Hemoconcentration is an early marker for organ failure and necrotizing pancreatitis.

Abstract:

:In a previous retrospective case-control study, hemoconcentration was associated with the development of pancreatic necrosis. The aim of the present study was to determine in a cohort study whether hemoconcentration is a marker for both organ failure and necrotizing pancreatitis. A cohort study was performed on patients admitted with acute pancreatitis from February 1996 to April 1997. Pancreatic necrosis was defined by findings on dynamic contrast-enhanced computed tomography scan or magnetic resonance imaging. Of 128 total patients with acute pancreatitis, 53 underwent computed tomography or magnetic resonance imaging. Eighteen of 53 had necrotizing pancreatitis. Logistic regression identified an admission hematocrit > or = 44% and a failure of admission hematocrit to decrease at 24 hours as the best binary predictors of necrotizing pancreatitis and organ failure. By 24 hours, 17 of 18 patients with necrotizing pancreatitis versus 11 of 35 with interstitial pancreatitis met one or the other criterion for necrosis (p < 0.001). By 24 hours, 13 of 15 with organ failure versus 36 of 104 without organ failure met one or the other criterion (p < 0.001). The negative predictive value by 24 hours was 96% for necrotizing pancreatitis and 97% for organ failure. Hemoconcentration with an admission hematocrit > or = 44% and/or failure of admission hematocrit to decrease at approximately 24 hours was associated with the development of necrotizing pancreatitis and organ failure. Patients who did not experience hemoconcentration were very unlikely to develop pancreatic necrosis or organ failure.

journal_name

Pancreas

journal_title

Pancreas

authors

Brown A,Orav J,Banks PA

doi

10.1097/00006676-200005000-00005

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

367-72

issue

4

eissn

0885-3177

issn

1536-4828

journal_volume

20

pub_type

杂志文章

相关文献

PANCREAS文献大全
  • Expression of Transient Receptor Potential Channels in the Purified Human Pancreatic β-Cells.

    abstract:OBJECTIVE:Members of the transient receptor potential (TRP) channels are involved in mediating the electrical excitability and stimulus-secretion coupling in the pancreatic β-cells. The expression and the relative abundance of different TRP channels in the human β-cells are unknown. The objective of this study was to e...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000685

    authors: Marabita F,Islam MS

    更新日期:2017-01-01 00:00:00

  • Beta-cell function abnormalities in islets from an adult subject with nesidioblastosis and autoantibodies against the islet cells.

    abstract::Human islets from an adult subject with nesidioblastosis were isolated and used to perform in vitro studies. Isolated nesidioblastotic islets showed an increased basal rate of insulin secretion (nesidioblastotic islets, 81.3 +/- 6.4 vs. control islets, from cadaveric organ normal donors, 10.2 +/- 0.9 microU/islet/90 m...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199701000-00011

    authors: Conget I,Sarri Y,Somoza N,Vives M,Novials A,Ariza A,Fernández-Alvarez J,Pujol-Borrell R,Gomis R

    更新日期:1997-01-01 00:00:00

  • Nicotine ameliorates experimental severe acute pancreatitis via enhancing immunoregulation of CD4+ CD25+ regulatory T cells.

    abstract:OBJECTIVES:Activation of "nicotinic anti-inflammatory pathway" could reduce severity of inflammation and injury induced by acute pancreatitis. However, the role of regulatory T (Treg) cells in this pathway is unclear. METHODS:Severe acute pancreatitis (SAP) was induced in mice through retrograde injection of 50-μL 2% ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000294

    authors: Zheng YS,Wu ZS,Zhang LY,Ke L,Li WQ,Li N,Li JS

    更新日期:2015-04-01 00:00:00

  • Interleukin-36α Induces Inflammatory Mediators From Human Pancreatic Myofibroblasts Via a MyD88 Dependent Pathway.

