A Retrospective Study of Patients with Acute Pancreatitis in an Internal Medicine Clinic
Objective:Acute pancreatitis (AP) is the rapid inflammation of the pancreas which may be life threatening, even though the disease course may range from mild to severe. We sought to investigate the characteristics of cases followed with a diagnosis of AP at our clinic.Method:Patients diagnosed and f...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2020-12-01
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| Series: | Bagcilar Medical Bulletin |
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http://behmedicalbulletin.org/archives/archive-detail/article-preview/a-retrospective-study-of-patients-with-acute-pancr/41781
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| author | Belgin Boran İncebacak Kader İrak Ömür Tabak Abdülbaki Kumbasar |
| author_facet | Belgin Boran İncebacak Kader İrak Ömür Tabak Abdülbaki Kumbasar |
| author_sort | Belgin Boran İncebacak |
| collection | DOAJ |
| description | Objective:Acute pancreatitis (AP) is the rapid inflammation of the pancreas which may be life threatening, even though the disease course may range from mild to severe. We sought to investigate the characteristics of cases followed with a diagnosis of AP at our clinic.Method:Patients diagnosed and followed with AP from 2015 to 2017 at the Istanbul Kanuni Sultan Süleyman Training and Research Hospital were analyzed retrospectively. Demographic features, etiological factors, duration of hospitalization, antibiotic usage and complications were investigated.Results:Of the 160 patients with AP, 65 (40.6%) were male and 95 (59.4%) were female. The mean age of the patients was 56.2±19.1 years. At hospital admission, fever and abdominal pain were observed in 5% of the patients, abdominal pain and itching were present in 1.3%, while abdominal pain and jaundice were reported in 3.8%. Etiology of AP was defined as gallstones in 42.5%, alcohol in 4.4%, hyperlipidemia in 0.6%, posttraumatic causes (including endoscopic retrograde cholangiopancreatography) in 5.6%, drugs in 3.8%, malignancy in 1.3%, and autoimmunity in %3.8, and the remaining 38% were evaluated as idiopathic pancreatitis. Three patients with cardiac complications were either admitted to the intensive care unit (2 patients) or died (1 patient).Conclusion:Gallstone-related AP was determined to be the most common cause of AP in this study, and idiopathic causes were shown in the second rank. Endoscopic retrograde cholangiopancreatography should be planned if there is clinical deterioration and cholangitis. Serious complications (such as cardiac) may develop in patients defined to have mild disease. Thus, clinicians must be aware of this possibility and should be on high alert for possible cardiac complications which may lead to mortality or intensive care admission. |
| first_indexed | 2024-04-10T11:59:03Z |
| format | Article |
| id | doaj.art-76ca6585e6294ca7a9d39df5cbbf26a2 |
| institution | Directory Open Access Journal |
| issn | 2547-9431 |
| language | English |
| last_indexed | 2024-04-10T11:59:03Z |
| publishDate | 2020-12-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Bagcilar Medical Bulletin |
| spelling | doaj.art-76ca6585e6294ca7a9d39df5cbbf26a22023-02-15T16:16:40ZengGalenos YayineviBagcilar Medical Bulletin2547-94312020-12-015419319810.4274/BMB.galenos.2020.07.03413049054A Retrospective Study of Patients with Acute Pancreatitis in an Internal Medicine ClinicBelgin Boran İncebacak0Kader İrak1Ömür Tabak2Abdülbaki Kumbasar3 Kanuni Sultan Süleyman Training and Research Hospital, Clinic of Internal Medicine, İstanbul, Turkey Kanuni Sultan Süleyman Training and Research Hospital, Clinic of Gastroenterology, İstanbul, Turkey Kanuni Sultan Süleyman Training and Research Hospital, Clinic of Internal Medicine, İstanbul, Turkey Kanuni Sultan Süleyman Training and Research Hospital, Clinic of Internal Medicine, İstanbul, Turkey Objective:Acute pancreatitis (AP) is the rapid inflammation of the pancreas which may be life threatening, even though the disease course may range from mild to severe. We sought to investigate the characteristics of cases followed with a diagnosis of AP at our clinic.Method:Patients diagnosed and followed with AP from 2015 to 2017 at the Istanbul Kanuni Sultan Süleyman Training and Research Hospital were analyzed retrospectively. Demographic features, etiological factors, duration of hospitalization, antibiotic usage and complications were investigated.Results:Of the 160 patients with AP, 65 (40.6%) were male and 95 (59.4%) were female. The mean age of the patients was 56.2±19.1 years. At hospital admission, fever and abdominal pain were observed in 5% of the patients, abdominal pain and itching were present in 1.3%, while abdominal pain and jaundice were reported in 3.8%. Etiology of AP was defined as gallstones in 42.5%, alcohol in 4.4%, hyperlipidemia in 0.6%, posttraumatic causes (including endoscopic retrograde cholangiopancreatography) in 5.6%, drugs in 3.8%, malignancy in 1.3%, and autoimmunity in %3.8, and the remaining 38% were evaluated as idiopathic pancreatitis. Three patients with cardiac complications were either admitted to the intensive care unit (2 patients) or died (1 patient).Conclusion:Gallstone-related AP was determined to be the most common cause of AP in this study, and idiopathic causes were shown in the second rank. Endoscopic retrograde cholangiopancreatography should be planned if there is clinical deterioration and cholangitis. Serious complications (such as cardiac) may develop in patients defined to have mild disease. Thus, clinicians must be aware of this possibility and should be on high alert for possible cardiac complications which may lead to mortality or intensive care admission. http://behmedicalbulletin.org/archives/archive-detail/article-preview/a-retrospective-study-of-patients-with-acute-pancr/41781 acute pancreatitisetiologyretrospective analysis |
| spellingShingle | Belgin Boran İncebacak Kader İrak Ömür Tabak Abdülbaki Kumbasar A Retrospective Study of Patients with Acute Pancreatitis in an Internal Medicine Clinic Bagcilar Medical Bulletin acute pancreatitis etiology retrospective analysis |
| title | A Retrospective Study of Patients with Acute Pancreatitis in an Internal Medicine Clinic |
| title_full | A Retrospective Study of Patients with Acute Pancreatitis in an Internal Medicine Clinic |
| title_fullStr | A Retrospective Study of Patients with Acute Pancreatitis in an Internal Medicine Clinic |
| title_full_unstemmed | A Retrospective Study of Patients with Acute Pancreatitis in an Internal Medicine Clinic |
| title_short | A Retrospective Study of Patients with Acute Pancreatitis in an Internal Medicine Clinic |
| title_sort | retrospective study of patients with acute pancreatitis in an internal medicine clinic |
| topic | acute pancreatitis etiology retrospective analysis |
| url |
http://behmedicalbulletin.org/archives/archive-detail/article-preview/a-retrospective-study-of-patients-with-acute-pancr/41781
|
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