Acute pancreatitis: a prospective study on incidence, etiology, and outcome
Acute pancreatitis: a prospective study on incidence, etiology, and outcome
复制标题
DOI：
10.1097/meg.0b013e3283640fc8
复制
发表时间：
2013-09-01
影响因子：
2.1
通讯作者：
Bjornsson, Einar S.
中科院分区：
文献类型：
--
作者：
Vidarsdottir, Hanna;Moller, Pall H.;Bjornsson, Einar S.
背景和目的急性胰腺炎（AP）发病率的前瞻性和基于人群的研究缺乏。在过去十年中，冰岛的酒精消费量大幅增加。我们的目的是确定AP的发病率，病因，严重程度和并发症，并与以前的研究AP在Icelands.Methods的前瞻性人群为基础的研究结果进行比较，诊断为AP在冰岛国立大学医院在1年（2010-2011年）。症状，病因和并发症的信息registered.Results在研究期间，134例患者被诊断为AP，78名男性（58%），中位年龄57岁（四分位数范围42-71）。总体而言，89/104（86%）例患者首次发生胰腺炎，粗发病率为40/100 000居民/年。主要病因组如下：胆结石52例（42%）;酒精29例（23%）;内镜后逆行胰胆管造影12例（9.5%）;药物治疗8例（6.3%）;特发性15例（12%）。酒精是男性更常见的原因（25比4，P
Background and aims Prospective and population-based studies on the incidence of acute pancreatitis (AP) are lacking. Alcohol consumption has increased considerably in Iceland during the last decade. We aimed to determine the incidence, etiology, severity, and complications of AP and compare the results with a previous study on AP in Iceland.Methods A prospective population-based study of patients diagnosed with AP at the National University Hospital of Iceland during 1 year (2010-2011). Information on symptoms, etiology, and complications was registered.Results During the study period, 134 patients were diagnosed with AP, 78 men (58%), median age 57 years (interquartile range 42-71). Overall, 89/104 (86%) patients had their first attack of pancreatitis, yielding a crude incidence of 40/100 000 inhabitants/year. The major etiological groups were as follows: gallstones, 52 cases (42%); alcohol 29, (23%); postendoscopic retrograde cholangio-pancreatography in 12 (9.5%); medications in eight (6.3%); and idiopathic in 15 (12%). Alcohol was more often the cause in men (25 vs. 4, P