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https://www.readbyqxmd.com/read/27759788/understanding-the-international-consensus-for-acute-pancreatitis-classification-of-atlanta-2012
#1
Gleim Dias de Souza, Luciana Rodrigues Queiroz Souza, Ronaldo Máfia Cuenca, Bárbara Stephane de Medeiros Jerônimo, Guilherme Medeiros de Souza, Vinícius Martins Vilela
Introduction: Contrast computed tomography and magnetic resonance imaging are widely used due to its image quality and ability to study pancreatic and peripancreatic morphology. The understanding of the various subtypes of the disease and identification of possible complications requires a familiarity with the terminology, which allows effective communication between the different members of the multidisciplinary team. Aim: Demonstrate the terminology and parameters to identify the different classifications and findings of the disease based on the international consensus for acute pancreatitis ( Atlanta Classification 2012)...
July 2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27737399/acute-tubulointerstitial-nephritis-with-severe-renal-impairment-associated-with-multisystem-igg4-related-disease
#2
Rafael Coimbra Ferreira Beltrame, Maurício Friderichs, Bárbara Rayanne Fior, Pedro Guilherme Schaefer, Gustavo Gomes Thomé, Dirceu Reis da Silva, Elvino José Guardão Barros, Renato Seligman, Francisco Veríssimo Veronese
The IgG4-related disease has a wide clinical spectrum where multiple organs can be affected, and the diagnosis depends on typical histopathological findings and an elevated IgG4 expression in plasma cells in the affected tissue. We describe the clinical presentation and evolution of a patient with acute tubulointerstitial nephritis, severe kidney failure and systemic manifestations such as lymphadenomegaly and chronic pancreatitis. The diagnosis was confirmed by the clinical picture and kidney and lymph node histopathology, in which immunohistochemistry of the lymphoid tissue showed policlonality and increased expression of IgG4, with a IgG4/total IgG ratio > 80%...
July 2016: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
https://www.readbyqxmd.com/read/27737397/hypertriglyceridemia-is-there-a-role-for-prophylactic-apheresis-a-case-report
#3
Ana Rita Francisco, Inês Gonçalves, Fátima Veiga, Mónica Mendes Pedro, Fausto J Pinto, Dulce Brito
Severe hypertriglyceridemia has been consistently associated with an increased risk of cardiovascular disease and other complications, namely acute pancreatitis. We report a case of a 64 year-old woman with hypertrophic cardiomyopathy and metabolic syndrome with triglyceride level of 3260 mg/dL. Plasma exchange was performed with simultaneous medical treatment to achieve a rapid and effective lowering of triglycerides in order to prevent clinical complications. After three plasmapheresis sessions a marked reduction in triglyceride and total cholesterol levels was observed...
July 2016: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
https://www.readbyqxmd.com/read/27284935/-pentoxifylline-in-severe-acute-pancreatits-a-promising-approach
#4
J Rosendahl
No abstract text is available yet for this article.
June 2016: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/27179282/intestinal-permeability-and-systemic-endotoxemia-in-patients-with-acute-pancreatitis
#5
Mario Schietroma, Beatrice Pessia, Francesco Carlei, Paola Mariani, Federico Sista, Gianfranco Amicucci
BACKGROUND: The bacterial contamination of pancreatic necrosis in acute pancreatitis is supposed to occur through translocation of intestinal bacteria. The aim of this clinical study was to evaluate intestinal mucosa permeability and endotoxemia in patients with acute pancreatitis. METHODS: Sixtythree patients with acute pancreatitis were studied. Classification 42 patients had mild and 21 patients severe pancreatitis. Intestinal permeability was assessed at day 0, 1, 3, 7, 9 and 11 using the lactulose/mannitol differential absorption test...
2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/27109912/plasticity-and-aggregation-of-juvenile-porcine-islets-in-modified-culture-preliminary-observations
#6
Bradley P Weegman, Michael J Taylor, Simona C Baicu, Kate Mueller, Timothy D O'Brien, John Wilson, Klearchos K Papas
Diabetes is a major health problem worldwide and there is substantial interest in developing xenogeneic islet transplantation as a potential treatment. The potential to relieve the demand on an inadequate supply of human pancreata is dependent upon the efficiency of techniques for isolating and culturing islets from the source pancreata. Porcine islets are favored for xenotransplantation, but mature pigs (>2 years) present logistic and economic challenges and young pigs (3-6 months) have not yet proven to be an adequate source...
