Analyzing and identifying risk factors for acute pancreatitis with different etiologies in pregnancy.
OBJECTIVE
To identify the risk factors of acute pancreatitis (AP) associated with different etiologies, in pregnancy (APP).


METHODS
Forty-seven eligible patients were divided into two groups: biliary acute pancreatitis in pregnancy (BAPP, n = 31) and hypertriglyceridemic-induced pancreatitis in pregnancy (HAPP, n = 16). Multivariate analysis was utilized in identifying independent risk factors of BAPP and HAPP.


RESULTS
The independent risk factors of BAPP included gallbladder stones (OR, 3.924; p = 0.007) and high-fat diet in pregnancy (OR, 4.878; p = 0.001). Hypertriglyceridemia (OR, 3.667; p = 0.035) was the only independent risk factor for HAPP. Based on the severity of AP, no significant differences in adverse outcomes were found between BAPP and HAPP.


CONCLUSIONS
High-fat diet should be prohibited for gravida with biliary diseases. Compared to biliary tract stones, the study observed that gallstones were more likely to cause AP for pregnant women. Hypertriglyceridemic pregnant women were found to be more susceptible to AP.
Department of Gynaecology and Obstetrics and.
Jin
J
Jin
Yan-hong
YH
Yu
Mei
M
Zhong
Guo-wei
GW
Zhang
D000328:Adult; D005260:Female; D006801:Humans; D010195:Pancreatitis / Q000453:epidemiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D012307:Risk Factors; D055815:Young Adult
Biliary acute pancreatitis; hyperglyceridemic-induced pancreatitis; pregnancy; risk