Pancreatitis

Notes: Khan, Jahangir

Nordback, Isto

Sand, Juhani

eng

Switzerland

2013/06/12 06:00

Digestion. 2013;87(4):223-8. doi: 10.1159/000348438. Epub 2013 Jun 6.

URL: http://www.ncbi.nlm.nih.gov/pubmed/23751273

Author Address: Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland.

 

 

Reference Type:  Journal Article

Record Number: 5113Author: Khan, J., Nordback, I., Seppanen, H., Lappalainen-Lehto, R., Jarvinen, S., Oikarinen, S., Tauriainen, S., Raty, S., Hyoty, H. and Sand, J.

Year: 2013

Title: Is alcoholic pancreatitis associated with enteroviral infection?

Journal: World J Gastroenterol

Volume: 19

Issue: 24

Pages: 3819-23

Date: Jun 28

Short Title: Is alcoholic pancreatitis associated with enteroviral infection?

Alternate Journal: World journal of gastroenterology : WJG

ISSN: 2219-2840 (Electronic)

1007-9327 (Linking)

DOI: 10.3748/wjg.v19.i24.3819

PMCID: 3699032

Accession Number: 23840120

Keywords: Adolescent

Adult

Aged

Alcoholism/blood/*epidemiology

Antibodies, Viral/blood

Biopsy

Case-Control Studies

Disease Susceptibility/blood/*epidemiology

Enterovirus/genetics/immunology

Enterovirus Infections/blood/*epidemiology

Female

Humans

Incidence

Male

Middle Aged

Pancreas/metabolism/pathology

Pancreatitis, Alcoholic/blood/*epidemiology

RNA, Viral/metabolism

Retrospective Studies

Young Adult

Abstract: AIM: To investigate whether enteroviral infection might trigger acute pancreatitis in patients made susceptible due to high alcohol consumption. METHODS: Patients with alcohol-induced acute pancreatitis were analyzed for signs of simultaneous or preceding enteroviral infection. We studied the serum samples of 40 patients hospitalized for alcohol-induced acute pancreatitis and 40 controls recruited from an alcohol detoxification center. Reverse transcription-polymerase chain reaction (RT-PCR) was used to detect enterovirus RNA and diagnose acute viremia. Immunoglobulin G (IgG), immunoglobulin A (IgA) and immunoglobulin M (IgM) enteroviral antibodies were measured using enzyme immunoassay to detect subacute and previous infections. The samples were considered positive when the antibody titers were >/= 15 IU. Furthermore, using RT-PCR, we studied pancreatic biopsy samples obtained during surgery from nine patients with chronic pancreatitis, one patient with acute pancreatitis and ten control patients with pancreatic carcinoma for evidence of persisting enteroviral RNA in the pancreatic tissue. RESULTS: No enterovirus RNA indicating acute viremia was detected by RT-PCR in the serum samples of any patient or control. A high incidence of positive antibody titers was observed in both study groups: IgM antibodies had positive titers in 5/40 (13%) vs 4/40 (10%), P = 0.723; IgG in 15/40 (38%) vs 19/40 (48%), P = 0.366; and IgA in 25/40 (63%) vs 33/40 (83%), P = 0.045, patients and controls, respectively. Ten (25%) patients had severe pancreatitis and two (5%) required treatment in intensive care. The median length of hospitalization was 7 d (range: 3-47 d). The severity of acute pancreatitis or the length of hospitalization was not associated with enteroviral IgM, IgG or IgA antibodies. Five pancreatic biopsy samples tested positive with RT-PCR, three (8%) in the control group and two (5%) in the patient group (P = 0.64). CONCLUSION: The rate of enteroviral infection is not increased in patients with alcohol-induced acute pancreatitis when compared to alcoholics with similar high alcohol use.

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