69,294 results match your criteria Pancreatitis Acute


Contrast-enhanced harmonic versus standard endoscopic ultrasound-guided fine-needle aspiration in solid pancreatic lesions: a single-center prospective randomized trial.

Endoscopy 2020 Jul 10. Epub 2020 Jul 10.

Gastroenterology, Iuliu Haţieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.

Background:  Contrast-enhanced harmonic endoscopic ultrasound (CH-EUS) can visualize necrotic areas and vessels inside lesions. CH-EUS findings combined with EUS-guided fine-needle aspiration (EUS-FNA) improves diagnosis in pancreatic solid masses. CH-EUS can also guide EUS-FNA (CH-EUS-FNA), potentially improving the diagnostic rate of EUS-FNA, but such superiority has not been proved in prospective studies. Read More

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http://dx.doi.org/10.1055/a-1193-4954DOI Listing

Defining EUS Features of Chronic Pancreatitis in Asians - A Multicentre Validation Study.

Endoscopy 2020 Jul 10. Epub 2020 Jul 10.

National University Hospital, Division of Gastroenterology and Hepatology, Singapore, Singapore.

INTRODUCTION Although EUS features and criteria have been described in chronic pancreatitis, challenges remain with inter-operator variability and ease of adoption. AIMS The aim of the study was to define and validate EUS features of chronic pancreatitis in a multi-center prospective study in Asia. METHOD The study was conducted in 2 phases. Read More

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http://dx.doi.org/10.1055/a-1217-3112DOI Listing

Analysis of clinical characteristics of tigecycline-induced acute pancreatitis.

J Clin Pharm Ther 2020 Jul 10. Epub 2020 Jul 10.

Department of Pharmacy, The Third Xiangya Hospital, Central South University, Changsha, China.

What Is Known And Objective: The purpose of this study is to explore the clinical characteristics of tigecycline-induced acute pancreatitis.

Methods: We searched the PubMed/Medline, Web of Knowledge, OVID, Elsevier, Springer Link, Embase, Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Data, and Chinese VIP databases from 2005 and identified 19 studies of tigecycline-induced acute pancreatitis involving a total of 22 patients for inclusion in a retrospective analysis.

Results And Discussion: The median (range) age of 22 patients with acute pancreatitis was 58 years (range 9-83). Read More

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http://dx.doi.org/10.1111/jcpt.13212DOI Listing

Evaluation of the Chylomicron-TG to VLDL-TG ratio for Type I Hyperlipoproteinemia diagnostic.

Eur J Clin Invest 2020 Jul 10:e13345. Epub 2020 Jul 10.

Department of Medicine and Dermatology, Lipids and Atherosclerosis Laboratory. Centro de Investigaciones Médico Sanitarias (CIMES), Instituto de Investigación Biomédica de Málaga (IBIMA), University of Málaga, Spain.

Background: The aim of this study is to confirm the diagnostic performance of the Chylomicron to Very Low Density Lipoproteins Triglycerides (CM/VLDL-TG) ratio, the Triglycerides to Cholesterol ratio (TG/TC) and a dichotomic rule including the Tryglicerides to Apolipoprotein B (TG/APOB) ratio for the presence of Type I Hyperlipoproteinemia (HPLI) in patients with severe hypertriglyceridemia (sHTG) that were at high risk for Familial Chylomicronemia Syndrome (FCS).

Methods: Two cohorts (Derivation and Validation) of patients with sHTG were included in the study. Anthropometric, clinical, biochemical and genetic data were obtained. Read More

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http://dx.doi.org/10.1111/eci.13345DOI Listing

Colon Involvement in Necrotizing Pancreatitis: Incidence, Risk Factors, and Outcomes.

Ann Surg 2020 Jul 7. Epub 2020 Jul 7.

Department of Surgery, Indiana University School of Medicine, Indianapolis, IN.

Objective: To investigate the incidence, risk factors, and outcomes of colon involvement in patients with necrotizing pancreatitis.

Summary/background Data: Necrotizing pancreatitis is characterized by a profound inflammatory response with local and systemic implications. Mesocolic involvement can compromise colonic blood supply leading to ischemic complications; however, few data exist regarding this problem. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004149DOI Listing

Post-ERCP cholecystitis: Incidence and risk factors.

J Chin Med Assoc 2020 Jun 22. Epub 2020 Jun 22.

Division of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Background: For decades, endoscopic retrograde cholangiopancreatography (ERCP) has been widely performed as a diagnostic and therapeutic procedure for biliary and pancreatic diseases. Complications of ERCP include pancreatitis, hemorrhage, perforation, cholangitis, and cholecystitis. There are few studies that focus on the incidence of post-ERCP cholecystitis and its potential risk factors. Read More

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http://dx.doi.org/10.1097/JCMA.0000000000000383DOI Listing

Pancreatic divisum with chronic pancreatitis of the ventral pancreas.

