ArticleDigestive diseases and sciences2010
Recurrent acute pancreatitis: clinical profile and an approach to diagnosis.
Article in Digestive diseases and sciences, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 48 citations in OpenAlex.
- Computed tomography features of recurrent acute pancreatitis based on different etiologies.Quantitative imaging in medicine and surgery · 2025Article
- Endoscopic Ultrasound to Identify the Actual Cause of Idiopathic Acute Pancreatitis: A Systematic Review.Diagnostics (Basel, Switzerland) · 2023Review
- CT characteristics of recurrent acute pancreatitis and acute pancreatitis in different stages-a retrospective cross-sectional study.Quantitative imaging in medicine and surgery · 2023Article
- Resection of pancreatic cystic neoplasms in recurrent acute pancreatitis prevents recurrent pancreatitis but does not identify more malignancies.World journal of gastroenterology · 2021Article
- Utility of endoscopic ultrasound in idiopathic acute recurrent pancreatitis.BMJ open gastroenterology · 2021Article
- Etiology of Acute Recurrent Pancreatitis in Vietnamese Children: an Initial Report.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2020Article
- Differences between the outcome of recurrent acute pancreatitis and acute pancreatitis.JGH open : an open access journal of gastroenterology and hepatology · 2018Article
- Role of endoscopic ultrasound in idiopathic pancreatitis.World journal of gastroenterology · 2017Review
- Epidemiology of Recurrent Acute and Chronic Pancreatitis: Similarities and Differences.Digestive diseases and sciences · 2017Review
- Continuing episodes of pain in recurrent acute pancreatitis: Prospective follow up on a standardised protocol with drugs and pancreatic endotherapy.World journal of gastroenterology · 2017Article
- Ansa pancreatica as a predisposing factor for recurrent acute pancreatitis.World journal of gastroenterology · 2016Article
- Endoscopic retrograde pancreatography: When should we do it?World journal of gastrointestinal endoscopy · 2015Review
- Elevated Deoxycholic Acid and Idiopathic Recurrent Acute Pancreatitis: A Case Report With 48 Months of Follow-up.Global advances in health and medicine · 2014Article
- Use of amylase and alanine transaminase to predict acute gallstone pancreatitis in a population with high HIV prevalence.World journal of surgery · 2013Article
- Definitions of pediatric pancreatitis and survey of present clinical practices.Journal of pediatric gastroenterology and nutrition · 2012Article
- Therapeutic biliary and pancreatic endoscopy in Qatar- a five year retrospective audit.Qatar medical journal · 2012Article
- Meandering main pancreatic duct as a relevant factor to the onset of idiopathic recurrent acute pancreatitis.PloS one · 2012Article
- Recurrent and relapsing pancreatitis.Current gastroenterology reports · 2011Review
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
aimsThough recurrent acute pancreatitis is often seen in clinical practice, there are few comprehensive articles on this entity. The aim of this study therefore was to assess the etiological and clinical profile as well as diagnostic yield of non-invasive and invasive tests in this group of patients.
methodsAll patients with recurrent acute pancreatitis seen from 2002 to 2007 were included in the study, retrospectively. Clinical information, investigation, and treatment data were collected for all patients by a standardized review of medical charts. Diagnostic tests were grouped into level one (non-invasive) and level two (invasive) tests and their yield was assessed. Comparison was made between the group with known etiology and idiopathic group to look for significant differences.
resultsA total of 188 patients with recurrent acute pancreatitis were seen during the study period. Common etiological factors were biliary disease (37%), pancreas divisum (8.5%) and alcohol (6.4%). Multiple etiologies were seen in 7% of cases, and no cause was found in 32.4%. The diagnostic yield of level-one investigation (non-invasive) was 29.3%. Level-two tests (invasive) identified presumptive etiologies in 38.3% of cases. Complications developed in 12.2% and there was no mortality. Clinical features and complications were similar in the idiopathic group and those with known etiology.
conclusionsEtiological diagnosis was obtained in 67.6% of patients after comprehensive diagnostic work up. Diagnosis in the majority of patients could only be reached after invasive tests (bile crystal analysis, EUS, ERCP). Early diagnosis and etiology-based therapy is the key to optimum patient outcome.
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