Artikel: Epidemiology of Acute Pancreatitis in Southern Israel: A Retrospective Study.
The Israel Medical Association journal : IMAJ
2020 Band 22, Heft 5, Seite(n) 310–314
Abstract: Background: There is a lack of information regarding acute pancreatitis in Israel. However, the most prevalent worldwide etiologic causes of acute pancreatitis are biliary stones and alcohol abuse.: Objectives: To delineate the prevalence, main ... ...
Abstract | Background: There is a lack of information regarding acute pancreatitis in Israel. However, the most prevalent worldwide etiologic causes of acute pancreatitis are biliary stones and alcohol abuse. Objectives: To delineate the prevalence, main causes, rate of recurrence, mortality, and complications of acute pancreatitis in southern Israel. Methods: In this retrospective study medical files of all hospitalized patients diagnosed with acute pancreatitis during a 13-year period were reviewed. Results: The study comprised 602 patients with acute pancreatitis (120/100,000 patients or 1.2/1000 admissions). The main causes were: biliary stones (41.5%), alcohol (8.8%), and drugs (8.3%). Disothiazide was the most common drug associated with acute pancreatitis followed by sitagliptin, angiotensin converting enzyme (ACE) inhibitors, and simvastatin. Undetermined etiology made up 33.6% of the cases. Recurrence rate was 33.8% (alcohol 3.7%, hypertriglyceridemia 1.8%). This finding had no implications on mortality rate, which was stable at 4.3%. Bilateral pleural effusion, advanced computed tomography severity index (CTSI) grading, older age, and being single were found to be poor prognostic predictive factors. Conclusions: Biliary pancreatitis is the main cause of acute pancreatitis in southern Israel, similar to the rest of the world, and constitutes a much more common etiology than alcohol. Furthermore, drug-induced pancreatitis is a common etiology, with disothiazide being the most common drug associated with pancreatitis followed by ACE-Inhibitors, sitagliptin, and simvastatin. Recurrence of pancreatitis is common in this geographic area, and older age, advanced CTSI grading, bilateral pleural effusion, and being single are all poor prognostic predictive factors. |
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Mesh-Begriff(e) | Acute Disease ; Adult ; Aged ; Female ; Humans ; Israel/epidemiology ; Male ; Middle Aged ; Pancreatitis/complications ; Pancreatitis/epidemiology ; Pancreatitis/etiology ; Prevalence ; Recurrence ; Retrospective Studies |
Sprache | Englisch |
Erscheinungsdatum | 2020-05-07 |
Erscheinungsland | Israel |
Dokumenttyp | Journal Article |
ZDB-ID | 2008291-5 |
ISSN | 1565-1088 ; 0021-2180 |
ISSN | 1565-1088 ; 0021-2180 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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