ANZ J Surg 2020 Jul 10. Epub 2020 Jul 10.

Division of GI and HPB Surgery, Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

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http://dx.doi.org/10.1111/ans.16152DOI Listing

Predictive value of serum soluble B7-H4 in acute pancreatitis.

Eur J Clin Invest 2020 Jul 10:e13346. Epub 2020 Jul 10.

Wuhan University, Zhongnan Hospital, Department Hepatobiliary & Pancreat Surgery, Donghu Road 169, Wuhan, 430071, Hubei, China.

Background: studies reported that soluble B7-H4(sB7-H4) was significantly related to the progression and prognosis of inflammatory diseases, and whether sB7-H4 is related to the severity and prognosis of acute pancreatitis(AP) timely has not been reported.

Materials And Methods: clinical database data of 446 AP patients were retrospectively collected and the correlation between the expression serum levels of sB7-H4 with inflammatory factors and prognostic scores were analyzed in AP patients.

Results: SB7-H4 was significantly correlated with IL-6, IL-8, TNF-α, PCT, CRP levels and WBC count (P <0. Read More

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http://dx.doi.org/10.1111/eci.13346DOI Listing

Endoscopic management of pancreatic duct stricture in chronic pancreatitis: Are fully covered self-expandable metallic stents ready for prime time?

Authors:
Tiing Leong Ang

J Gastroenterol Hepatol 2020 Jul;35(7):1093-1094

Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore.

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http://dx.doi.org/10.1111/jgh.15143DOI Listing

MicroRNA MiR-27a-5p Alleviates the Cerulein-Induced Cell Apoptosis and Inflammatory Injury of AR42J Cells by Targeting Traf3 in Acute Pancreatitis.

Inflammation 2020 Jul 9. Epub 2020 Jul 9.

Department of General Surgery, Shan County Dongda Hospital, Heze, 274300, Shandong, China.

Acute pancreatitis (AP), a sudden inflammatory process of pancreas, is painful and may contribute to death. The aberrant expression of miR-27a-5p has been reported in many types of cancers and diseases including AP. Thus, it is urgent to manifest the functions and mechanism of miR-27a-5p in AP. Read More

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http://dx.doi.org/10.1007/s10753-020-01272-3DOI Listing

Chronic Pancreatitis: Epidemiology, Diagnosis, and Management Updates.

Drugs 2020 Jul 9. Epub 2020 Jul 9.

Cleveland Clinic Digestive Disease Institute, 9500 Euclid Avenue/A31, Cleveland, OH, 44195, USA.

Chronic pancreatitis is a clinical entity that results from the progressive inflammation and irreversible fibrosis of the pancreas resulting from the cumulative injury sustained by the pancreas over time. It is an illness with variable presentations that can severely impact quality of life, while its long-term complications such as exocrine pancreatic insufficiency (EPI), diabetes mellitus, and risk of pancreatic cancer can become life threatening. The diagnosis of chronic pancreatitis can be challenging as despite the recent advancements in imaging technology, the radiographic findings do not become prominent until late stages of disease. Read More

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http://dx.doi.org/10.1007/s40265-020-01360-6DOI Listing

Total Pancreatectomy with Splenectomy for Multifocal Intraductal Tubulopapillary Neoplasm (ITPN) of the Pancreas Associated with Invasive Component: Report of a Rare Case.

Am J Case Rep 2020 Jul 10;21:e924760. Epub 2020 Jul 10.

Department of Internal Medicine, University of Ioannina, Ioannina, Greece.

BACKGROUND Pancreatic intraductal tubulopapillary neoplasm (ITPN) was first described by Yamaguchi in 2009 and was recognized by World Health Organization as a distinct entity in 2010. Since then few case reports and case series have been published. Little is known about its clinicopathologic features and treatment outcomes. Read More

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http://dx.doi.org/10.12659/AJCR.924760DOI Listing

Pancreaticoduodenectomy following endoscopic ultrasound-guided choledochoduodenostomy with electrocautery-enhanced lumen-apposing stents an ACHBT - SFED study.

HPB (Oxford) 2020 Jul 6. Epub 2020 Jul 6.

Service de Gastroentérologie, Hopital Privé Jean Mermoz, Ramsay Générale de Santé, Lyon, France.

Background: After ERCP failure or if ERCP is declined for preoperative biliary drainage before pancreaticoduodenectomy, endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) with electrocautery-enhanced lumen-apposing stents (ECE-LAMS) might be needed. The aim of the present study was to assess the technical feasibility and short-term outcomes of pancreaticoduodenectomy (PD) following endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) with electrocautery-enhanced lumen-apposing stents (ECE-LAMS).

