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Rate of recurrence in Indian patients presenting with acute pancreatitis and identification of chronicity on follow up: Possible risk factors for progression

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Abstract

Background

To study the profile and long-term outcome of Indian patients presenting with acute pancreatitis and the possible risk factors for progression.

Methods

Consecutive patients with acute or recurrent acute pancreatitis seen in our department during July 2013 to December 2014 were included. Details of past episodes were collected and patients were followed up till March 2015.

Results

In the 97 patients included (mean age 47.2 [SD 16.9] years; 74 men), gallstones (37 [38.1%]) and alcohol (19 [19.6%]) were the major identified etiologies; the idiopathic (31 [32%]) group constituted a third of patients. Recurrences were more common with idiopathic etiology (14 patients out of 30 had recurrences [46.7%]) as compared to alcoholic (5 out of 19 [26.3%]) and biliary (4 out of 37 [10.8%]) pancreatitis and with mild index episode. Following the episode of acute pancreatitis, identification of chronic pancreatitis was more common with alcoholic (6 out of 18 [33%]) and idiopathic (9 out of 30 [30%]) etiology as compared to other etiologies. Longer duration of follow up, but not number of recurrent episodes, was associated with identification of chronicity in patients presenting as acute pancreatitis.

Conclusions

Out of 97 patients with acute pancreatitis, 27 (27.8%) developed recurrences with risk factors being idiopathic etiology and mild index episode. Eighteen of 97 (18.6%) patients had evidence of chronic pancreatitis on follow up, risk factors being the alcoholic and idiopathic varieties, and longer duration of follow up.

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Authors and Affiliations

  1. Division of Gastroenterology, P D Hinduja Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai, 400 016, India

    Rishikesh Kalaria, Philip Abraham, Devendra C. Desai, Anand Joshi & Tarun Gupta

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  1. Rishikesh Kalaria
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  2. Philip Abraham
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  3. Devendra C. Desai
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  4. Anand Joshi
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  5. Tarun Gupta
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Correspondence to Philip Abraham.

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RK, PA, DCD, AJ, and TG declare that they have no conflict of interest.

Ethical approval

All procedures performed in a study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

This article does not contain any studies with animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Kalaria, R., Abraham, P., Desai, D.C. et al. Rate of recurrence in Indian patients presenting with acute pancreatitis and identification of chronicity on follow up: Possible risk factors for progression. Indian J Gastroenterol 37, 92–97 (2018). https://doi.org/10.1007/s12664-018-0818-0

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  • DOI: https://doi.org/10.1007/s12664-018-0818-0

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