Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 2 de 2
Filtrar
Mais filtros

Base de dados
Ano de publicação
Tipo de documento
Intervalo de ano de publicação
1.
Pancreas ; 53(8): e633-e640, 2024 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-38696426

RESUMO

BACKGROUND/AIM: Severity of microlithiasis- and sludge-induced pancreatitis in comparison to gallstone-induced pancreatitis has never been studied for a lack of definition. MATERIALS AND METHODS: In this retrospective cohort study, 263 patients with acute biliary pancreatitis treated at a tertiary care center from 2005 to 2021 were stratified according to the recent consensus definition for microlithiasis and sludge. The gallstone-pancreatitis cohort was compared to microlithiasis, sludge, and suspected stone passage pancreatitis cohorts in terms of pancreatitis outcome, liver function, and endosonography/endoscopic retrograde cholangiopancreatography results using one-way analysis of variance and χ 2 test. Multinomial logistic regression analysis was performed to correct for bias. RESULTS: Microlithiasis- and sludge-induced pancreatitis, classified according to the revised Atlanta classification, did not present with a milder course than gallstone-induced pancreatitis ( P = 0.62). Microlithiasis and sludge showed an increase in bilirubin on the day of admission to hospital, which was not significantly different from gallstone-induced pancreatitis ( P = 0.36). The likelihood of detecting biliary disease on endosonography resulting in bile duct clearance was highest on the day of admission and day 1, respectively. CONCLUSIONS: Microlithiasis and sludge induce gallstone-equivalent impaired liver function tests and induce pancreatitis with similar severity compared with gallstone-induced acute biliary pancreatitis.


Assuntos
Colangiopancreatografia Retrógrada Endoscópica , Cálculos Biliares , Pancreatite , Índice de Gravidade de Doença , Humanos , Estudos Retrospectivos , Cálculos Biliares/complicações , Cálculos Biliares/diagnóstico por imagem , Pancreatite/etiologia , Pancreatite/complicações , Pancreatite/diagnóstico , Masculino , Pessoa de Meia-Idade , Feminino , Idoso , Adulto , Endossonografia/métodos , Litíase/complicações
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA