Exercise‐induced cholangitis and pancreatitis

Touzios, John G.; Krzywda, Beth; Nakeeb, Attila; Pitt, Henry A.

doi:10.1080/136518205128882

Cited by 5 publications

(1 citation statement)

References 6 publications

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“…Many have questioned whether the allocation of limited resources is warranted. Transplanting patients with malignancies has been argued to be justifiable only if the survival can be estimated to exceed 50% at 5 years [ 24 ]. Our analysis reveals that not only do NET/NLM patients meet this criteria and do relatively well after transplant but also they continue to improve over time and have survivals not significantly different from HCC patients who are transplanted.…”

Section: Discussionmentioning

confidence: 99%

Neuroendocrine Liver Metastases and Orthotopic Liver Transplantation: The US Experience

Nguyen

Harring

Goss

et al. 2011

International Journal of Hepatology

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Liver transplantation remains a controversial therapy for Neuroendocrine liver metastases (NLM), with coflicting suvival data reported. The aim was to assess the evolution of outcomes for patients transplanted for NLM in the US, both before and after the introduction of the MELD scoring system in 2002. The UNOS/OPTN database was reviewed to identify patients diagnosed with NLM who subsequently underwent a liver transplantation from 1988 to March 2011 (n = 184); Patient survival was determined using Kaplan-Meier methods and log-rank tests, and cox regression analysis was performed, using SPSS 15.0 (SPSS, Inc, Chicago, IL). The overall NLM patient survivals in the pre-MELD era were 79.5%, 61.4%, and 49.2% at 1, 3, and 5 years, respectively. After the introduction of the MELD score, NET/NLM patients had improved overall patient survivals at 1, 3, and 5 years of 84.7%, 65%, and 57.8%. Patients transplanted after 2002 had an improved survival outcome. Notably, the overall patient survival for NET is not significantly different when compared to the outcomes of patients transplanted for HCC, in the current era. This progress acknowleges the significant improvement in outcomes for NLM patients after liver transplantation and the potential for further gain in the survival of otherwise nonsurgical, terminal patients.

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Section: Discussionmentioning

confidence: 99%

Neuroendocrine Liver Metastases and Orthotopic Liver Transplantation: The US Experience

Nguyen

Harring

Goss

et al. 2011

International Journal of Hepatology

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Ascending Cholangitis due to Heavy Lifting

Bakkum

Loffeld

2017

Case Rep Gastroenterol

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Gallstone disease is the most common risk factor for cholangitis. In an anatomically normal bile duct system, cholangitis does not occur without the presence of stones. Endoscopic retrograde cholangiography with papillotomy and stone extraction is a well-established curative therapy for gallstones in the common bile duct. More important, papillotomy prevents recurrent episodes. The present case report describes a 73-year-old male with recurring cholangitis in a clear bile duct system after previous papillotomy. An etiology of duodenal reflux into the common bile duct due to heavy lifting is proposed.

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Evaluation of the Athlete With Exertional Abdominal Pain

Viola

2010

Current Sports Medicine Reports

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Numerous surveys of athletes reveal high rates of exertional abdominal pain and gastrointestinal dysfunction. These complaints often are thought to be self-limiting and benign, and they may be mediated by physiological changes that take place in the gastrointestinal tract. However, when these complaints interfere with an athlete's training or competition, it is important to evaluate for underlying pathology. The goal of this article will be to briefly describe the relevant exercise-associated changes of the gastrointestinal tract and provide a differential diagnosis and a proposed mechanism of evaluation of exertional abdominal pain. The etiologies most frequently written about include exercise-associated transient abdominal pain (ETAP or stitch), reflux, diarrhea, ischemia, and musculoskeletal pain. Less common etiologies include cardiorespiratory disease, and rare occurrences of hypoferritinemia, congenital supernumerary ligaments of the gallbladder, cholangitis, and pancreatitis have been published as case reports.

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Exercise‐induced cholangitis and pancreatitis

Abstract: Following biliary bypass or pancreatoduodenectomy, significant exercise may increase intra-abdominal pressure and cause cholangitis or pancreatitis. Awareness of this entity and behavior modification will avoid unnecessary procedures in these patients.

Cited by 5 publications

References 6 publications

Neuroendocrine Liver Metastases and Orthotopic Liver Transplantation: The US Experience

Neuroendocrine Liver Metastases and Orthotopic Liver Transplantation: The US Experience

Ascending Cholangitis due to Heavy Lifting

Evaluation of the Athlete With Exertional Abdominal Pain

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