Analysis of clinical features of acute pancreatitis in Shandong Province, China

Autor: Sheng An Yuan, Liu Ye Huang, Xian Zhong Zeng, Fu Xian Wang, Yan Qing Li, Qing Wang, Ji Ma, Chun An Liu, Guo Qing Li, Shen Lin Li, Yan Jing Gao
Rok vydání: 2007
Předmět:
Zdroj: Journal of gastroenterology and hepatology. 22(3)
ISSN: 0815-9319
Popis: Aim: To investigate and obtain a more comprehensive view of the etiology and clinical features of acute pancreatitis in China. Method: The study comprised 1471 patients in 10 cites of China who were admitted to hospitals for acute pancreatitis from January 1992 to December 2002. Data for each patient were collected on a standardized form. Results: Of the 1471 patients (854 men, 617 women; mean age 43.3 years; range 13–82 years), 1280 had mild pancreatitis and 191 had the severe form. Cholelithiasis (20.2%), alcohol (17.3%) and diet-induced (12.4%) were the most frequent etiological factors, followed by biliary tract infections (5.6%), hyperlipidemia (2.3%) and other factors (5.1%). However, in about 36.1% of cases, the etiology of acute pancreatitis still remained unexplained. In coastal regions, cholelithiasis was the most frequent factor but alcohol ranked first in interior regions. In males, a small predominance of alcohol over cholelithiasis was seen (27.4%vs 14.3%) and there was a clear predominance of cholelithiasis over alcohol (28.4%vs 3.2%) in females. The differences in the frequency of cholelithiasis and alcohol between coastal regions and interior regions and males and females were statistically significant (P
Databáze: OpenAIRE