Methods: A retrospective study of all EUS-CDS procedures with ECE-LAMS followed by PD performed in France since the availability of the device in 2016. Read More

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http://dx.doi.org/10.1016/j.hpb.2020.06.001DOI Listing

FREY procedure for chronic calcific pancreatitis with biliary and pancreatic stenosis (with ).

J Visc Surg 2020 Jul 6. Epub 2020 Jul 6.

Rouen university hospital, department of digestive surgery, 76000 Rouen, France; Normandie Univ, UNIROUEN, UMR 1245 INSERM, Rouen university hospital, department of genomic and personalized medicine in cancer and neurological disorders, 76000 Rouen, France. Electronic address:

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http://dx.doi.org/10.1016/j.jviscsurg.2020.06.010DOI Listing

Five-year mortality trends associated with chronic pancreatitis in South Korea: A population based cohort study.

Pancreatology 2020 Jun 18. Epub 2020 Jun 18.

Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, South Korea. Electronic address:

Background: Chronic pancreatitis (CP) is associated with all-cause and cancer-related mortality; however, the risk of mortality associated with alcoholic and non-alcoholic CP remains controversial. This study investigated whether CP increased the risk of 5-year all-cause and cancer-specific mortality compared to a control population.

Methods: This population-based study used data from a sample cohort of the National Health Insurance Service (NHIS) database in South Korea. Read More

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http://dx.doi.org/10.1016/j.pan.2020.04.024DOI Listing

Evaluation of efficacy and safety of antisense inhibition of apolipoprotein C-III with volanesorsen in patients with severe hypertriglyceridemia.

Expert Opin Pharmacother 2020 Jul 10:1-10. Epub 2020 Jul 10.

Department of Translational and Precision Medicine, Sapienza University of Rome , Rome, Italy.

Introduction: Severe hypertriglyceridemia (sHTG) is a complex disorder of lipid metabolism characterized by plasma levels of triglyceride (TG) greater than 885 mg/dl (>10 mmol/L). The treatment of sHTG syndromes is challenging because conventional treatments are often ineffective in reducing TG under the threshold to prevent acute pancreatitis (AP). The inhibition of , which encodes a protein involved in triglyceride (TG)-rich lipoproteins (TGRLs) removal, has been reported to be a novel target for the treatment of sHTG. Read More

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http://dx.doi.org/10.1080/14656566.2020.1787380DOI Listing

Evidence for Anti-Viral Effects of Complete Freund's Adjuvant in the Mouse Model of Enterovirus Infection.

Vaccines (Basel) 2020 Jul 7;8(3). Epub 2020 Jul 7.

School of Veterinary Medicine and Biomedical Sciences, University of Nebraska-Lincoln, Lincoln, NE 68583, USA.

Group B coxsackieviruses (CVBs) belonging to the genus, and contain six serotypes that induce various diseases, whose occurrence may involve the mediation of more than one serotype. We recently identified immunogenic epitopes within coxsackieviruses B3 (CVB3) viral protein 1 that induce anti-viral T cell responses in mouse models of CVB infections. In our investigations to determine the protective responses of the viral epitopes, we unexpectedly noted that animals immunized with complete Freund's adjuvant (CFA) alone and later challenged with CVB3 were completely protected against myocarditis. Read More

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http://dx.doi.org/10.3390/vaccines8030364DOI Listing

Endosonographic finding of the simultaneous depiction of bile and pancreatic ducts can predict difficult biliary cannulation on endoscopic retrograde cholangiopancreatography.

PLoS One 2020 9;15(7):e0235757. Epub 2020 Jul 9.

Department of Prevention and Analysis of Cardiovascular Diseases, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Kagoshima, Japan.

Thus far, no curved linear array endoscopic ultrasound (CLAEUS) findings were established as predictors of difficult selective bile duct cannulation (SBDC). This study aimed to identify CLAEUS findings to predict endoscopic retrograde cholangiopancreatography (ERCP) cases with difficult SBDC. This single-center, retrospective cohort study was conducted between July 2014 and June 2017. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0235757PLOS

The Efficacy of Intravenous Insulin Infusion in the Management of Hypertriglyceridemia-Induced Pancreatitis in a Rural Community Hospital.

J Investig Med High Impact Case Rep 2020 Jan-Dec;8:2324709620940492

White River Health System, Batesville, AR, USA.

