cris.boxmetadata.label.title
Clinical profile and results of acute pancreatitis in the Intensive and Intermediate Care Unit of a general hospital
cris.boxmetadata.label.alternativetitle
[Perfil clínico y resultados de la pancreatitis aguda en la Unidad de Cuidados Intensivos e Intermedios de un hospital general]
cris.boxmetadata.label.dateissued
01 browse.startsWith.months.january 2020
cris.boxmetadata.label.accesslevel
metadata only access
cris.boxmetadata.label.resourcetype
journal article
cris.boxmetadata.label.authors
Aguirre-Mejía R.Y.
cris.boxmetadata.label.publisher
NLM (Medline)
cris.boxmetadata.label.abstract
INTRODUCTION: Intraductal papillary mucinous neoplasms (IPMN) are diagnosed more frequently because the higher use of radiologic exams, in that sense they are a great challenge to define its management and treatment in relation to its potential malignant transformation. OBJECTIVE: To describe IPMN clinical profile, endoscopic ultrasound (EUS) characteristics and survival in all patients diagnosed with IPMN by EUS at HNERM. MATERIALS AND METHODS: Retrospective cohort of patients with IPMN diagnosed at HNERM by EUS from 2013 to 2018. Descriptive statistics was used for clinical profile and EUS characteristics. Kaplan Meir Method and Cox regression analysis was applied for survival analysis. RESULTS: 133 patients with IPMN were included. Medium age was 68.6 years, 80 (60.2%) were female. According to IPMN subtypes, 89 (66.9%) originated from secondary branch, 23 (17.3%) from main duct (MD) and 21 (15.8%) were mixed type (MT). Head of pancreas was the main localization (41.4%). In follow-up, 22 (16.5%) were derived to surgery. Mortality occurred in 16.5% (22 cases) after a median follow-up of 522 days. Malignant transformation was diagnosed in 6% (8 cases). Survival was 86.8% (IC 95%, 79.6-91.6) at 1 year and 81.9% (IC95%, 73.3-88.0) at 3 years. Univariate analysis demonstrated that factors associated to survival were MD-IPMN (p=0.02) y MT-IPMN (p=0.005), male gender (p=004), nodule size ≥30 mm (p=0.000), presence of nodules (p=0.014) and Wirsung ≥10 mm (p=0.01). Multivariate analysis showed that predictive factors for survival were MD-IPMN (HR=6.3, p=0.005), MT-IPMN (HR=4.9, p=0.008) and nodule size ≥30 mm (HR=7.1, p=0.000). CONCLUSIONS: Diagnosis of MD-IPMN and MT-IPMN are predictive factors for survival as well as nodule size ≥ 30mm.
cris.boxmetadata.label.citationstartpage
36
cris.boxmetadata.label.citationendpage
45
cris.boxmetadata.label.volume
40
cris.boxmetadata.label.issue
1
cris.boxmetadata.label.language
Spanish
cris.boxmetadata.label.ocdeknowledgeArea
Gastroenterología, Hepatología
cris.boxmetadata.label.scopusidentifier
2-s2.0-85084276626
cris.boxmetadata.label.pubmedidentifier
cris.boxmetadata.label.source
Revista de gastroenterologia del Peru : organo oficial de la Sociedad de Gastroenterologia del Peru
cris.boxmetadata.label.containerissn
1609722X
peru-layout.shadow-copies
Directorio de Producción Científica
Scopus