    abstract:OBJECTIVES:Interleukin-36 (IL-36) is a recently described proinflammatory cytokine, characterized by the induction of inflammatory mediators. In the present study, we investigated the biological activity and the signal transduction of IL-36α in human pancreatic myofibroblasts. METHODS:The mRNA and protein expression o...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000765

    authors: Nishida A,Inatomi O,Fujimoto T,Imaeda H,Tani M,Andoh A

    更新日期:2017-04-01 00:00:00

  • Hormonal and reproductive factors and pancreatic cancer risk: a prospective cohort study.

    abstract:OBJECTIVES:We examined pancreatic cancer risk in association with hormonal and reproductive factors in a prospective cohort study of 89,835 Canadian women, aged 40-59 at recruitment, who were enrolled in the National Breast Screening Study (NBSS). METHODS:Linkages to national cancer and mortality databases yielded dat...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000160301.59319.ba

    authors: Navarro Silvera SA,Miller AB,Rohan TE

    更新日期:2005-05-01 00:00:00

  • Implementation of a simplified method of islet isolation for allogeneic islet transplantation in cynomolgus monkeys.

    abstract:OBJECTIVES:The present study describes a simple and cost-effective islet isolation procedure. Using this method, allogeneic islets reverse diabetes in cynomolgus monkeys. METHODS:Pancreatic tissue from 11 cynomolgus monkeys were digested, collected, and purified using a simplified method. Islet quantification, purity,...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000437322.44975.13

    authors: Qi M,Wang Y,Formo K,Marchese E,Wang S,McGarrigle JJ,Bochenek MA,Kinzer K,Vaca P,Davis M,Ahn SJ,Chang K,Bartholomew A,Benedetti E,Oberholzer J

    更新日期:2014-03-01 00:00:00

  • Interleukin-6 is a useful marker for early prediction of the severity of acute pancreatitis.

    abstract::Twelve patients with acute pancreatitis admitted to our department between January 1993 and December 1994 were studied prospectively and classified into two groups (severe group, five patients; mild group, seven patients), according to the criteria for grading severity of acute pancreatitis proposed by the Research Co...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199701000-00001

    authors: Inagaki T,Hoshino M,Hayakawa T,Ohara H,Yamada T,Yamada H,Iida M,Nakazawa T,Ogasawara T,Uchida A,Hasegawa C,Miyaji M,Takeuchi T

    更新日期:1997-01-01 00:00:00

  • Successful resection of a liver metastasis from AFP-producing pancreatic cancer resulting in long-term survival: a case report and review of literature.

    abstract::The prognosis of patients with alpha-fetoprotein (AFP)-producing pancreatic cancer is generally very poor. We, however, present a case of a 33-year-old man who survived AFP-producing pancreatic cancer and its metachronous liver metastasis. The patient had undergone a curative total pancreatectomy for AFP-producing pan...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000179727.15716.82

    authors: Natsume T,Watanabe Y,Maruyama T,Tanaka H,Sunouchi K,Tohma T,Noju M,Muto Y,Tohnosu N,Uehara T,Shimizu S,Ochiai T,Nabeya Y

    更新日期:2005-11-01 00:00:00

  • Urinary neutrophil gelatinase-associated lipocalin as an early predictor of disease severity and mortality in acute pancreatitis.

    abstract:OBJECTIVES:In reference to our earlier publication, laboratory tests that reflect severe intravascular volume depletion can be used for predicting the severity of acute pancreatitis (AP). The aim of the study was to assess whether urinary level of neutrophil gelatinase-associated lipocalin (NGAL) could represent a usef...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000282

    authors: Lipinski M,Rydzewska-Rosolowska A,Rydzewski A,Rydzewska G

    更新日期:2015-04-01 00:00:00

  • Regional Metastatic Behavior of Nonfunctional Pancreatic Neuroendocrine Tumors: Impact of Lymph Node Positivity on Survival.

