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Publication Type : Journal Article
Thematic Areas : Medical Sciences
Publisher : Journal of the Pancreas
Source : Journal of the Pancreas, Volume 9, Number 5, p.593-600 (2008)
Keywords : adolescent, adult, alcohol consumption, Alcohol Drinking, Alcoholic, alcoholic pancreatitis, article, ascites, autoimmune pancreatitis, bile duct obstruction, cassava, Chronic, chronic pancreatitis, controlled study, Data collection, Diabetes Complications, diabetes mellitus, false aneurysm, Family Health, female, fistula, food intake, gastrointestinal hemorrhage, human, Humans, hyperparathyroidism, idiopathic disease, India, insulin, major clinical study, male, middle aged, pancreas cancer, pancreas divisum, pancreas injury, pancreas pseudocyst, pancreas stone, pancreas surgery, pancreatitis, portal hypertension, Prospective Studies, prospective study, risk assessment, risk factor, Risk Factors, sex difference, smoking, Tropical Climate, Young Adult
Campus : Kochi
School : School of Medicine
Department : Gastrointestinal Surgery
Year : 2008
Abstract : Context: Chronic pancreatitis is common in India. However, its risk factors are not clear. There is sparse data on the current prevalence of tropical pancreatitis in India. Objective: To undertake a prospective nationwide study of the risk factors and clinical profile of chronic pancreatitis. Setting: Thirty-two major centers from different regions of India contributed data on 1,086 patients to a common online website (www.ipans.org(link is external)). Main outcome measures: Risk factors, clinical features complications and treatment of chronic pancreatitis. Results: Of the 1,086 subjects, complete data on risk factors were available for 1,033 subjects. Idiopathic pancreatitis was the most common form of pancreatitis (n=622; 60.2%) and alcoholic chronic pancreatitis accounted for about a third of the cases (n=400; 38.7%); the rest (n=11; 1.1%) had rare risk factors. Smoking and cassava intake were documented in 292 (28.3%) and 189 (18.3%) subjects, respectively. Using well-defined criteria, only 39 (3.8%)cases could be labeled as 'tropical pancreatitis'. Pain occurred in 971 patients (94.0%). Four hundred and eighteen (40.5%) subjects had diabetes mellitus. Of alcohol consumers, alcoholism and female gender were independent risk factors for diabetes in subjects with chronic pancreatitis (OR=1.48
Cite this Research Publication : Va Balakrishnan, Unnikrishnan, A. Ga, Thomas, Vb, Choudhuri, Gc, Veeraraju, Pd, Singh, S. Pe, Garg, Pf, Pai, C. Gg, Devi, R. N. Sh, Bhasin, Di, Jayanthi, Vj, Premalatha, Nk, Chacko, Al, Kar, Pm, Rai, R. Rn, Rajan, Ro, Subhalal, No, Mehta, Rp, Mishra, S. Pq, Dwivedi, Mq, Vinayakumar, K. R. Nr, Jain, A. Ks, Biswas, Kt, Mathai, Su, Varghese, Jv, Ramesh, Hw, Alexander, Tx, Philip, Jy, Raj, V. Vz, Vinodkumar, Aaa, Mukevar, Sab, Sawant, Pac, Nair, Pa, Kumar, Ha, Dr. Sudhindran S., Dhar, Pa, Sudheer, O. Va, Sundaram, K. Ra, Tantri, B. Vad, Singh, Dae, and Nath, T. Raf, “Chronic pancreatitis. A prospective nationwide study of 1,086 subjects from India”, Journal of the Pancreas, vol. 9, pp. 593-600, 2008.