November 12, 2014
Notes: Sun, Xue-cheng
Zhonghua Yi Xue Za Zhi. 2013 Mar 26;93(12):951-5.
Author Address: Department of Gastroenterology, Wenzhou Medical Collage, Wenzhou, China.
Reference Type: Journal Article
Record Number: 5041Author: Sun, Y., Fan, C. and Wang, S.
Title: Clinical analysis of 16 patients with acute pancreatitis in the third trimester of pregnancy
Journal: Int J Clin Exp Pathol
Short Title: Clinical analysis of 16 patients with acute pancreatitis in the third trimester of pregnancy
Alternate Journal: International journal of clinical and experimental pathology
ISSN: 1936-2625 (Electronic)
Accession Number: 23923092
Diet, High-Fat/adverse effects
Pregnancy Trimester, Third
Abstract: AIM: Acute pancreatitis (AP), in particular, severe acute pancreatitis (SAP), is a rare but challenging complication during pregnancy in terms of diagnosis and management. The objective of this paper is to investigate the causes and therapeutic strategies of AP in patients during the third trimester of pregnancy. METHODS: We performed a retrospective analysis of the clinical features, laboratory data, and outcomes in 16 patients with acute pancreatitis during the third trimester of pregnancy. RESULTS: Information was collected on admission, management, and outcome. A total 16 patients were diagnosed with acute pancreatitis during pregnancy. In 7 of 9 patients with mild AP, pregnancy was terminated by cesarean section and all 9 cases were cured. In 4 out of 7 patients with SAP, pregnancy was terminated by cesarean section in conjunction with peritoneal irrigation and drainage, and the mothers and infants survived. In the remaining 3 patients with SAP, there was one case of intrauterine death in which Induced labor was performed and 2 patients died of multiple organ failure. CONCLUSION: A high-fat diet and cholelithiasis are the triggers of AP in pregnancy. Conservative treatment is the preferred therapeutic method; in particular, for mild AP. Endoscopic surgery and peritoneal drainage are effective for acute biliary pancreatitis. Patients with hyperlipidemic pancreatitis should undergo lipid-lowering therapy, and hemofiltration should be done as soon as it becomes necessary. For patients with SAP, termination of pregnancy should be carried out as early as possible.