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- Title
Necrotizing Pancreatitis from Hypertriglyceridemia: More Severe Disease?
- Authors
Maatman, T. K.; Westfall-Snyder, J. A.; Ceppa, E. P.; House, M. G.; Nakeeb, A.; Nguyen, T. K.; Schmidt, C. M.; Zyromski, N. J.
- Abstract
Background: Necrotizing pancreatitis (NP) is caused by hypertriglyceridemia (HTG) in up to 10% of patients. Clinical experience suggests that HTG-NP is associated with increased clinical severity; objective evidence is limited and has not been specifically studied in NP. Aim: The aim of this study was to critically evaluate outcomes in HTG-NP. We hypothesized that patients with HTG-NP had significantly increased severity, morbidity, and mortality compared to patients with NP from other etiologies. Methods: A case–control study of all NP patients treated at a single institution between 2005 and 2018 was performed. Diagnostic criteria of HTG-NP included a serum triglyceride level > 1000 mg/dL and the absence of another specific pancreatitis etiology. To control for differences in age, sex, and comorbidities, non-HTG and HTG patients were matched at a 4:1 ratio using propensity scores. Outcomes were compared between non-HTG and HTG patients. Results: A total of 676 NP patients were treated during the study period. The incidence of HTG-NP was 5.8% (n = 39). The mean peak triglyceride level at diagnosis was 2923 mg/dL (SEM, 417 mg/dL). After propensity matching, no differences were found between non-HTG and HTG patients in CT severity index, degree of glandular necrosis, organ failure, infected necrosis, necrosis intervention, index admission LOS, readmission, total hospital LOS, or disease duration (P = NS). Mortality was similar in non-HTG-NP (7.1%) and HTG-NP (7.7%), P = 1.0. Conclusion: In this large, single-institution series, necrotizing pancreatitis caused by hypertriglyceridemia had similar disease severity, morbidity, and mortality as necrotizing pancreatitis caused by other etiologies.
- Subjects
HYPERTRIGLYCERIDEMIA; DISEASE duration; CHRONIC pancreatitis; AGE differences; NECROTIZING pancreatitis; PATIENT readmissions; DIAGNOSIS
- Publication
Digestive Diseases & Sciences, 2021, Vol 66, Issue 12, p4485
- ISSN
0163-2116
- Publication type
Article
- DOI
10.1007/s10620-020-06766-6