-Time Chronic Pancreatitis in Young Patients: A Nationwide Cohort Study

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