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Journal of Clinical Gastroenterology Sep 2003After routine investigations, including a thorough history, routine laboratory study, and noninvasive imaging with transcutaneous ultrasonogram, 10% to 25% of cases of... (Review)
Review
After routine investigations, including a thorough history, routine laboratory study, and noninvasive imaging with transcutaneous ultrasonogram, 10% to 25% of cases of acute pancreatitis have no readily identifiable cause and are termed idiopathic. But modern medicine has made notable advances in uncovering various causes of acute pancreatitis, and several new diagnostic tools that allow clinicians to less invasively approach the patient without sacrificing the diagnostic yield have been introduced. By being knowledgeable of these new changes and by their proper use in a proper circumstances, clinicians will be able to find the cause more accurately and earlier. This better management will not only improve the well-being of the patients but also reduce the number of "true" idiopathic acute pancreatitis to a minimum.
Topics: Acute Disease; Humans; Pancreatitis
PubMed: 12960724
DOI: 10.1097/00004836-200309000-00010 -
BMJ Case Reports Nov 2019Epstein-Barr virus (EBV) infection is mostly subclinical and resolves spontaneously without complications. Gastroenterology involvement usually manifests as asymptomatic... (Review)
Review
Epstein-Barr virus (EBV) infection is mostly subclinical and resolves spontaneously without complications. Gastroenterology involvement usually manifests as asymptomatic liver enzymes elevation. We report a new case of acute pancreatitis complicating EBV infection and review the literature. EBV-associated acute pancreatitis is rare, usually develops in the setting of clinically clear EBV infection, occurs mostly in children and young adults, has mild-to-moderate severity, and has excellent prognosis with conservative management. It should be suspected when patients with an EBV infection picture develop unexplained abdominal pain.
Topics: Adolescent; Conservative Treatment; Epstein-Barr Virus Infections; Female; Humans; Pancreatitis
PubMed: 31732544
DOI: 10.1136/bcr-2019-231744 -
The Journal of the American Osteopathic... Apr 2001Acute pancreatitis is a relatively common disease with an incidence of 30 per 100,000 persons per year. In the United States, more than 80% of the cases are related to... (Review)
Review
Acute pancreatitis is a relatively common disease with an incidence of 30 per 100,000 persons per year. In the United States, more than 80% of the cases are related to biliary stones or alcohol use. It is a potentially fatal disease with an overall mortality of 5% to 10%. When first seen, patients have an acute abdomen. It is imperative that the diagnosis be established rapidly with a thorough history, physical examination, and appropriate laboratory and imaging studies. Prompt determination of patients who need referral for intensive care or consultation is crucial. There is no specific treatment for most patients with acute pancreatitis. Supportive care includes intravenous administration of fluids, parenterally administered analgesia, nutritional support, and prevention and treatment of complications.
Topics: Acute Disease; Humans; Pancreatitis
PubMed: 11392214
DOI: No ID Found -
AJR. American Journal of Roentgenology Mar 2016The objective of this article is to provide updates on acute pancreatitis in children regarding the imaging findings, causes, and complications based on a review of the... (Review)
Review
OBJECTIVE
The objective of this article is to provide updates on acute pancreatitis in children regarding the imaging findings, causes, and complications based on a review of the current studies in the pediatrics literature. We discuss the epidemiology of acute pancreatitis, the role of imaging and imaging findings in the diagnosis of acute pancreatitis, and the causes and complications of acute pancreatitis.
CONCLUSION
The incidence of acute pancreatitis is increasing in children. Imaging plays an important role in the diagnosis of acute pancreatitis because imaging findings can be used to establish the cause of acute pancreatitis, evaluate for complications of acute pancreatitis, and possibly predict the course of the disease.
Topics: Acute Disease; Child; Child, Preschool; Female; Humans; Infant; Infant, Newborn; Magnetic Resonance Imaging; Male; Pancreatitis; Tomography, X-Ray Computed; Ultrasonography
PubMed: 26901022
DOI: 10.2214/AJR.14.14223 -
The Medical Clinics of North America Sep 1993Acute pancreatitis is an inflammatory disease of variable clinical severity. The pathologic conditions that correlate with clinical severity and with local systemic... (Review)
Review
Acute pancreatitis is an inflammatory disease of variable clinical severity. The pathologic conditions that correlate with clinical severity and with local systemic complications range from mild edema to pancreatic an peripancreatic necrosis. This article discusses diagnosis, etiology, laboratory evaluation, and imaging studies with respect to acute pancreatitis. Assessing the prognosis, detecting complications, and therapy are discussed also.
Topics: Acute Disease; Amylases; Clinical Enzyme Tests; Diagnosis, Differential; Humans; Pancreas; Pancreatitis; Prognosis; Radiography; Ultrasonography
PubMed: 7690443
DOI: 10.1016/s0025-7125(16)30209-7 -
JAMA Jun 2004
Review
Topics: Acute Disease; Diagnostic Imaging; Humans; Pancreatitis; Severity of Illness Index
PubMed: 15199038
DOI: 10.1001/jama.291.23.2865 -
Annals of Internal Medicine Jan 1972
Review
Topics: Acute Disease; Alcoholism; Clinical Enzyme Tests; Colloids; Edema; Hemorrhage; Humans; Hydrocortisone; Hypocalcemia; Necrosis; Pancreatitis; Prognosis; Radiography
PubMed: 4553739
DOI: 10.7326/0003-4819-76-1-105 -
Lancet (London, England) Aug 1993
Review
Topics: Acute Disease; Decision Making; Humans; Pancreatitis; Radiography
PubMed: 8102434
DOI: 10.1016/0140-6736(93)91598-g -
BMJ (Clinical Research Ed.) Jan 1998
Review
Topics: Acute Disease; Biomarkers; Humans; Pancreatitis; Prognosis
PubMed: 9451268
DOI: 10.1136/bmj.316.7124.44 -
Nutricion Hospitalaria 2012Acute pancreatitis is a common and potentially severe disease where nutritional support does affect its development in a way it may be considered a treatment in severe... (Review)
Review
Acute pancreatitis is a common and potentially severe disease where nutritional support does affect its development in a way it may be considered a treatment in severe cases. These include around 20% of patients and present mortality rates of 8%-39%. In mild acute pancreatitis patients are prescribed nil per os at admission and advance diet in a progressive manner the following days. Although early introduction of diet has proven to shorten the length of stay, it is still not clear when and how to introduce diet. Severe disease is a hypercatabolic situation which often appears in already malnourished patients. Early enteral nutrition has shown a significative benefit over parenteral nutrition in terms of infection rates, hyperglycemia and mortality rates. This benefit may be related to a decrease in bacterial intestinal translocation. Nasoyeyunal tube feeding is the preferred site, but there are trials supporting nasogastric tubes, a more feasible election. The following lines offer an up to date review of nutritional management in acute pancreatitis, trying to answer in a clear and practical way to the most frequent problems arising in the day to day management of this disease.
Topics: Enteral Nutrition; Humans; Length of Stay; Nutritional Support; Pancreatitis; Parenteral Nutrition
PubMed: 22732954
DOI: 10.1590/S0212-16112012000200002