[Clinical characteristics of acute pancreatitis in Mexico]. / Características clínicas de la pancreatitis aguda en México.
Rev Gastroenterol Mex
; 77(4): 167-73, 2012.
Article
in Es
| MEDLINE
| ID: mdl-23177790
ABSTRACT
BACKGROUND:
Acute pancreatitis (AP) etiology and frequency vary in relation to geographic region.AIMS:
To determine the etiology, frequency, and mortality of AP in a Mexican population. PATIENTS ANDMETHODS:
We carried out a prospective study of first episode AP patients over a period of 6 years.RESULTS:
A total of 605 patients with a mean age of 40 years were included in the study. Sixty-four percent of them presented with overweight and/or obesity determined through BMI. Etiology was biliary in 66.60%, it was due to alcohol consumption in 15.90%, hypertriglyceridemia in 7.80%, it was post-endoscopic retrograde cholangiopancreatography (ERCP) in 2.10%, and was undetermined in 7.20%. Pancreatic infection was suspected in 70 patients and they underwent CT-guided fine needle aspiration. Thirty-two of those patients were diagnosed with pancreatic infection in which Staphylococcus spp was the most common microorganism. Overall mortality was 5.00% (2.60% < 30 years and 10.00% > 70 years). Necrosis, pancreatic infection, and mortality were more frequent in the cases in which etiology was due to alcohol ingestion.CONCLUSIONS:
The most frequent AP etiology was biliary, but that caused by alcohol presented with more complications. Overall mortality was 5.00% and was higher in the elderly patients.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pancreatitis
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Mexico
Language:
Es
Journal:
Rev Gastroenterol Mex
Year:
2012
Type:
Article