A 28-year-old female presented to the emergency room with epigastric pain, nausea, and vomiting; her lipase was elevated, and computed tomography of abdomen showed evidence of acute pancreatitis. Her past medical history was significant for poorly controlled insulin requiring type 2 diabetes mellitus and 2 previous admissions for hypertriglyceridemia-induced pancreatitis. Due to the severity of her pancreatitis presentation, she was admitted to the intensive care unit. Read More

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http://dx.doi.org/10.1177/2324709620940492DOI Listing

Impact of diet and genes on murine autoimmune pancreatitis.

J Cell Mol Med 2020 Jul 8. Epub 2020 Jul 8.

Lübeck Institute of Experimental Dermatology and Center for Research on Inflammation of the Skin, University of Lübeck, Lübeck, Germany.

The impact of environmental factors, such as diet, and the genetic basis of autoimmune pancreatitis (AIP) are largely unknown. Here, we used an experimental murine AIP model to identify the contribution of diet to AIP development, as well as to fine-map AIP-associated genes in outbred mice prone to develop the disease. For this purpose, we fed mice of an autoimmune-prone intercross line (AIL) three different diets (control, calorie-reduced and western diet) for 6 months, at which point the mice were genotyped and phenotyped for AIP. Read More

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http://dx.doi.org/10.1111/jcmm.15540DOI Listing

Rapamycin Alleviates Hypertriglyceridemia-Related Acute Pancreatitis via Restoring Autophagy Flux and Inhibiting Endoplasmic Reticulum Stress.

Inflammation 2020 Jul 9. Epub 2020 Jul 9.

Shanghai Key Laboratory of Pancreatic Disease, Shanghai JiaoTong University School of Medicine, Shanghai, 201600, China.

Hypertriglyceridemia (HTG) can aggravate acute pancreatitis (AP), but its pathogenesis remains unclear. As autophagic activity is closely related to lipid metabolism and AP, we investigated the autophagic response in models of AP aggravated by HTG and explored whether rapamycin has a protective effect against HTG-related pancreatitis. HTG-associated AP models were established in vivo in rats and in vitro. Read More

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http://dx.doi.org/10.1007/s10753-020-01228-7DOI Listing

IgG4/IgG RNA ratio does not accurately discriminate IgG4-related disease from pancreatobiliary cancer.

JHEP Rep 2020 Aug 14;2(4):100116. Epub 2020 Apr 14.

Department of Gastroenterology & Hepatology, The Amsterdam Gastroenterology & Metabolism (AG&M) Research Institute, The Netherlands.

Background & Aims: IgG4-related disease (IgG4-RD) of the biliary tract and pancreas is often difficult to distinguish from pancreatobiliary cancer. The blood IgG4/IgG RNA ratio has been reported to discriminate IgG4-RD from primary sclerosing cholangitis/pancreatobiliary cancer with high accuracy. This study aimed to prospectively assess the diagnostic accuracy of the blood IgG4/IgG RNA ratio for distinguishing IgG4-RD from cancer in patients with a suspected pancreatobiliary malignancy. Read More

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http://dx.doi.org/10.1016/j.jhepr.2020.100116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332528PMC

A Rare Case of Acquired Thrombotic Thrombocytopenic Purpura Triggered by Acute Pancreatitis.

Cureus 2020 Jun 6;12(6):e8477. Epub 2020 Jun 6.

Oncology, Hematology & Oncology Associates of Northeastern Pennsylvania, Scranton, USA.

Acquired thrombotic thrombocytopenic purpura (TTP) is a rare thrombotic microangiopathy with varied etiology and manifestations. It is uncommon for acute pancreatitis to trigger TTP. A 59-year-old man hospitalized with acute pancreatitis developed fever, acute kidney injury, thrombocytopenia, and microangiopathic hemolytic anemia (MAHA) on his second day in the hospital. Read More

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http://dx.doi.org/10.7759/cureus.8477DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336581PMC

Retrospective cohort study demonstrates that modified CT Severity Index directly correlates with lipase values at or above 600.

Authors:
John F Hamer

Ann Med Surg (Lond) 2020 Aug 20;56:169-172. Epub 2020 Jun 20.

Department of Radiology, La Grange, Il, 60525, USA.

Background: Elevated lipase is considered an important biomarker for pancreatitis. The aim of this study was to assess a potential correlation between elevated lipase and characteristic imaging findings, as per the well-established Modified CT Severity index (MCTSI).

Materials And Methods: This retrospective, single centre cohort study reviewed the radiologic findings and medical records of 200 consecutive patients with elevated lipase values. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.06.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7332493PMC

Atypical extensive pancreatic pseudocyst with hemorrhage in a hemodialysis patient.

Radiol Case Rep 2020 Sep 2;15(9):1415-1418. Epub 2020 Jul 2.

Department of Endocrinology, Metabolism and Nephrology, Kochi Medical School Hospital, Kochi University, Nankoku, Kochi, Japan.

