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OBJECTIVES Atlanta classification (Atlanta 1992) of acute pancreatitis (AP) has several limitations. Two new classification systems were recently proposed: the Atlanta reclassification (Atlanta 2012) and the determinant-based classification (DBC). The aim of our study was to: (i) determine the association between different severity categories and clinical(More)
CONTEXT The optimal approach to pre-operative imaging assessment of pancreatic cancer is unknown. OBJECTIVE The aim of this meta-analysis was to assess accuracy and performance characteristics of EUS in determining nodal staging, vascular invasion, and prediction of resectability of pancreatic cancer. A secondary aim was to perform head to head comparison(More)
OBJECTIVES Hypertriglyceridemia (HTG) represents a major health problem with prevalence exceeding 30% in the U.S. The present study aims to assess the effect of elevated serum triglyceride (TG) levels on the severity of acute pancreatitis (AP). METHODS Prospectively enrolled AP patients were categorized into normal, mild, moderate, and severe/very severe(More)
The introduction of laparoscopic cholecystectomy (LC) was associated with an increased incidence of biliary injuries. One of the initial series reported an incidence of bile duct or hepatic duct injuries of roughly 0.5%, likely an underestimate [1]. A substantial decline in such complications was noted with acquisition of experience in LC. Subsequent(More)
BACKGROUND We have established a multicenter international consortium to better understand the natural history of acute pancreatitis (AP) worldwide and to develop a platform for future randomized clinical trials. METHODS The AP patient registry to examine novel therapies in clinical experience (APPRENTICE) was formed in July 2014. Detailed web-based(More)
A patient with modified multivisceral transplant developed recurrent acute pancreatitis (RAP) 1 year after transplant and was found to have graft pancreas divisum with otherwise negative work-up for identifying the etiology of RAP. Endoscopic retrograde cholangiopancreatography was performed with minor papilla sphincterotomy and pancreatic duct stent(More)
BACKGROUND There is limited data on the prevalence of coexistent diabetes in acute pancreatitis and subsequent natural history in these patients. METHODS Using Pennsylvania Health Care Cost Containment Council data set, we identified 7399 unique White and Black Allegheny County, PA residents with first hospitalization for acute pancreatitis from 1996 to(More)
OBJECTIVES To assess the relationship between alcoholic etiology, tobacco use, and severe acute pancreatitis (AP). METHODS Smoking and alcohol exposure were recorded upon admission in a cohort of patients with AP within the United States. Patients with first, "sentinel" attack of AP were identified for analysis.Associations between alcohol, smoking, and(More)
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