Groove pancreatitis has a spectrum of severity and can be managed conservatively
| Autor: | Anna E. Phillips, Harkirat Singh, Anil K. Dasyam, Kohtaro Ooka, Pedram Paragomi, Georgios I. Papachristou, Adam Slivka, Kenneth K. Lee, Amer H. Zureikat, Melissa Saul, Andrew D. Althouse, Dhiraj Yadav, Matthew G. Warndorf |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Endocrinology Diabetes and Metabolism Article Cigarette Smoking Cohort Studies 03 medical and health sciences 0302 clinical medicine Risk Factors Diabetes mellitus Internal medicine medicine Humans Aged Retrospective Studies Aged 80 and over Hepatology business.industry Medical record Gastroenterology Middle Aged medicine.disease Natural history Alcoholism Pancreatitis 030220 oncology & carcinogenesis Cohort Etiology Acute pancreatitis 030211 gastroenterology & hepatology Female business Groove (joinery) |
| Zdroj: | Pancreatology |
| ISSN: | 1424-3911 |
| Popis: | Background & aims The natural history of groove pancreatitis is incompletely characterized. Published literature suggests a high rate of surgery. We describe the short- and long-term outcomes in a cohort of patients with groove pancreatitis treated at our institution. Methods Medical records of patients hospitalized in the University of Pittsburgh Medical Center system from 2000 to 2014 and diagnosed with groove pancreatitis based on imaging were retrospectively reviewed. Clinical presentation and outcomes during index admission and follow-up were recorded. Results Forty-eight patients with groove pancreatitis were identified (mean age 53.2 years, 79% male). Seventy-one percent were alcohol abusers and an equal number were cigarette smokers. Prior histories of acute and chronic pancreatitis were noted in 30 (62.5%) and 21 (43.8%), respectively. Forty-four (91.7%) met criteria for acute pancreatitis during their index admission. Alcohol was the most common etiology (68.8%). No patient experienced organ failure. The most frequent imaging findings were fat stranding in the groove (83.3%), duodenal wall thickening (52.1%), and soft tissue mass/thickening in the groove (50%). Over a mean follow-up of 5.0 years, seven (14.6%) required a pancreas-related surgery. Patients had a high burden of pancreatitis-related readmissions (68.8%, 69.4/100 patient-years). Incident diabetes and chronic pancreatitis were diagnosed in 5 (13.9% of patients at risk) and 8 (29.6% of patients at risk) respectively. Conclusions Groove pancreatitis has a wide spectrum of severity; most patients have mild disease. These patients have a high burden of readmissions and progression to chronic pancreatitis. A small minority requires surgical intervention. |
| Databáze: | OpenAIRE |
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