DEMOGRAPHIC PROPERTIES AND CLINICAL OUTCOMES OF ACUTE PANCREATITIS IN PREGNANCY: OUR EXPERIENCE OF 33 PATIENTS
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Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Carbone Editore
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: In this study We aimed to examine the clinical, demographic properties, and outcome of acute pancreatitis in pregnancy. Materials and method: Our study included 33 patients with acute pancreatitis in pregnancy (APP) who were followed at the departments of Obstetrics and Gynecology and Internal Medicine at Dicle University Faculty of Medicine between January 2004 and June 2013. Patient information were obtained from the hospital records:. Age, gestational age, etiology, complications, laboratory results, diagnostic tests, treatment modalities, mode of delivery,(normal vaginal delivery or caesarean section (C/S)), duration of hospital stay, and maternal mortality and morbidity rates were recorded. Hypertriglyceridemia was recorded as the etiological factor when triglyceride level was more than 11.3 mmol/L (1000 mg/dl)and biliary pathology was recorded when there were biliary stones or bile mud. Patients who did not have a history of alcohol abuse or any condition responsible from pancreatitis were classified as idiopathic pancreatitis and grouped accordingly. Results: This study included a total of 33 patients with APP among a total of 85542 deliveries. Mean age of the study population was 34.8 +/- 7.15 (2346) years and mean gestational age was 25.75 +/- 7.49 weeks. The etiology of acute pancreatitis was a biliary pathology in 18 (545%) patients, hypertriglyceridemia in 11 (33.3%), and idiopathic APP in 4 (12.2%). Four (12.1%) maternal deaths occurred. Sixteen (48.5%) patients suffered from a maternal complication while 10 (33.3%) patients died. Twenty-nine patients were discharged With cure. All maternal deaths and 50% of maternal complications occurred in second trimester. Conclusion: In our study APP was most commonly observed in second trimester and it had a more complicated and fatal course during this period. Biliary pathologies were the most fatal etiological group.
Açıklama
Anahtar Kelimeler
Pancreatitis, Pregnancy, Hyperlipidemia, Biliary Stones
Kaynak
Acta Medica Mediterranea
WoS Q Değeri
Q4
Scopus Q Değeri
Cilt
30
Sayı
6