Pancreatic pseudocysts are a common complication of both acute and chronic pancreatitis. The complications of pancreatic pseudocysts include compression of abdominal great vessels, gastric or duodenal stenosis, cholestasis due to stenosis of common bile duct, infection, and hemorrhage into the cyst. Moreover, pancreatic pseudocysts most commonly occur around the pancreas; however, extension into the adjacent viscera including spleen, liver, transverse colon, anterior or posterior pararenal space, retroperitoneum and mediastinum does occur infrequently. Read More

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http://dx.doi.org/10.1016/j.radcr.2020.06.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7334557PMC
September 2020

κB-Ras and Ral GTPases regulate acinar to ductal metaplasia during pancreatic adenocarcinoma development and pancreatitis.

Nat Commun 2020 Jul 8;11(1):3409. Epub 2020 Jul 8.

Institute of Molecular Tumorbiology, Faculty of Medicine, University Münster, Münster, Germany.

Pancreatic ductal adenocarcinoma (PDAC) is associated with high mortality and therapy resistance. Here, we show that low expression of κB-Ras GTPases is frequently detected in PDAC and correlates with higher histologic grade. In a model of KRas-driven PDAC, loss of κB-Ras accelerates tumour development and shortens median survival. Read More

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http://dx.doi.org/10.1038/s41467-020-17226-0DOI Listing

Genome-wide association study data reveal genetic susceptibility to chronic inflammatory intestinal diseases and pancreatic ductal adenocarcinoma risk.

Cancer Res 2020 Jul 8. Epub 2020 Jul 8.

Division of Cancer Epidemiology and Genetics, National Cancer Institute

Registry-based epidemiologic studies suggest associations between chronic inflammatory intestinal diseases and pancreatic ductal adenocarcinoma (PDAC). As genetic susceptibility contributes to a large proportion of chronic inflammatory intestinal diseases, we hypothesize that the genomic regions surrounding established genome-wide associated variants for these chronic inflammatory diseases are associated with PDAC. We examined the association between PDAC and genomic regions (+/- 500 kb) surrounding established common susceptibility variants for ulcerative colitis, Crohn's disease, inflammatory bowel disease, celiac disease, chronic pancreatitis, and primary sclerosing cholangitis. Read More

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http://dx.doi.org/10.1158/0008-5472.CAN-20-0447DOI Listing

Strictures, stones and cysts: an unusual cause of pancreatitis in a 20-month-old female child.

BMJ Case Rep 2020 Jul 8;13(7). Epub 2020 Jul 8.

Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia, USA.

Choledochal cysts are dilations of the biliary tree that cause a variety of clinical symptoms and can lead to several types of complications. Choledochal cysts are most commonly diagnosed in childhood and frequently present with abdominal pain, jaundice and, in infants, an abdominal mass. Although the most concerning complication is malignant transformation of the cyst epithelium, other complications such as stone formation, acute pancreatitis and stricture can also occur and lead to patient morbidity. Read More

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http://dx.doi.org/10.1136/bcr-2020-234966DOI Listing

Postoperative hyperamylasemia (POH) and acute pancreatitis after pancreatoduodenectomy (POAP): State of the art and systematic review.

Surgery 2020 Jul 5. Epub 2020 Jul 5.

Department of General and Pancreatic Surgery - The Pancreas Institute, University of Verona Hospital Trust, Italy. Electronic address:

Background: Postoperative hyperamylasemia is a frequent finding after pancreatoduodenectomy, but its incidence and clinical implications have not yet been analyzed systematically. The aim of this review is to reappraise the concept of postoperative hyperamylasemia with postoperative acute pancreatitis, including its definition, interpretation, and correlation.

Methods: Online databases were used to search all available relevant literature published through June 2019. Read More

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http://dx.doi.org/10.1016/j.surg.2020.04.062DOI Listing

Pediatric Dyslipidemia-Beyond Familial Hypercholesterolemia.

Can J Cardiol 2020 Mar 23. Epub 2020 Mar 23.

Departments of Medicine and Biochemistry, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Robarts Research Institute, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. Electronic address:

Dyslipidemia is seen with increasing prevalence in young Canadians, mainly mild to moderate hypertriglyceridemia secondary to obesity. This review focuses on pediatric dyslipidemias excluding familial hypercholesterolemia (FH), but including both severe and mild to moderate hypertriglyceridemia, combined hyperlipidemia, and elevated lipoprotein(a) [Lp(a)]. We suggest that for Canadian children and adolescents with dyslipidemia, atherosclerotic cardiovascular disease (ASCVD) risk assessment should include both low-density lipoprotein cholesterol and triglycerides measurement. Read More

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http://dx.doi.org/10.1016/j.cjca.2020.03.020DOI Listing

Serious adverse events with tocilizumab: pharmacovigilance as an aid to prioritize monitoring in COVID-19.

