Pancreatitis After Biliary Tract Surgery

Association between ACE Inhibitors and Acute Pancreatitis in the Elderly

“…According to the aforementioned case reports from the FDA and pharmaceutical companies, enalapril was the most frequently implicated (~50 cases), followed by captopril (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30) and lisinopril (20). 6 However, this variance may reflect the differences in use rather than risk with a particular agent.…”

“…Moreover, to ensure that patients were not using the study drugs only sporadically, subjects included must have had at least 1 refill within 120 days from the index date. Finally, patients were excluded if they had conditions associated with an increased risk of acute pancreatitis: cholelithiasis, 10 gallstone, 10 alcoholism, 10 chronic pancreatitis, recurrent pancreatitis, pancreatic neoplasm, 10 AIDS, 10 duodenal diverticula, 11 Crohn's disease, 10 spasm of the sphincter of Oddi, 10 liver transplant, 12 cardiopulmonary bypass, 13 Coxsackie B virus, 14 endoscopic retrograde cholangiopancreatography, 15 peritoneal dialysis, 16 surgical procedures involving the biliary tract and pancreas, 17 gastrectomy, 10 splenectomy, 10 colectomy, 10 and renal transplant. 10…”

“…Numerous factors have been associated with acute pancreatitis. 10–19 We controlled for age, gender, lipid disorders, 10 thyroid disease, 10 hepatitis B, 12,18 and use of furosemide/hydrochlorothiazide, estrogens, and nonsteroidal antiinflammatory drugs (NSAIDs). 19 The proportional hazards assumption for each exposure variable was assessed in each analysis for any violations.…”

Detection of postoperative pancreatitis after pancreatic surgery by urine trypsinogen strip test

“…Pancreatitis may complicate the postoperative course of various upper abdominal operations, the incidence varying between 1 and 8 per cent in retrospective studies1–5. Acute postoperative pancreatitis has also been described after cardiac surgery in prospective studies (incidence 3–8 per cent)6, 7 and in one retrospective study (2 per cent)8.…”

Prophylactic Administration of Urinary Trypsin Inhibitor Prevents Postoperative Hyperamylasemia after R2 Gastrectomy in Patients with Gastric Cancer

“…The inci dence is reported to be between 0.6 and 10% [7][8][9]. Direct pancreatic injury is a relatively common complication after radical gastric surgery.…”