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Outcome of acute pancreatitis in octogenarians: A retrospective study

Authors :
Shahjehan Wajed
Antonio Manzelli
Claudia A M Fulgenzi
Edoardo Ricciardi
Iyad Elkhuffash
Chinthaka N Wijesurendere
Andrea Attanasio
Davide Di Mauro
Source :
JGH Open, Vol 4, Iss 3, Pp 461-465 (2020), JGH Open: An Open Access Journal of Gastroenterology and Hepatology
Publication Year :
2020
Publisher :
Wiley, 2020.

Abstract

Background and Aim Acute pancreatitis (AP) is a common disease, but data on outcomes in octogenarians are scarce in the literature. The aim of this study is to analyze results from patients aged 80 years old and over who were treated for AP at a single center. Methods Patients aged 80 years and older diagnosed with AP from April 2010 to October 2015 were considered. Demographics, American Society of Anesthesiologists (ASA) score, Charlson Comorbidity Index (CCI), serum biochemistry at 24 and 48 h after admission, and revised Atlanta severity score were analyzed and correlated with hospital mortality rate and length of stay using the multiple regression and Kaplan–Meier tests. Results A total of 100 consecutive patients were included in the study. There were 52 women, and the mean age was 87.5 years (range 80–95). Gallstones were the most common cause of AP (69.7%). The ASA score was ≥III in 51 patients. Eight patients had severe, disease and all of them died in hospital. A CCI > 4 was associated with higher disease severity and mortality (P<br />Acute pancreatitis in octogenarians has low mortality. Gallstones are the main cause of disease, and cholecystectomy is recommended whenever possible as the risk of disease recurrence is significant.

Details

Language :
English
ISSN :
23979070
Volume :
4
Issue :
3
Database :
OpenAIRE
Journal :
JGH Open
Accession number :
edsair.doi.dedup.....566e148acd0b743b29f42fed48f9acee