Br J Clin Pharmacol 2020 Jul 8. Epub 2020 Jul 8.

Department of Medical and Surgical Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.

Given its approval for the treatment of cytokine release syndrome, tocilizumab is under investigation in severe coronavirus disease-2019. To characterize serious adverse events (AEs) with tocilizumab, we queried the worldwide FDA Adverse Event Reporting System and perform disproportionality analysis, selecting only designated medical events (DMEs) where tocilizumab was reported as suspect, with a focus on hepatic reactions. The reporting odds ratios (RORs) were calculated, deemed significant by a lower limit of the 95% confidence interval (LL95%CI)>1. Read More

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http://dx.doi.org/10.1111/bcp.14459DOI Listing

Evaluation of 880 patients diagnosed with acute pancreatitis according to the Revised Atlanta Classification: A single-center experience.

Rev Assoc Med Bras (1992) 2020 May 3;66(5):643-648. Epub 2020 Jul 3.

Department of Gastroenterology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.

OBJECTIVE The Revised Atlanta Classification (RAC) is increasingly used in the evaluation of patients diagnosed with acute pancreatitis (AP). In our study, we aimed to evaluate the etiology, disease severity, and mortality rates of patients diagnosed with AP in our center in the previous 6 years. METHODS Patients diagnosed with AP between 2013 and 2018 were evaluated. Read More

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http://dx.doi.org/10.1590/1806-9282.66.5.643DOI Listing

ANGPTL4 exacerbates pancreatitis by augmenting acinar cell injury through upregulation of C5a.

EMBO Mol Med 2020 Jul 7:e11222. Epub 2020 Jul 7.

Department of Medicine, College of Medicine, Inha University, Incheon, Korea.

Pancreatitis is the inflammation of the pancreas. However, little is known about the genes associated with pancreatitis severity. Our microarray analysis of pancreatic tissues from mild and severe acute pancreatitis mice models identified angiopoietin-like 4 (ANGPTL4) as one of the most significantly upregulated genes. Read More

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http://dx.doi.org/10.15252/emmm.201911222DOI Listing

The effect of hypothalamic peptides, neurohormone C and proline-rich peptide-1on the Ca-handling system in heartin pathophysiological conditions.

Heliyon 2020 Jun 29;6(6):e04360. Epub 2020 Jun 29.

Department of Biochemistry, Yerevan State Medical University after MkhitarHeratsi, 2 Koryun St., Yerevan 0025, Armenia.

Atthe Institute of Biochemistry named after H. Buniatyan we discovered and studied hypothalamic peptides with coronary dilatory and antioxidant activities:neurohormone C (NC) and proline-rich peptide-1 (PRP-1). Both NC and PRP-1 exhibit cardioprotective effects, in part by restoring the calcium affinity for calcium-binding membrane proteins in cardiomyocytes. Read More

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http://dx.doi.org/10.1016/j.heliyon.2020.e04360DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7330072PMC

Uncommon Presentations of Multiple Myeloma.

Cureus 2020 Jun 1;12(6):e8400. Epub 2020 Jun 1.

Internal Medicine, California Institute of Behavioral Neurosciences and Psychology, Fairfield, USA.

Multiple myeloma is a rare malignancy that exhibits a wide range of possible clinical presentations. In recent years, with the advent of stem cell transplantation, the prognosis of patients with multiple myeloma has been increasing. We searched the literature for reports of atypical myeloma presentations to aid clinicians in formulating differential diagnoses and to increase the number of cases diagnosed early. Read More

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http://dx.doi.org/10.7759/cureus.8400DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331905PMC

Correction: .

Authors:

Gut 2020 Aug;69(8):e5

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http://dx.doi.org/10.1136/gutjnl-2018-317098corr1DOI Listing

Comment to "ESPEN guideline on clinical nutrition in acute and chronic pancreatitis".

Clin Nutr 2020 Jun 1. Epub 2020 Jun 1.

GENE - Artificial Feeding Team, Gastroenterology Department, Hospital Garcia de Orta, Almada, Portugal; PaMNEC - Grupo de Patologia Médica, Nutrição e Exercício Clínico, CiiEM, Centro de investigação interdisciplinar Egas Moniz, Monte da Caparica, Portugal.

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http://dx.doi.org/10.1016/j.clnu.2020.05.035DOI Listing

The Lipase/Amylase Ratio (LAR) in Peripheral Blood Might Represent a Novel Prognostic Marker in Patients with Surgically Resectable Pancreatic Cancer.

