Extensive aetiological investigations in acute pancreatitis

Maes, Bart; Hastier, P; Buckley, Martin; Peten, E. P.; Paolini, Olivier; Staccini, Pascal; Conio, Mássimo; Caroli-Bosc, François-Xavier; Demarquay, J. F.; Dumas, R.; Delmont, J.

doi:10.1097/00042737-199908000-00014

Cited by 32 publications

(21 citation statements)

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“…Gallstones and alcohol were the most common causes (74%) of acute pancreatitis in our study which is in agreement with previous studies, these generally causing 60%-80% of acute pancreatitis (1, 8, 14, 19). Similarly, the age and sex distribution was similar to that of other published reports, mainly in the late fties (Table III) and the female predominance in gallstone pancreatitis (Table II) (10).…”

Section: Discussionsupporting

confidence: 89%

Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland

et al. 2002

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Section: Discussionsupporting

confidence: 89%

Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland

et al. 2002

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“…The incidence of pancreatic cancer in patients with acute pancreatitis was 6.8% in our study, which is higher than that of previous reports (5)(6)(7)(8)(9). Misclassification of pancreatic cancer as pancreatitis may be responsible for the result (10).…”

Section: Discussioncontrasting

confidence: 72%

“…Up to 2% of patients with acute pancreatitis have been reported to have pancreatic cancer (5)(6)(7)(8)(9). In another report, a history of pancreatitis was associated with an estimated 7.2-fold increase in the risk for pancreatic cancer (10).…”

Section: Introductionmentioning

confidence: 99%

Acute Pancreatitis as a Possible Indicator of Pancreatic Cancer: The Importance of Mass Detection

2015

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Objective The aims of this study were to assess the incidence of pancreatic cancer and the contributing factors for the diagnosis of tumors in patients with acute pancreatitis and to gain insight into how patients with acute pancreatitis should be followed up. Methods Using the electronic medical database of Shizuoka General Hospital, 177 patients admitted for acute pancreatitis in the past 6 years were evaluated retrospectively for pancreatic cancer. Results Twelve patients (6.8%) were newly diagnosed with pancreatic cancer. During the first hospitalization, 5 patients (41.7%) with a detected pancreatic mass underwent surgical treatment: the final tumor stages were IA, IIA, and IIB in 1, 2, and 2 patients, respectively. In 7 patients (58.3%) without a detected pancreatic mass at the first admission, a pancreatic mass was recognized on follow-up computed tomography (CT) in 2 patients with main pancreatic duct (MPD) dilatation, and 1 patient with recurrent acute pancreatitis. The tumor stages were IA, IIA, and IA, respectively. Among the remaining 4 patients without follow-up, the tumor stage was IV. The patient gender, age, MPD dilatation, tumor marker, and serum amylase level were not significantly associated with pancreatic cancer. The detection of a pancreatic mass on CT led to the diagnosis of pancreatic cancer. Conclusion Acute pancreatitis should be considered as a possible diagnostic indicator of pancreatic cancer. Various factors associated with acute pancreatitis and pancreatic cancer were not predictive of a diagnosis of pancreatic cancer. Only the detection of a pancreatic mass led to the early diagnosis of pancreatic cancer. Patients hospitalized for acute pancreatitis should be followed up with a diagnostic imaging modality.

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“…Individuals with unknown or uncertain etiologies classifi ed as idiopathic pancreatitis, which account for up to 30% of patients in some series [17][18][19] , should be viewed with suspicion and should undertake a thorough work-up. State-of-the-art CT imaging, conventional and endoscopic ultrasound, MRCP and MR imaging and when indicated ERCP examinations can be performed.…”

Section: Clinical Diagnostic Features and Pitfallsmentioning

confidence: 99%

Pancreatitis associated with pancreatic carcinoma

Balthazar

2005

Pancreatology

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Extensive aetiological investigations in acute pancreatitis

Cited by 32 publications

References 0 publications

Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland

Acute pancreatitis: a prospective study of its incidence, aetiology, severity, and mortality in Iceland

Acute Pancreatitis as a Possible Indicator of Pancreatic Cancer: The Importance of Mass Detection

Pancreatitis associated with pancreatic carcinoma

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