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  • Title: [Etiology on determining the severity of acute pancreatitis].
    Author: Sánchez-Lozada R, Acosta-Rosero AV, Chapa-Azuela O, Hurtado-López LM.
    Journal: Gac Med Mex; 2003; 139(1):27-31. PubMed ID: 12666407.
    Abstract:
    INTRODUCTION: There exist contradictory results regarding the role of etiology in severity and mortality of acute pancreatitis. In the population of "Hospital General de México" we stablished their importance. MATERIAL AND METHODS: We carried out a retrospective, comparative, longitudinal, and observational study. We determined sex, age, time of evolution, and subjective nutritional state of patients with diagnosis of acute pancreatitis from January 1, of 1996 to December 31, 2000. We compared days of hospitalization, severity, and mortality according to etiology. RESULTS: Ninety five patients were studied, 54% with biliarY and 41% with alcoholic etiology. Differences did not exist in ages and times of symptom evolution, but did in distribution by sex and nutritional state. There were no differences in days of hospitalization but there were differences in severity and mortality when comparing groups of different etiologies. DISCUSSION: In acute pancreatitis, etiology is the decisive factor of severity and mortality, although this can be conditioned by sex of patient and nutritional state.
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