Document Detail

Acute pancreatitis in patients operated on for intraductal papillary mucinous neoplasms of the pancreas: frequency, severity, and clinicopathologic correlations.
MedLine Citation:
PMID:  20173669     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Acute pancreatitis (AP) may reveal intraductal papillary mucinous neoplasms of the pancreas (IPMN). The aims were to describe the characteristics of AP associated with IPMN and to compare patients with AP with those without AP. METHODS: All patients who underwent surgery for IPMN between 1995 and 2006 were retrospectively studied. Clinical, imaging, and histological data were collected. The clinical and radiological severity of AP, the number of episodes, and recurrence after surgery were assessed. RESULTS: One hundred eighty-five patients were included. Sixty-four (34.6%) had at least 1 AP (median, 2; range, 1-10). The median Balthazar score was 1 (0-6). Imaging analysis showed no difference between the 2 groups except for the presence of a mass. Branch duct IPMNs were more frequent in the AP group (74.4% vs 45.3%, P = 0.001), whereas combined IPMNs were more frequent in the non-AP group (45.3% vs 21.5%, P = 0.001). There was no difference in the grade of dysplasia between AP and non-AP groups: carcinoma, 45.3% versus 56.2%; benign IPMN, 54.7% versus 43.8% (P = NS), respectively. CONCLUSIONS: Acute pancreatitis occurs in 34.6% of patients with IPMNs. Acute pancreatitis is not severe and often recurs. Histology showed no difference between the 2 groups.
Anne-Laure Pelletier; Pascal Hammel; Vinciane Rebours; Anne Couvelard; Marie-Pierre Vullierme; Frédérique Maire; Olivia Hentic; Alain Aubert; Alain Sauvanet; Philippe Lévy; Philippe Ruszniewski
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pancreas     Volume:  39     ISSN:  1536-4828     ISO Abbreviation:  Pancreas     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-21     Completed Date:  2010-10-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608542     Medline TA:  Pancreas     Country:  United States    
Other Details:
Languages:  eng     Pagination:  658-61     Citation Subset:  IM    
Pôle des Maladies de l'Appareil Digestif, Service de Gastroentérologie-Pancréatologie, Hôpital Beaujon, AP-HP, Clichy, France.
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MeSH Terms
Adenocarcinoma, Mucinous / complications*,  pathology,  surgery
Carcinoma, Papillary / complications*,  pathology,  surgery
Middle Aged
Pancreatic Neoplasms / complications*,  pathology,  surgery
Pancreatitis / etiology*,  pathology,  radiography*
Retrospective Studies
Severity of Illness Index

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