April 22, 2016: Cell Transplantation
https://www.readbyqxmd.com/read/27042605/differences-in-severity-and-outcomes-between-hypertriglyceridemia-and-alcohol-induced-pancreatitis
#7
Hemant Goyal, Betsy Smith, Chelsey Bayer, Carla Rutherford, Danielle Shelnut
BACKGROUND: Alcohol and hypertriglyceridemia (HTG) are among the most common causes of acute pancreatitis (AP) after gallstones. However, differences in severity at the time of presentation and outcomes have not been well-studied. OBJECTIVE: The aim of this study is to assess the differences between severity at presentation and outcomes of AP of hypertriglyceridemic and alcoholic origins. MATERIALS AND METHODS: A retrospective review of 177 patients who were discharged with diagnosis of AP was performed...
February 2016: North American Journal of Medical Sciences
https://www.readbyqxmd.com/read/26473143/acute-necrotizing-pancreatitis-associated-with-mycoplasma-pneumoniae-infection-in-a-child
#8
Aram Yang, Ben Kang, So Yoon Choi, Joong Bum Cho, Yae-Jean Kim, Tae Yeon Jeon, Yon Ho Choe
Mycoplasma pneumoniae is responsible for approximately 20% to 30% of community-acquired pneumonia, and is well known for its diverse extrapulmonary manifestations. However, acute necrotizing pancreatits is an extremely rare extrapulmonary manifestation of M. pneumoniae infection. A 6-year-old girl was admitted due to abdominal pain, vomiting, fever, and confused mentality. Acute necrotizing pancreatitis was diagnosed according to symptoms, laboratory test results, and abdominal computed tomography scans. M...
September 2015: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/26364660/rosmarinic-acid-attenuates-sodium-taurocholate-induced-acute-pancreatitis-in-rats-by-inhibiting-nuclear-factor-%C3%AE%C2%BAb-activation
#9
Yu-Ting Fan, Guo-Jian Yin, Wen-Qin Xiao, Lei Qiu, Ge Yu, Yan-Ling Hu, Miao Xing, De-Qing Wu, Xiao-Feng Cang, Rong Wan, Xing-Peng Wang, Guo-Yong Hu
Rosmarinic Acid (RA), a caffeic acid ester, has been shown to exert anti-inflammation, anti-oxidant and antiallergic effects. Our study aimed to investigate the effect of RA in sodium taurocholate ( NaTC )-induced acute pancreatitis, both in vivo and in vitro. In vivo, RA (50 mg/kg) was administered intraperitoneally 2 h before sodium taurocholate injection. Rats were sacrificed 12 h, 24 h or 48 h after sodium taurocholate injection. Pretreatment with RA significantly ameliorated pancreas histopathological changes, decreased amylase and lipase activities in serum, lowered myeloperoxidase activity in the pancreas, reduced systematic and pancreatic interleukin-1 β (IL-1β), IL-6, and tumor necrosis factor-α (TNF-α) levels, and inhibited NF-κB translocation in pancreas...
2015: American Journal of Chinese Medicine
https://www.readbyqxmd.com/read/26308313/gallbladder-and-pancreas-in-henoch-sch%C3%A3-nlein-purpura-review-of-the-literature
#10
Rossana Helbling, Sebastiano A G Lava, Giacomo D Simonetti, Pietro Camozzi, Mario G Bianchetti, Gregorio P Milani
OBJECTIVE: Involvement of the pancreato-biliary system has been occasionally noted in Henoch-Schönlein purpura. Furthermore, cases of this vasculitis syndrome sometimes develop in the context of a viral hepatitis or after hepatitis vaccination. METHODS: We completed a review of the literature. RESULTS: Fifty reports published between 1977 and 2015 were retained for the analysis. A pancreato-biliary involvement was recognized in 34 individually well-described patients (♂:♀ = 19:15) with severe abdominal pain: pancreatitis (N = 20), acalculous cholecystitis (N = 11), both pancreatitis and cholecystitis (N = 3)...
