Postburn pancreatitis

Annals of Surgery
C M RyanR G Tompkins

Abstract

The authors examined the prevalence and complications of pancreatitis in severely burned patients. Factors predictive for the development of pancreatitis after burns are considered. Pancreatitis has been documented at necropsy after burns; however, it is not clinically recognized as a common complication of burn injury. Recent improvements in survival rates could yield previously unrecognized complications, such as pancreatitis, particularly in those patients who previously would have not survived. The hypothesis is that pancreatitis is a frequent complication after major burn injury and causes significant morbidity for patients with large burns. This retrospective review of adult patients with large burns examines postburn pancreatitis using stepwise logistic regression analysis. Forty-nine of 121 (40%) patients developed hyperamylasemia or hyperlipasemia well after the admission period (23 +/- 3 days), and all enzyme abnormalities were temporally associated with emerging infections. Most of these patients (40/49, 82%) had symptoms of pancreatitis. Three patients (6%) had pancreatic pseudocysts or abscesses. Inhalation injury (p = 0.0001), associated trauma (p = 0.0311), and escharotomy (p = 0.0415) were risk factors for pancr...Continue Reading

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Citations

Aug 21, 2003·Burns : Journal of the International Society for Burn Injuries·Michael D WilsonPeter Dziewulski
Feb 5, 1998·The New England Journal of Medicine·C M RyanR G Tompkins
Apr 29, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Robert L Sheridan
Aug 1, 2007·Journal of Burn Care & Research : Official Publication of the American Burn Association·Robert Sheridan
Nov 4, 2011·Science Translational Medicine·Sarah NavinaVijay P Singh
May 20, 2004·AJR. American Journal of Roentgenology·Vernon M ChapmanRobert A Novelline
Oct 4, 2014·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Chathur AcharyaVijay P Singh
Aug 2, 2012·The Surgical Clinics of North America·Leopoldo C CancioRobert L Sheridan
Sep 21, 2010·Burns : Journal of the International Society for Burn Injuries·Haidy G RiveroMarc G Jeschke
Aug 1, 1996·The Surgical Clinics of North America·W Dougherty, K Waxman
Nov 1, 1999·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland· Griffith Seow-Choen
Feb 26, 2010·Journal of Burn Care & Research : Official Publication of the American Burn Association·Maggie L DylewskiRobert L Sheridan
Dec 28, 2015·Acute Medicine & Surgery·Akinori OsukaMasashi Ueyama
May 19, 2019·Journal of Burn Care & Research : Official Publication of the American Burn Association·Juan-Pablo IdrovoElizabeth J Kovacs
Apr 1, 2020·The Journal of International Medical Research·Changbao HuangXigang Zhang

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