2022
DOI: 10.3390/ijerph192316179
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Pancreatitis in Pregnancy—Comprehensive Review

Abstract: Acute and chronic pancreatitis, until recently observed incidentally in pregnancy, has occurred much more frequently in the last 2–3 decades. Particularly severe complications for the mother and fetus may be a consequence of acute pancreatitis. Therefore, it is important to know more about the diagnostic and therapeutic possibilities of pancreatic diseases in the course of pregnancy. Epidemiology, causes, clinical characteristics, differential diagnosis, and complex management are presented in this review. Par… Show more

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Cited by 14 publications
(9 citation statements)
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“…( 14) Furthermore, recent years have seen an increase in the frequency of acute pancreatitis during pregnancy, a phenomenon that can be attributed notably to the global rise in obesity incidence and poor dietary lifestyle habits. (13,14 ) Acute pancreatitis is more frequently described in the third trimester of pregnancy. Ramin et al reported the prevalence of acute pancreatitis as 19% in the rst trimester, 26% in the second, 53% in the third, and 2% postpartum.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…( 14) Furthermore, recent years have seen an increase in the frequency of acute pancreatitis during pregnancy, a phenomenon that can be attributed notably to the global rise in obesity incidence and poor dietary lifestyle habits. (13,14 ) Acute pancreatitis is more frequently described in the third trimester of pregnancy. Ramin et al reported the prevalence of acute pancreatitis as 19% in the rst trimester, 26% in the second, 53% in the third, and 2% postpartum.…”
Section: Discussionmentioning
confidence: 99%
“…The diagnostic criteria are the same as outside of pregnancy. (7,8,10,13,11). However, common symptoms of pancreatitis (nausea, vomiting, abdominal discomfort, etc.)…”
Section: -9 11-13)mentioning
confidence: 99%
“…The presentation of AP includes epigastric or abdominal pain with back irradiation (80-95%), nausea and vomiting (40-80%), fever, abdominal distension, irritability, breathlessness, impaired consciousness, low oxygen saturation, tachypnoea, hypotension, ileus, and/or oliguria [3]. In pregnancy, physical examination is difficult and should be performed with care; the most frequent findings are rebound pain, tenderness, and ileus with no peristalsis [35].…”
Section: Clinical Presentation and Diagnosismentioning
confidence: 99%
“…The diagnosis must be rendered upon admission to the hospital and within 2 days from the beginning of symptoms because usually, the amylase increase returns to normal in 3 days [35]. The first two criteria alone may fail to identify 25% of patients with AP while making false positives in 10% of patients without AP [37].…”
Section: Clinical Presentation and Diagnosismentioning
confidence: 99%
“…Acute pancreatitis in pregnancy is a rare, usually self-limiting condition, estimated to occur in every 1/1000 to 1/5000 cases, often in the third trimester [ 59 ]. Maternal and fetal mortality rates have decreased over the years, from 37% to 3.3% and from 60% to 11.6%, respectively, due to progress in diagnosis and treatment [ 60 ].…”
Section: Hepatic and Pancreatobiliary Diseasesmentioning
confidence: 99%