ArticleBMC gastroenterology2017
Analysis of risk factors related to gastrointestinal fistula in patients with severe acute pancreatitis: a retrospective study of 344 cases in a single Chinese center.
Article in BMC gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Enteral nutrition provided within 48 hours after admission in severe acute pancreatitis: A systematic review and meta-analysis.Medicine · 2018Pooled it
- [Diagnosis and treatment of severe acute pancreatitis complicated with choledochal internal fistulaZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025Article
- Application of electromagnetic navigation guidance technology in enteral nutrition support for a case of severe acute pancreatitis with duodenal fistula: a case report.Frontiers in medicine · 2025Article
- Efficiency of laparoscopic retroperitoneal pancreatic necrosectomy for treating infected pancreatic necrosis with duodenal fistula: a single-center retrospective cohort study.BMC gastroenterology · 2024Article
- Diagnostic accuracy of abdominal contrast-enhanced multi-slice spiral CT after oral diluted iodide in a time segment for gastrointestinal fistula in patients with severe acute pancreatitis.Japanese journal of radiology · 2024Article
- Imaging Diagnosis and Management of Fistulas in Pancreatitis.Digestive diseases and sciences · 2024Review
- Initial suction drainage decreases severe postoperative complications after pancreatic trauma: A cohort study.World journal of gastrointestinal surgery · 2023Article
- Risk factors and their interactive effects on severe acute pancreatitis complicated with acute gastrointestinal injury.World journal of gastrointestinal surgery · 2023Article
- Characteristics and Incidence of Colon Complication in Necrotizing pancreatitis: A Propensity Score-Matched Study.Journal of inflammation research · 2023Article
- Gastrointestinal Fistulas in Necrotizing Pancreatitis Receiving a Step-Up Approach Incidence, Risk Factors, Outcomes and Treatment.Journal of inflammation research · 2023Article
- Indian College of Radiology and Imaging Consensus Guidelines on Interventions in Pancreatitis.The Indian journal of radiology & imaging · 2022Review
- Drainage of pancreatic fluid collections in acute pancreatitis: A comprehensive overview.World journal of clinical cases · 2022Review
- Article
- Acute necrotising pancreatitis: measurements of necrosis volume and mean CT attenuation help early prediction of organ failure and need for intervention.European radiology · 2021Article
- Abdominal rebleeding after transcatheter arterial embolization for ruptured pseudoaneurysms associated with severe acute pancreatitis: a retrospective study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021Article
- Gastrointestinal complications in acute and chronic pancreatitis.JGH open : an open access journal of gastroenterology and hepatology · 2019Review
- Gastrointestinal tract involvement in acute pancreatitis: initial findings and follow-up by magnetic resonance imaging.Quantitative imaging in medicine and surgery · 2017Article
- [Transmural Endoscopic Necrosectomy through a Spontaneous Gastric-pancreatic Fistula Secondary to Infected Encapsulated Necrosis].Acta gastroenterologica LatinoamericanaArticle
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGastrointestinal fistula (GIF) in severe acute pancreatitis (SAP) is considered as a sparse episode and studied sporadically in the literature. There is paucity of data on the prediction of the effect on risk of GIF in patient with SAP. This study was aimed to investigate risk factors related to GIF in the development of SAP.
methodsThe clinical data of 344 patients with SAP from 2011 to 2016 were reviewed retrospectively. All patients were divided into the GIF group and the non-GIF group, and their data analyzed with respect to 15 parameters were applied to explore potential risk factors for GIF in patients with SAP.
resultsOf the 344 eligible patients, 52 (15.12%) progressed to GIF. Only occurrence of infected pancreatic and extra-pancreatic necrosis (IPN) (P = 0.004, OR = 3.012) and modified CT severity index (MCTSI) (P = 0.033, OR = 1.183) were proved to be independent risk factors for GIF in patients with SAP, and blood type B (P = 0.048, OR = 2.096, 95% CI: 0.748-3.562) indicated weaker association of risk factor for GIF. The early (48-72 h after admission) enteral nutrition (EEN) (P = 0.016, OR = 0.267) acted as a protective factor.
conclusionsOccurrence of IPN and high MCTSI are independent risk factors for the development of GIF in patients with SAP, blood type B reveals a potential correlation with GIF in patients with SAP. EEN is helpful to prevent the progression of GIF secondary to SAP.
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