Author(s): Igbinosa O, Poddar S, Pitchumoni C
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Abstract OBJECTIVES: To evaluate the demographics, risk factors and outcomes of pregnancy associated pancreatitis (PAP). STUDY DESIGN: A retrospective chart review was done using ICD-9 Code 577.0 (acute pancreatitis) from January 2005 through December 2009. Women aged 18 to 45 years, who were pregnant and 6 months after delivery were considered for the study. For each case, two women of the same age (± 4 years) with no history of pancreatitis were matched as control. Demographics, etiology, diagnostic modality and intervention were obtained. RESULTS: During the 5 years of study, 29 cases of PAP occurred among 25,600 total hospital deliveries, yielding prevalence of 0.001\%: Hispanics 48\%, Caucasians 24\%, African Americans 17.2\%, and Asian/Pacific Islanders 13\% (P<0.05). Sixty-five percent of those with pre-pregnancy body mass index (BMI) more than 30 kg/m(2) had PAP, versus 24\% with BMI between 25 and 30 kg/m(2) and 10\% with BMI less than 25 kg/m(2) (P<0.05). An increasing trend of PAP was seen with gestational age and number of pregnancy. CONCLUSION: Gallstone disease is the most frequent etiology for PAP and tends to occur more often in Hispanics in New Jersey. Copyright © 2012 Elsevier Masson SAS. All rights reserved.
This article was published in Clin Res Hepatol Gastroenterol
and referenced in Pancreatic Disorders & Therapy