    abstract:OBJECTIVES:Literature addressing the significance of lymph node positivity in the management of nonfunctional pancreatic neuroendocrine tumors (PNETs) is conflicting. METHODS:The National Cancer Data Base was queried for patients who underwent surgical resection of nonfunctional PNETs between 1998 and 2011. Clinical d...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000861

    authors: Jutric Z,Grendar J,Hoen HM,Cho SW,Cassera MA,Newell PH,Hammill CW,Hansen PD,Wolf RF

    更新日期:2017-08-01 00:00:00

  • Examination of external validity in randomized controlled trials for adjuvant treatment of pancreatic adenocarcinoma.

    abstract:OBJECTIVES:Clinical trials are a prerequisite for evidence-based medicine. Trial representativity by internal and external validities is an assumption for a transfer into the real world. METHODS:A questionnaire addressing several forms of bias was established. Randomized controlled trials for adjuvant treatment of pan...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e31819d7370

    authors: Sorg C,Schmidt J,Büchler MW,Edler L,Märten A

    更新日期:2009-07-01 00:00:00

  • Prior History of Pancreatitis Accelerates the Development of Pancreatic Adenocarcinoma.

    abstract:OBJECTIVES:Presentation of pancreatic adenocarcinoma (PC) as acute pancreatitis (AP), association of chronic pancreatitis (CP) with PC, and role of inflammation in PC carcinogenesis are well recognized. We hypothesized that inflammatory changes associated with remote history of AP (≥2 years before PC diagnosis) would r...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000001160

    authors: Phillips AE,Shah N,Borhani AA,Yadav D,Brand RE

    更新日期:2018-11-01 00:00:00

  • The role of insulin in the interaction of secretin and cholecystokinin in exocrine secretion of the isolated perfused rat pancreas.

    abstract::To investigate the role of insulin in the potentiation effect of secretin and cholecystokinin (CCK) on pancreatic exocrine secretion, the pancreas was isolated from rats and perfused with modified Krebs-Henseleit solution containing glucose at three concentrations. Intraarterial glucose at concentrations of 2.5, 10, a...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199601000-00007

    authors: Lee YL,Kwon HY,Park HS,Lee TH,Park HJ

    更新日期:1996-01-01 00:00:00

  • Hypochlorhydria and achlorhydria are associated with false-positive secretin stimulation testing for Zollinger-Ellison syndrome.

    abstract:OBJECTIVES:Secretin stimulation testing (SST) is used to evaluate patients with hypergastrinemia in the diagnosis of Zollinger-Ellison syndrome. Case series have documented false-positive SST in patients with achlorhydria. This study reviews our experience with SST in hypochlorhydric and achlorhydric patients. METHODS...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3182847b2e

    authors: Shah P,Singh MH,Yang YX,Metz DC

    更新日期:2013-08-01 00:00:00

  • Combination treatment with comprehensive cryoablation and immunotherapy in metastatic pancreatic cancer.

    abstract:OBJECTIVE:The aim of this study was to retrospectively assess the effect of comprehensive cryosurgery (ablation of intrapancreatic and extrapancreatic tumors) plus immunotherapy in metastatic pancreatic cancer. METHODS:We divided 106 patients (57 men, 49 women; median age, 65 years) into the cryoimmunotherapy (31 pati...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e3182965dde

    authors: Niu L,Chen J,He L,Liao M,Yuan Y,Zeng J,Li J,Zuo J,Xu K

    更新日期:2013-10-01 00:00:00

  • Pancreatic intraepithelial neoplasia in patients with intraductal papillary mucinous neoplasms: the interest of endoscopic ultrasonography.

    abstract:OBJECTIVES:Intraductal papillary mucinous neoplasms (IPMNs) and pancreatic intraepithelial neoplasia (PanIN) are both precancerous lesions. Papillary mucinous neoplasms have been described in patients with IPMN, but their relationship is still poorly understood. The aims of this study were to look for PanIN lesions in ...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000437639.38383.41

    authors: Maire F,Couvelard A,Palazzo L,Aubert A,Vullierme MP,Rebours V,Hammel P,Sauvanet A,Levy P,Ruszniewski P