Cancers (Basel) 2020 Jul 5;12(7). Epub 2020 Jul 5.

Division of Oncology, Department of Internal Medicine, Comprehensive Cancer Center Graz, Medical University of Graz, 8036 Graz, Austria.

Pancreatic enzymes might play a pivotal role in the pathophysiology and prognosis of pancreatic cancer. The aim of this study is to investigate the lipase/amylase ratio (LAR), representing a marker previously used in the differentiation of pancreatitis, as a potential prognostic marker in pancreatic cancer. Data from 157 surgically treated patients with ductal pancreatic adenocarcinoma and 351 patients with metastatic disease were evaluated retrospectively. Read More

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http://dx.doi.org/10.3390/cancers12071798DOI Listing

Patterns of prevalence and contemporary clinical management strategies in complicated acute biliary calculous disease: an ESTES 'snapshot audit' of practice.

Eur J Trauma Emerg Surg 2020 Jul 7. Epub 2020 Jul 7.

Emergency Surgery Committee, European Society for Trauma and Emergency Surgery (ESTES), Pölten, Austria.

Background: Acute complications of biliary calculi are common, morbid, and complex to manage. Variability exists in the techniques utilized to treat these conditions at an individual surgeon and unit level.

Aim: To identify, through an international prospective nonrandomized cohort study, the epidemiology and areas of practice variability in management of acute complicated calculous biliary disease (ACCBD) and to correlate them against reported outcomes. Read More

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http://dx.doi.org/10.1007/s00068-020-01433-xDOI Listing

Diagnostic performance of EUS in non-jaundiced patients with an incidental finding of double duct sign on cross-sectional imaging: A systematic review and meta-analysis.

Pancreatology 2020 Jun 8. Epub 2020 Jun 8.

Kings College Hospital, London, UK.

Background/objectives: Dilatation of the pancreatic duct and common bile duct, known as double duct sign (DDS), suggests sinister pathology at the periampullary region. Non-jaundiced patients with incidental DDS and otherwise normal cross-sectional imaging present a diagnostic dilemma to the multidisciplinary team (MDT). The primary aim of this review was to assess the diagnostic yield of endoscopic ultrasound (EUS) in detecting causal pathology in this patient population. Read More

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http://dx.doi.org/10.1016/j.pan.2020.05.008DOI Listing

International consensus guidelines on the role of diagnostic endoscopic ultrasound in the management of chronic pancreatitis. Recommendations from the working group for the international consensus guidelines for chronic pancreatitis in collaboration with the International Association of Pancreatology, the American Pancreatic Association, the Japan Pancreas Society, and European Pancreatic Club.

Pancreatology 2020 Jun 18. Epub 2020 Jun 18.

Department of General Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany. Electronic address:

Background: Chronic pancreatitis (CP) is a complex inflammatory disease with variable presentations and outcomes. This statement is part of the international consensus guidelines on CP, specifically on the diagnostic role of endoscopic ultrasound (EUS).

Methods: An international working group with experts on the role of diagnostic EUS in the management of CP from the major pancreas societies (IAP, APA, JPS, and EPC) evaluated two key statements generated from evidence on two questions deemed to be the most clinically relevant. Read More

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http://dx.doi.org/10.1016/j.pan.2020.05.025DOI Listing

Abdominal angiostrongyliasis: pathologic findings in Swiss mice infected with different doses of .

J Helminthol 2020 Jul 7;94:e169. Epub 2020 Jul 7.

Programa de Pós-graduação em Bioexperimentação, Universidade de Passo Fundo - UPF, Passo Fundo, RS, Brazil.

Abdominal angiostrongyliasis is caused by Angiostrongylus costaricensis, the definitive and intermediate hosts of which are wild rodents and terrestrial molluscs, respectively. Humans are accidental hosts and can be infected by ingesting the third-stage (infective) larvae (L3). It remains unclear whether the number of L3 inoculated is related to lesion severity. Read More

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http://dx.doi.org/10.1017/S0022149X20000516DOI Listing

Tumor-Suppressive miR-192-5p Has Prognostic Value in Pancreatic Ductal Adenocarcinoma.

Cancers (Basel) 2020 Jun 25;12(6). Epub 2020 Jun 25.

Department of General, Visceral and Transplantation Surgery, University Hospital Muenster, Albert-Schweitzer-Campus 1 (W1), 48149 Muenster, Germany.

Pancreatic ductal adenocarcinoma (PDAC) is characterized by fast tumor progression and diagnosis at advanced, inoperable stages. Previous studies could demonstrate an involvement of miR-192-5p in epigenetic regulation of visceral carcinomas. Due to contradictory results, however, the clinical utility of miR-192-5p in PDAC has yet to be determined. Read More

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http://dx.doi.org/10.3390/cancers12061693DOI Listing

Reduced Skeletal Muscle Volume and Increased Skeletal Muscle Fat Deposition Characterize Diabetes in Individuals after Pancreatitis: A Magnetic Resonance Imaging Study.

