Evolution of Rosemont’s indeterminate for chronic pancreatitis in recurrent acute pancreatitis patients with 1-year follow-up: A prospective case series
Some patients presenting with recurrent acute pancreatitis (RAP), while undergoing endoscopic ultrasound (EUS), are classified as indeterminate for chronic pancreatitis (CP) according to Rosemont criteria. We are describing the clinical and radiological evolution of 14 such patients for 1 year. All...
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| Format: | Article |
| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2023-01-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/48497 |
| _version_ | 1797972985295929344 |
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| author | Arun Vaidya Partha Sarathi Patra |
| author_facet | Arun Vaidya Partha Sarathi Patra |
| author_sort | Arun Vaidya |
| collection | DOAJ |
| description | Some patients presenting with recurrent acute pancreatitis (RAP), while undergoing endoscopic ultrasound (EUS), are classified as indeterminate for chronic pancreatitis (CP) according to Rosemont criteria. We are describing the clinical and radiological evolution of 14 such patients for 1 year. All the patients were closely followed up at 3 monthly intervals and subjected to ultrasound abdomen and blood sugar profile 6 monthly and EUS after 12 months. Males were 93%. Median age was 26 years. Most common etiology of RAP was idiopathic followed by ethanol and hypertriglyceridemia. On 1-year follow-up, 35.7% remained pain free and 28.6% had acute pancreatitis attack. Endocrine and exocrine insufficiency seen in one and two patients, respectively. Follow-up EUS in eight patients revealed Rosemont “normal” in 1, “Indeterminate” in 2, suggestive of CP in 3, and consistent with CP in two patients. Therefore, Rosemont’s “Indeterminate’’ progress to suggestive/consistent with CP in majority of patients. |
| first_indexed | 2024-04-11T03:57:04Z |
| format | Article |
| id | doaj.art-1fc4150054b644b388ccab0d4e366ed2 |
| institution | Directory Open Access Journal |
| issn | 2467-9100 2091-0576 |
| language | English |
| last_indexed | 2024-04-11T03:57:04Z |
| publishDate | 2023-01-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj.art-1fc4150054b644b388ccab0d4e366ed22023-01-02T00:14:54ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762023-01-01141233237https://doi.org/10.3126/ajms.v14i1.48497Evolution of Rosemont’s indeterminate for chronic pancreatitis in recurrent acute pancreatitis patients with 1-year follow-up: A prospective case seriesArun Vaidya 0https://orcid.org/0000-0001-6843-2406Partha Sarathi Patra 1https://orcid.org/0000-0003-4100-1280Senior Resident, Department of Gastroenterology, School of Digestive and Liver Diseases, Institute of Post Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India Associate Professor, Department of Gastroenterology, School of Digestive and Liver Diseases, Institute of Post Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India Some patients presenting with recurrent acute pancreatitis (RAP), while undergoing endoscopic ultrasound (EUS), are classified as indeterminate for chronic pancreatitis (CP) according to Rosemont criteria. We are describing the clinical and radiological evolution of 14 such patients for 1 year. All the patients were closely followed up at 3 monthly intervals and subjected to ultrasound abdomen and blood sugar profile 6 monthly and EUS after 12 months. Males were 93%. Median age was 26 years. Most common etiology of RAP was idiopathic followed by ethanol and hypertriglyceridemia. On 1-year follow-up, 35.7% remained pain free and 28.6% had acute pancreatitis attack. Endocrine and exocrine insufficiency seen in one and two patients, respectively. Follow-up EUS in eight patients revealed Rosemont “normal” in 1, “Indeterminate” in 2, suggestive of CP in 3, and consistent with CP in two patients. Therefore, Rosemont’s “Indeterminate’’ progress to suggestive/consistent with CP in majority of patients.https://www.nepjol.info/index.php/AJMS/article/view/48497pancreatitis; indeterminate; idiopathic; endoscopic ultrasound; rosemont |
| spellingShingle | Arun Vaidya Partha Sarathi Patra Evolution of Rosemont’s indeterminate for chronic pancreatitis in recurrent acute pancreatitis patients with 1-year follow-up: A prospective case series Asian Journal of Medical Sciences pancreatitis; indeterminate; idiopathic; endoscopic ultrasound; rosemont |
| title | Evolution of Rosemont’s indeterminate for chronic pancreatitis in recurrent acute pancreatitis patients with 1-year follow-up: A prospective case series |
| title_full | Evolution of Rosemont’s indeterminate for chronic pancreatitis in recurrent acute pancreatitis patients with 1-year follow-up: A prospective case series |
| title_fullStr | Evolution of Rosemont’s indeterminate for chronic pancreatitis in recurrent acute pancreatitis patients with 1-year follow-up: A prospective case series |
| title_full_unstemmed | Evolution of Rosemont’s indeterminate for chronic pancreatitis in recurrent acute pancreatitis patients with 1-year follow-up: A prospective case series |
| title_short | Evolution of Rosemont’s indeterminate for chronic pancreatitis in recurrent acute pancreatitis patients with 1-year follow-up: A prospective case series |
| title_sort | evolution of rosemont s indeterminate for chronic pancreatitis in recurrent acute pancreatitis patients with 1 year follow up a prospective case series |
| topic | pancreatitis; indeterminate; idiopathic; endoscopic ultrasound; rosemont |
| url | https://www.nepjol.info/index.php/AJMS/article/view/48497 |
| work_keys_str_mv | AT arunvaidya evolutionofrosemontsindeterminateforchronicpancreatitisinrecurrentacutepancreatitispatientswith1yearfollowupaprospectivecaseseries AT parthasarathipatra evolutionofrosemontsindeterminateforchronicpancreatitisinrecurrentacutepancreatitispatientswith1yearfollowupaprospectivecaseseries |