March 2016: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/26042778/-prevention-of-acute-pancreatitis-following-endoscopic-retrograde-cholangiopancreatography
#11
REVIEW
Árpád Patai, Árpád V Patai, Norbert Solymosi, Zsolt Tulassay, László Herszényi
Over 14,000 endoscopic retrograde cholangiopancreatographies are performed in Hungary annually, and approximately 1400 patients are calculated to develop pancreatititis including 10 cases with fatal outcome. This article reviews the recent and relevant literature and presents a practical guide based on the authors' own experience for the prevention of pancreatitis following endoscopic retrograde cholangiopancreatography. The authors emphasize the importance of careful consideration of indications, analysis of risk factors, avoiding unnecessary diagnostic intervention, a decrease of the attempts for cannulation, early precut, implantation of pancreatic stent in high risk patients, administration of rectal indomethacin or diclofenac, and adequate intravenous fluid replacement...
May 3, 2015: Orvosi Hetilap
https://www.readbyqxmd.com/read/25785001/biliopancreatic-duct-injection-of-ethanol-as-an-experimental-model-of-acute-and-chronic-pancreatitis-in-rats
#12
Ethem Unal, Suleyman Atalay, Huseyin Kerem Tolan, Sema Yuksekdag, Metin Yucel, Aylin Acar, Fatih Basak, Pembegul Gunes, Gurhan Bas
In the present study, we described an easily reproducable experimental pancreatits model induced by biliopancreatic duct injection of ethyl alcohol. Seventy Wistar albino rats were divided equally into seven groups randomly: the control group (group 1), acute pancreatitis groups; induced by 20% ethanol (group 2), 48% ethanol (group 3), 80% ethanol (group 4), chronic pancreatitis groups; induced by 20% ethanol (group 5), 48% ethanol (group 6) and by 80% ethanol (group 7). Acute pancreatitis groups were sacrified on postoperative day 3, while the control group and chronic pancreatitis groups were killed on postoperative day 7...
2015: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/25612121/pancreatic-panniculitis
#13
Sam Shiyao Yang, Gwyneth Shook Ting Soon, Derrick Chen-Wee Aw
We describe a rare case of a patient with pancreatic adenocarcinoma who presented initially with a rash on her lower legs. Skin biopsy showed lobular panniculitis and characteristic "ghost" adipocytes consistent with pancreatitic panniculitis. This clinical case is an interesting example where a seemingly innocuous skin condition heralds an underlying malignant disease process.
January 2015: Dermatology Online Journal
https://www.readbyqxmd.com/read/24704055/endovascular-stenting-as-treatment-for-occult-perforated-abdominal-aorta-caused-by-acute-necrotizing-pancreatitis-as-rare-complication-after-heart-transplantation
#14
Udo Boeken, Edward Ansari, Artur Lichtenberg
With an increase in the population of living cardiac allograft recipients, noncardiac surgery in this group of patients will be a more frequent phenomenon. The postoperative management in these patients is, however, complex. The authors present a case of an abdominal aortic rupture due to the involvement of a necrotizing pancreatitis caused by the side effects of immunosuppressive therapy. A 48-year-old man presented with a necrotizing pancreatitis with accidental affection of the abdominal aortic wall, necessitating emergency repair...
October 2014: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/24465101/acute-biliary-pancreatitis-an-experience-in-a-tertiary-level-hospital-of-nepal
#15
Sujan Manandhar, Smith Giri, Prakash Poudel, Ramesh Singh Bhandari, Paleswan Joshi Lakhey, Pradeep Vaidya
Acute Biliary Pancreatitis is one of the commonest forms of pancreatitis in Nepal. Controversies exist as to the most appropriate way of management of these cases. The present study was carried out to evaluate the management and outcome of Acute Biliary Pancreatitis cases in a tertiary level hospital of Nepal. A retrospective analysis of the patients managed with Acute Biliary Pancreatits was done. All patients admitted with the diagnosis of Acute Biliary Pancreatitis over a period of 2 years were included in the study...