    更新日期:2013-11-01 00:00:00

  • Defatted bovine colostrum-supplemented diet around weaning improves exocrine pancreatic secretion by means of volume, digestive enzymes, and antibacterial activity.

    abstract:OBJECTIVES:Exocrine pancreatic secretion contributes to limit pathogenic bacteria-associated diarrhea. Bovine colostrum, used in the treatment of diarrhea, reduces symptoms originating from gut pathogenic bacteria overgrowth. We hypothesized that bovine colostrum may stimulate the exocrine pancreatic secretion. METHOD...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0b013e318192eb83

    authors: Huguet A,Savary G,Bobillier E,Le Huërou-Luron I

    更新日期:2009-04-01 00:00:00

  • Pancreatic cancer presenting with resolving pseudocyst during octreotide therapy.

    abstract::Pancreatic cancer presenting as acute pancreatitis is relatively uncommon. Pancreatic cancer should be included in the differential diagnosis of "idiopathic" acute pancreatitis, particularly in the elderly. The following case report describes a patient in whom pancreatic cancer presented as acute pancreatitis with pse...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199307000-00016

    authors: Nugent CE,Lehman GA,Madura JA,Kopecky K

    更新日期:1993-07-01 00:00:00

  • Protective effect of misoprostol, a synthetic prostaglandin E1 analog, on cerulein-induced acute pancreatitis in rats.

    abstract::This study was performed to assess the effects of misoprostol, a synthetic prostaglandin E1 analog, on cerulein-induced pancreatitis. Per group of 10 each, male Wistar rats received either cerulein (2.5 micrograms/kg/h subcutaneously), cerulein and misoprostol (500 micrograms/kg intraperitoneally at 0 and 4 h), or sal...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199003000-00008

    authors: Buscail L,Bussenot I,Bouisson M,Sénégas-Balas F,Bertrand C,Balas D,Vaysse N,Ribet A

    更新日期:1990-03-01 00:00:00

  • Mechanistic analysis of pancreatic ductal carcinogenesis in hamsters.

    abstract::In this article, we introduce our rapid-production model for pancreatic duct adenocarcinomas and describe the mechanisms of pancreatic duct carcinogenesis so far elucidated in Syrian golden hamsters. It is evident that a series of histogenetic steps are involved, leading from hyperplasia through atypical hyperplasia t...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/00006676-199804000-00015

    authors: Konishi Y,Tsutsumi M,Tsujiuchi T

    更新日期:1998-04-01 00:00:00

  • Endogenous tumor necrosis factor inhibits the cytotoxicity of exogenous tumor necrosis factor and adriamycin in pancreatic carcinoma cells.

    abstract::Pancreatic carcinoma is one of the most devastating neoplasms with regard to its resistance to conventional therapy. In a previous report, we found that endogenous tumor necrosis factor (enTNF) exerts an intracellular protective effect against exogenous TNF- and Adriamycin (ADM)-induced cytotoxicity by scavenging oxyg...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199611000-00009

    authors: Watanabe N,Tsuji N,Tsuji Y,Sasaki H,Okamoto T,Akiyama S,Kobayashi D,Sato T,Yamauchi N,Niitsu Y

    更新日期:1996-11-01 00:00:00

  • Pancreatic carcinoma associated with chronic calcifying pancreatitis in Taiwan: a case report and review of the literature.

    abstract::A 62-year-old Chinese woman suffering from pancreatic carcinoma coexisting with chronic calcifying pancreatitis is reported. Ultrasonography and computed tomography disclosed multiple intraductal calcifications in the pancreatic head and body and a tumor at the tail. Laparotomy revealed cancerous peritonitis in additi...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/00006676-198802000-00020

    authors: Lin JT,Wang TH,Chen DS,How SW,Lai MY,Chen JC,Sung JL

    更新日期:1988-01-01 00:00:00

  • Cholecystokinin stimulates a specific ribosomal S6 kinase in rat pancreatic acini.

