Clinical, biochemical, and radiologic parameters at admission predicting formation of a pseudocyst in acute pancreatitis

Journal of Clinical Gastroenterology
Kuchhangi Sureshchandra PoornachandraKartar Singh

Abstract

To evaluate clinical, biochemical, and radiologic parameters at admission, which predict the development of acute pseudocyst (AP) after acute pancreatitis. There is limited data on factors that predict the development of AP. Seventy-five consecutive patients with AP were prospectively enrolled and subjected to clinical, laboratory, and radiologic investigation. The patients were followed up for a period of 4 weeks and then investigated radiologically for the development of AP. After exclusion, 65 patients (44 males) were studied. The median age was 37 years (40.9±15.5 y). Etiology of acute pancreatitis was alcohol in 24 patients, gallstones in 18, both in 4, drugs in 4, pancreas divisum in 2, postendoscopic retrograde cholangiopancreatography in 1, trauma in 1, and idiopathic in 11 patients. On admission, acute fluid collections were observed in 34 (52.31%) patients. Necrosis was noted in 38 (58.46%) patients (<30% necrosis, 30% to 50% necrosis, and >50% necrosis was observed in 36.8%, 26.3%, and 36.8% patients, respectively). On follow-up, 34 (52.3%) patients developed a pseudocyst. On univariate analysis, the factors significantly associated with pseudocyst formation were male sex, palpable mass, blood sugar greater than 150 ...Continue Reading

Citations

Aug 23, 2016·Expert Review of Medical Devices·Eduardo Rodrigues-Pinto, Todd H Baron
Jul 12, 2017·Journal of Clinical Gastroenterology·Monica SaumoyMichel Kahaleh
Dec 4, 2019·Clinical Obstetrics and Gynecology·Stacy L Beck
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May 27, 2021·Digestive Diseases and Sciences·Nikhil Bush, Surinder Singh Rana
Feb 11, 2021·GE Portuguese Journal of Gastroenterology·Flávio PereiraMiguel Bispo

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