December 2013: Indian Journal of Surgery
https://www.readbyqxmd.com/read/23831129/long-term-outcome-of-acute-pancreatitis-in-italy-results-of-a-multicentre-study
#16
MULTICENTER STUDY
Laura Castoldi, Paolo De Rai, Alessandro Zerbi, Luca Frulloni, Generoso Uomo, Armando Gabbrielli, Claudio Bassi, Raffaele Pezzilli
BACKGROUND: In Italy, no long-term studies regarding the natural history of acute pancreatitis have been carried out. AIM: To report the results of a follow-up on a large series of patients hospitalised for pancreatitis. METHODS: Data of 631 patients admitted to 35 Italian hospitals were retrospectively evaluated 51.7±8.4 months after discharge. RESULTS: The average recovery time after mild or severe pancreatitis was 28...
October 2013: Digestive and Liver Disease
https://www.readbyqxmd.com/read/23741114/laparoscopic-removal-of-a-needle-from-the-pancreas
#17
Amit Jain, Hirdaya Hulas Nag, Neeraj Goel, Nikhil Gupta, Anil Kumar Agarwal
Foreign bodies inside the pancreas are rare and usually occur after the ingestion of sharp objects like fish bone, sewing needle and toothpick. Most of the ingested foreign bodies pass spontaneously through the anus without being noticed but about 1% of them can perforate through the wall of stomach or duodenum to reach solid organs like pancreas or liver. Once inside the pancreas they can produce complications like abscess, pseudoaneurysm or pancreatits. Foreign bodies of pancreas should be removed by endoscopic or surgical methods...
April 2013: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/23699272/a-rare-case-of-acetaminophen-induced-acute-pancreatitis-ards-and-anion-gap-metabolic-acidosis
#18
Praveen Jinnur, Viswanath Vasudevan, Rana Ali, Farhad Arjomand, Tarkeshwar Tiwary, Vijaykumar Vanam, Qammar Abbas
SESSION TYPE: Critical Care Case Report PostersPRESENTED ON: Tuesday, October 23, 2012 at 01:30 PM - 02:30 PMINTRODUCTION: Pancreatitis due to medications is rare (0.3 to 1.4 percent) and that due to acetaminophen is rarer. Drug-induced pancreatitis has no distinguishing clinical features. In the absence of common etiologies like ethanol and gall stone, a diligent search for drugs should be made to explain acute pancreatits.CASE PRESENTATION: 40 year old lady with medical history of Raynaud's disease and Crohn's disease was brought in to ER by after she was found to be lethargic and hyperventilating...
October 1, 2012: Chest
https://www.readbyqxmd.com/read/23585264/-50-years-of-progress-in-pathophysiology-diagnosis-and-treatment-of-chronic-pancreatitis
#19
M M Lerch, J Mayerle
The German Journal of Gastroenterology celebrates its fifties anniversary in 2013. Over half a century original studies, reviews and guidelines covering the topics of acute and chronic pancreatitis as well as pancreatic cancer have assumed a prominent role on its pages. Already in the first edition of the Journal Haemmerli and Hefti have summarized the Zurich experience with chronic pancreatitis and provided a detailed state-of-the-art review for the year 1963. 50 years later the current guidelines of the German Society of Digestive and Metabolic Diseases (DGVS) have been published in the same Journal and allow to summarize the scientific progress over this period...
April 2013: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/23565473/mild-acute-pancreatitis-with-vildagliptin-use
#20
Ravikant Saraogi, Ritwika Mallik, Sujoy Ghosh
Vildagliptin has not been associated with the development of acute pancreatitis in postmarketing reports except one case report from Sydney, Australia. We present the case report of 42 year old male, diabetic, with no historyof alcohol use, on vildagliptin 50 mg and metformin 500 mg daily since 6 months, who presented with severe abdominal pain radiating to back, nausea and fever. On evaluation, serum pancreatic enzymes were elevated, triglycerides were not raised and ultrasound showed swollen and echogenic pancreas, loss of peripancreatic fat plane and pancreatic duct was not dilated...
December 2012: Indian Journal of Endocrinology and Metabolism
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