November 12, 2014
Accession Number: 23622138
Keywords: Combined Modality Therapy
Exocrine Pancreatic Insufficiency/etiology/therapy
Pain/etiology/prevention & control
Patient Care Team
Predictive Value of Tests
Abstract: Advances in our understanding of chronic pancreatitis have improved our care of patients with this disease. Although our therapies are imperfect and many patients remain symptomatic, appropriate medical care improves the quality of life in these patients. Proper management requires an accurate diagnosis, recognition of the modifiable causes of disease, assessment of symptoms and complications, treatment of these symptoms and complications utilizing a multidisciplinary team, and ongoing monitoring for the effect of therapy and the occurrence of complications.
Notes: Forsmark, Christopher E
Gastroenterology. 2013 Jun;144(6):1282-91.e3. doi: 10.1053/j.gastro.2013.02.008.
Author Address: Division of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida 32610-0214, USA. email@example.com
Reference Type: Journal Article
Record Number: 5251Author: Francisco, M., Valentin, F., Cubiella, J. and Fernandez-Seara, J.
Title: Factors related to length of hospital admission in mild interstitial acute pancreatitis
Journal: Rev Esp Enferm Dig
Short Title: Factors related to length of hospital admission in mild interstitial acute pancreatitis
Alternate Journal: Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva
ISSN: 1130-0108 (Print)
Accession Number: 23659507
Abstract: OBJECTIVES: to describe the clinical practice and the factors associated with length of hospital stay in mild acute pancreatitis. METHODS: we present a retrospective observational study that includes a series of patients admitted to our hospital between January 2007 and December 2009 due to mild acute pancreatitis. Baseline data, treatments and examinations were collected. Variables associated with the length of hospital were determined using a Cox proportional hazards model. RESULTS: 232 patients were included (median age 74.3 years, bedside index for severity in acute pancreatitis score 1, comorbidity Charlson score 1, 52.6 % male). 75.9 % were admitted to the gastroenterology department. Oral diet was reintroduced at 3 (0-11) days and 28 patients (12 %) were intolerant to oral re-feeding. Abdominal ultrasound, a magnetic resonance cholangiopancreatography, endoscopic ultrasound, a computed tomographic scan, and endoscopic retrograde cholangiopancreatography were performed in 92.2, 34.5, 9.5, 28.4 and 14.7 % of admissions, respectively. The length of hospital stay was 8 (1-31) days. The variables independently associated with length of admission were: Charlson index > or = 2 (hazard ratio-HR-1.4, 95 % confidence interval-CI- 1.06-1.84; p: 0.017), admission in gastroenterology department (HR 0.67, 95 % CI 0.49 to 0.93; p: 0.016), fasting period > or = 3 days (HR 1.37, 95 % CI 1.05-1.78; p: 0.02), intolerance to oral re-feeding (HR 1.8, 95 % CI 1.17-2.77; p: 0.007), performance of computed tomographic scan (HR 2.05, 95 % CI 1.49-2.82; p < 0.001), magnetic resonance cholangiopancreatography (HR 1.87, 95 % CI 1.42-2.49; p < 0.001) and endoscopic retrograde cholangiopancreatography (HR 2.23, 95 % CI 1.51-3.3; p < 0.001). CONCLUSIONS: the variables associated with length of hospital stay were comorbidity, department in charge, fasting period, food intolerance and complementary explorations.