Etiology, severity and recurrence of acute pancreatitis in southern taiwan.
OBJECTIVE
Changes in lifestyle have led to variation in the etiologies of acute pancreatitis indifferent areas of Taiwan. This study investigated the etiologies and factors associated with severity and recurrence of acute pancreatitis in southern Taiwan.


METHODS
Eighty acute pancreatitis patients (M/F: 64/16), including 53 (66.2%) with alcohol abuse, 16 (20%) with biliary disease, five (6.3%) with hyperlipidemia, and six (7.5%) with other risk factors, etiologies or idiopathic disease, were included. The mean follow-up period was 20 months. Contrast-enhanced computed tomography (CT) was used to assess the severity of acute pancreatitis.


RESULTS
Biliary pancreatitis was significantly associated with females while alcoholic pancreatitis occurred predominantly in males. Univariate analysis showed that male gender, alcoholic pancreatitis, and elevated serum triglyceride (>170 mg/dL) were significantly associated with severe acute pancreatitis. Multivariate logistic regression analysis revealed that male gender and abnormal serum triglyceride were independent risk factors for severity. Alcohol abuse was an independent risk factor for recurrent pancreatitis.


CONCLUSIONS
Alcoholic pancreatitis was the major etiology of acute pancreatitis in southern Taiwan, exhibiting a strong male predominance and higher risk of severe CT grading. Abnormal serum triglyceride was independently associated with the severity of acute pancreatitis. Alcoholic pancreatitis had a higher risk of recurrence than other etiologies.
Chen
Chun-Hao
CH
Department of Internal Medicine, Municipal Hsiao-Kang Hospital, Municipal United Hospital, Kaohsiung, Taiwan.
Dai
Chia-Yen
CY
Hou
Nai-Jen
NJ
Chen
Shinn-Cherng
SC
Chuang
Wan-Long
WL
Yu
Ming-Lung
ML
D000208:Acute Disease; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology*; D019512:Pancreatitis, Alcoholic / Q000453:epidemiology; D012008:Recurrence; D013624:Taiwan / Q000453:epidemiology; D014057:Tomography, X-Ray Computed; D014280:Triglycerides / Q000097:blood
D014280:Triglycerides