Diseases 2020 07 1;8(3). Epub 2020 Jul 1.

School of Medicine, University of Auckland, Auckland 1023, New Zealand.

Background: Skeletal muscle has been implicated in the pathogenesis of type 2 diabetes but it has never been investigated in diabetes after pancreatitis. The aim was to investigate the relationship between psoas muscle volume (PMV) and diabetes in individuals after pancreatitis, as well as its associations with ectopic fat phenotypes and insulin traits.

Methods: Individuals after an attack of pancreatitis and healthy individuals were studied in a cross-sectional fashion. Read More

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http://dx.doi.org/10.3390/diseases8030025DOI Listing

Recurrent ascending cholangitis with acute pancreatitis and pancreatic atrophy caused by a juxtapapillary duodenal diverticulum: A case report and literature review.

Medicine (Baltimore) 2020 Jul;99(27):e21111

Rationale: Intermittent combined pancreaticobiliary obstruction may lead to multiple episodes of ascending cholangitis and pancreatitis, usually due to choledocholithiasis or periampullary mass. However, one of the rare causes is periampullary or juxtapapillary duodenal diverticulum. Although duodenal diverticula are relatively common in the general population, the overwhelming majority are asymptomatic. Read More

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http://dx.doi.org/10.1097/MD.0000000000021111DOI Listing

A single-center analysis of primary nephrotic syndrome with acute pancreatitis in children.

Medicine (Baltimore) 2020 Jul;99(27):e21056

Department of Nephrology and Rheumatology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.

Primary nephrotic syndrome (PNS) is one of the most common primary glomerular diseases in children. Patients complicated nephrotic syndrome with pancreatic lesions are rarely reported, and the clinical manifestations in children are atypical. This study has observed the incidence, clinical types, and prognosis of acute pancreatitis (AP) in children with primary nephrotic syndrome, and analyzed its related factors, early diagnosis, and treatment. Read More

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http://dx.doi.org/10.1097/MD.0000000000021056DOI Listing

The role of double filtration plasmapheresis in hypertriglyceridemic pancreatitis: A propensity score matching analysis.

J Clin Apher 2020 Jul 6. Epub 2020 Jul 6.

Department of Critical Care Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Introduction: The role of double filtration plasmapheresis (DFPP) in hypertriglyceridemic pancreatitis (HTGP) is still not well established. Our study aimed to investigate the efficacy of DFPP in reducing triglyceride levels as well as their effects on the outcomes of HTGP.

Material And Methods: We retrospectively evaluated the data of patients with HTGP presenting within 72 hours from symptom onset between January 2016 and February 2019. Read More

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http://dx.doi.org/10.1002/jca.21811DOI Listing

Recurrent Pancreatitis in a Patient with Oral-Facial-Digital Syndrome.

Clin Gastroenterol Hepatol 2020 Jul 3. Epub 2020 Jul 3.

Department of Gastroenterology and Hepatology, Thomas Jefferson University Hospital, Consultant for Medtronic and Boston Scientific.

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http://dx.doi.org/10.1016/j.cgh.2020.06.060DOI Listing

Preclinical insights into the gut-skeletal muscle axis in chronic gastrointestinal diseases.

J Cell Mol Med 2020 Jul 6. Epub 2020 Jul 6.

Department of Medicine II, Division of Gastroenterology, Rostock University Medical Center, Rostock, Germany.

Muscle wasting represents a constant pathological feature of common chronic gastrointestinal diseases, including liver cirrhosis (LC), inflammatory bowel diseases (IBD), chronic pancreatitis (CP) and pancreatic cancer (PC), and is associated with increased morbidity and mortality. Recent clinical and experimental studies point to the existence of a gut-skeletal muscle axis that is constituted by specific gut-derived mediators which activate pro- and anti-sarcopenic signalling pathways in skeletal muscle cells. A pathophysiological link between both organs is also provided by low-grade systemic inflammation. Read More

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http://dx.doi.org/10.1111/jcmm.15554DOI Listing

Human Ascariasis: An Updated Review.

Recent Pat Inflamm Allergy Drug Discov 2020 Jul 5. Epub 2020 Jul 5.

Department of Paediatrics, The Chinese University of Hong Kong, and Department of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital. Hong Kong.

Background: Ascaris lumbricoides is the most common helminthic infection. More than 1.2 billion people have ascariasis worldwide. Read More

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http://dx.doi.org/10.2174/1872213X14666200705235757DOI Listing