We thank Jolobe for his letter (Gut 2005;54:1207–8) which mentions the difficulty of establishing the diagnosis of acute pancreatitis in patients with diabetic ketoacidosis. We did not address diagnostic tests and medical intensive care treatment of acute pancreatitis in our article, but reviewed the interventional and surgical treatment strategies in acute pancreatitis. There is no doubt that ...

The main point of this paper is to study MRI findings of the normal mesostenium and the involvement of the mesostenium in acute pancreatitis and to discuss the relationship between the involvement of the mesostenium and the severity of acute pancreatitis. In clinical practice, the mesenterical involvement in acute pancreatitis was often observed on MRI in daily works, which was little recorded ...

CONTEXT Acute pancreatitis is most commonly linked to gallstone disease or alcohol consumption. Occasionally it can follow infectious disease. Malaria, especially Plasmodium falciparum infection, has been associated with acute pancreatitis. CASE REPORT We present the case of a 17-year-old male who presented with a history of fever, abdominal pain and hypotension and revealing acute pancreatit...

background: acute pancreatitis is a common complication of endoscopic retrograde cholangiopancreatography (ercp). several medical and surgical procedures have been analyzed in prevention of post-ercp pancreatitis as a major post-ercp complication, so we conducted a study to assess the role of prophylactic pancreatic stents on prevention and severity of post-ercp pancreatitis. materials and meth...

INTRODUCTION Acute pancreatitis is often a relapsing condition, particularly when its triggering factor persists. Our goal is to determine the recurrence rate of acute biliary pancreatitis after an initial episode, and the time to relapse, as well as to identify the risk factors for recurrence. MATERIAL AND METHOD We included all patients admitted for a first acute gallstone pancreatitis even...

CONTEXT It is generally assumed that pancreatic function recovers completely after mild but not after severe acute pancreatitis. OBJECTIVE To evaluate both pancreatic function and quality of life in patients who had recovered from acute pancreatitis in a long-term follow-up study. PARTICIPANTS Thirty-four patients (mean age: 56 years) who had recovered from biliary (n=26) or post ERCP (n=8)...

While parental or oral anticoagulation remains a mainstay of therapy for thrombosis, in sporadic clinical situations, percutaneous mechanical thrombectomy is favored. Percutaneous well-tolerated subtype catheterdirected intervention resulting thrombus breakdown and removal. This procedure combines endovascular combination with pharmacologic thrombolysis allowing significant reduction time. Simi...

BACKGROUND/AIMS There are several reports regarding intraductal papillary mucinous neoplasms (IPMNs) detected after the occurrence of acute pancreatitis. Although the presence of symptoms is regarded as a factor for predicting malignant IPMNs, there have been few reports demonstrating whether a history of acute pancreatitis is a predictor of malignancy. The aim of this study was to evaluate the...

Cassava is a high carbohydrate, low protein food source that has been previously implicated to cause tropical chronic pancreatitis in developing countries Recently it has been disproven as a sole cause of chronic pancreatitis, however, its role as a possible cofactor (due to high levels of cyanogens) contributing to the development of pancreatitis cannot be ruled out. Alcohol is a well-known ri...

While pleural effusion and ascites secondary to acute pancreatitis are common, clinically relevant pericardial effusion and cardiac tamponade are observed rarely. In a study by Pezzilli et al., pleural effusion was noted in 7 of the 21 patients with acute pancreatitis whereas the authors detected pericardial effusion development in only three. The authors asserted that pleural effusion was asso...