Fish consumption and risk of non–gallstone-related acute pancreatitis: a prospective cohort study

Oskarsson, Viktor; Orsini, Nicola; Sadr–Azodi, Omid; Wolk, Alicja

doi:10.3945/ajcn.113.076174

Cited by 18 publications

(16 citation statements)

References 31 publications

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“…AP is characterized by an acute inflammation of the pancreas that results in a clinical spectrum ranging from the more common, mild and self-limiting course, to severe disease that is even associated with the risk of mortality [11]. While alcohol and gallstones are the two most common factors linked to the causation of an attack of AP [4,12e14], other associated causes include diet [15,16], drugs [17], pancreatic tumours and certain genetic predispositions [18].The habits of cigarette smoking and consuming alcohol quite often co-exist [19]. Hirota and colleagues [19] noted that alcoholic patients suffering from pancreatitis were more likely to smoke when compared to non alcoholics.…”

mentioning

confidence: 99%

How does cigarette smoking cause acute pancreatitis?

Barreto

2016

Pancreatology

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mentioning

confidence: 99%

How does cigarette smoking cause acute pancreatitis?

Barreto

2016

Pancreatology

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“…A Swedish cohort reported a protective association between fish consumption and non-GS AP 23 . The authors hypothesized that the protective association was due to the anti-inflammatory and antioxidative properties of the long chain n-3 polyunsaturated fatty acids found in fish 23 .…”

Section: Discussionmentioning

confidence: 99%

Dietary Factors Reduce Risk of Acute Pancreatitis in a Large Multiethnic Cohort

Setiawan

Pandol

Porcel

et al. 2017

Clinical Gastroenterology and Hepatology

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Background & Aims Pancreatitis is a source of substantial morbidity and health cost in the United States. Little is known about how diet might contribute its pathogenesis. To characterize dietary factors that are associated with risk of pancreatitis, by disease subtype, we conducted a prospective analysis of 145,886 African Americans, Native Hawaiians, Japanese Americans, Latinos, and whites in the Multiethnic Cohort. Methods In the Multiethnic Cohort (45–75 years old at baseline), we identified cases of pancreatitis using hospitalization claim files from 1993 through 2012. Patients were categorized as having gallstone-related acute pancreatitis (AP) (n=1210), AP not related to gallstones (n=1222), or recurrent acute pancreatitis or suspected chronic pancreatitis (n=378). Diet information was obtained from a questionnaire administered when the study began. Associations were estimated by hazard ratios and 95% CIs using Cox proportional hazard models adjusted for confounders. Results Dietary intakes of saturated fat (P trend=.0011) and cholesterol (P trend=.0008) and their food sources, including red meat (P trend<.0001) and eggs (P trend=.0052), were positively associated with gallstone-related AP. Fiber intake, however, was inversely associated with gallstone-related AP (P trend=.0005) and AP not related to gallstones (P trend=.0035). Vitamin D, mainly from milk, was inversely associated with gallstone-related AP (P trend=.0015) whereas coffee consumption protected against AP not related to gallstones (P trend<.0001). With the exception of red meat, no other dietary factors were associated with recurrent acute or suspected chronic pancreatitis. Conclusions Associations between dietary factors and pancreatitis were mainly observed for gallstone-related AP. Interestingly, dietary fiber protected against AP, related and unrelated to gallstones. Coffee drinking protected against AP not associated with gallstones. Further studies are warranted to confirm our findings.

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“…The summary of each of these case reports of food-related acute pancreatitis has been provided in Table 1. Furthermore, several large multiethnic cohort studies have indicated that high dietary glycemic load, saturated fat, cholesterol, red meat, and eggs raise the risk of non-gallstone-related acute pancreatitis [27, 28]; In contrast, recent reports have indicated that the consumption of vegetables and fish (fatty and lean fish combined) may be associated with decreased risk of non-gallstone acute pancreatitis [29, 30]. The summary of prospective cohort studies related with food-induced acute pancreatitis in human was presented in Table 2.…”

Section: Food Allergen-induced Eosinophilic Gastroenteritis and Pancrmentioning

confidence: 99%

“…[28] were associated with the risk of non-gallstone-related acute pancreatitis. While other studies report that vegetables and fish (including fatty and lean fish) may be associated with decreased risk of non-gallstone acute pancreatitis [29, 30]. All these studies indicate that certain foods are associated with an increased risk of acute pancreatitis while other foods might be protective.…”

Section: Introductionmentioning

confidence: 98%

Food-Induced Acute Pancreatitis

et al. 2017

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Food allergy, a commonly increasing problem worldwide, defined as an adverse immune response to food. A variety of immune-related effector cells such as mast cells, eosinophils, neutrophils, and T cells are involved in food-related allergic responses categorized as IgE-mediated, non-IgE mediated, and mixed (IgE and non-IgE) depending upon underlying immunological mechanisms. The dietary antigens mainly target the gastrointestinal tract including pancreas that gets inflamed due to food allergy and leads acute pancreatitis. Reports indicate several food proteins induce pancreatitis; however, detailed underlying mechanism of food-induced pancreatitis is unexplored. The aim of the review is to understand and update the current scenario of food-induced pancreatitis. A comprehensive literature search of relevant research articles has been performed through PubMed and articles were chosen based on their relevance to food allergen mediated pancreatitis. Several cases in the literature indicating that acute pancreatitis has been provoked after the consumption of mustard, milk, egg, banana, fish, and kiwi fruits. Food-induced pancreatitis is an ignored and unexplored area of research. The review highlights the significance of food in the development of pancreatitis and draws the attention of physicians and scientists to consider food allergies as a possible cause for initiation of pancreatitis pathogenesis.

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Fish consumption and risk of non–gallstone-related acute pancreatitis: a prospective cohort study

Abstract: Our data suggest that the consumption of total fish (fatty fish and lean fish combined) may be associated with decreased risk of non-gallstone-related acute pancreatitis.

Cited by 18 publications

References 31 publications

How does cigarette smoking cause acute pancreatitis?

How does cigarette smoking cause acute pancreatitis?

Dietary Factors Reduce Risk of Acute Pancreatitis in a Large Multiethnic Cohort

Food-Induced Acute Pancreatitis

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