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Clinics and Research in Hepatology and Gastroenterology
Volume 37, n° 2
pages 177-181 (avril 2013)
Doi : 10.1016/j.clinre.2012.07.011
Pregnancy associated pancreatitis revisited
 

Osamuyimen Igbinosa , Sameer Poddar, Capercomorin Pitchumoni
Department of Medicine, Saint Peter’s University Hospital, 254, Easton avenue, New Brunswick, NJ 08901, United States 

Corresponding author. Tel.: +1 732 745 8600; fax: +1 732 745 2980.
Summary
Objectives

To evaluate the demographics, risk factors and outcomes of pregnancy associated pancreatitis (PAP).

Study design

A retrospective chart review was done using ICD-9 Code 577.0 (acute pancreatitis) from January 2005 through December 2009. Women aged 18 to 45years, who were pregnant and 6months after delivery were considered for the study. For each case, two women of the same age (±4years) with no history of pancreatitis were matched as control. Demographics, etiology, diagnostic modality and intervention were obtained.

Results

During the 5years of study, 29 cases of PAP occurred among 25,600 total hospital deliveries, yielding prevalence of 0.001%: Hispanics 48%, Caucasians 24%, African Americans 17.2%, and Asian/Pacific Islanders 13% (P <0.05). Sixty-five percent of those with pre-pregnancy body mass index (BMI) more than 30kg/m2 had PAP, versus 24% with BMI between 25 and 30kg/m2 and 10% with BMI less than 25kg/m2 (P <0.05). An increasing trend of PAP was seen with gestational age and number of pregnancy.

Conclusion

Gallstone disease is the most frequent etiology for PAP and tends to occur more often in Hispanics in New Jersey.

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