    abstract::Stimulation of intact rat pancreatic acini with cholecystokinin (CCK) enhances the phosphorylation of the ribosomal protein S6 in a dose-dependent manner with half maximal stimulation at 40 pM and maximal stimulation at 1 nM CCK octapeptide. Soluble cellular extracts contained S6 kinase activity assayed using purified...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-199011000-00006

    authors: Sung CK,Williams JA

    更新日期:1990-11-01 00:00:00

  • Future Directions in the Treatment of Gastrointestinal and Pancreatic Neuroendocrine Tumors.

    abstract::Recently, the landscape of the diagnosis and treatment of patients with well-differentiated gastrointestinal/pancreatic neuroendocrine tumors (previously referred to as carcinoid tumors) has changed dramatically. We will need to work with all of the stakeholders including clinicians, patients, regulatory agencies, and...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000620

    authors: Asmis T

    更新日期:2016-07-01 00:00:00

  • Immunohistochemical and genetic analysis of osteoclastic giant cell tumor of the pancreas.

    abstract::Clinical, histopathologic, immunohistochemical, and genetic analyses of 2 osteoclastic giant cell tumors of the pancreas are presented. The neoplasms were composed of osteoclastic giant cells and pleomorphic cells (PCs). The tissue-specific markers gave evidence of mesenchymal nature of the osteoclastic giant cells, a...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/01.mpa.0000202951.10612.fa

    authors: Lukás Z,Dvorák K,Kroupová I,Valásková I,Habanec B

    更新日期:2006-04-01 00:00:00

  • Whipple's procedure plus intraoperative pancreatic duct occlusion for severe chronic pancreatitis: clinical, exocrine, and endocrine consequences during a 3-year follow-up.

    abstract::The present investigation provides follow-up data (up to 36 months) of exocrine and endocrine pancreatic function, inflammatory activity, pain, and body weight in 23 chronic pancreatitis patients submitted to Whipple's procedure plus intraoperative Ethibloc occlusion of the remaining pancreatic duct system between Jan...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198711000-00016

    authors: Schneider MU,Meister R,Domschke S,Zirngibl H,Strebl H,Heptner G,Gebhardt C,Gall FP,Domschke W

    更新日期:1987-01-01 00:00:00

  • The Physiology and Pathophysiology of Pancreatic Ductal Secretion: The Background for Clinicians.

    abstract::The human exocrine pancreas consists of 2 main cell types: acinar and ductal cells. These exocrine cells interact closely to contribute to the secretion of pancreatic juice. The most important ion in terms of the pancreatic ductal secretion is HCO3. In fact, duct cells produce an alkaline fluid that may contain up to ...

    journal_title:Pancreas

    pub_type: 杂志文章,评审

    doi:10.1097/MPA.0000000000000421

    authors: Pallagi P,Hegyi P,Rakonczay Z Jr

    更新日期:2015-11-01 00:00:00

  • Different Clinical Characteristics Between Distal Cholangiocarcinoma and Pancreatic Head Carcinoma With Biliary Obstruction.

    abstract:OBJECTIVES:The aim of this study was to compare the perioperative clinical characteristics between patients with distal cholangiocarcinoma (DCC) and pancreatic head carcinoma (PHC) with biliary obstruction. METHODS:This study included patients who underwent pancreatoduodenectomy and were diagnosed with DCC (n = 85) or...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000942

    authors: Yokoyama Y,Ebata T,Igami T,Sugawara G,Mizuno T,Yamaguchi J,Nagino M

    更新日期:2017-11-01 00:00:00

  • Comparison of gas clearance and radioactive microspheres for pancreatic blood flow measurement.

    abstract::Measurement of pancreatic blood flow (PBF) is technically demanding. Although radiolabeled microspheres are considered the "gold standard" for PBF assessment, they have practical limitations. In the current study, H2 and xenon-133 gas clearance techniques were adapted to PBF measurement and compared to radiolabeled mi...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/00006676-198904000-00004

    authors: DeMar AR,Graham LS,Lake R,Fink AS

    更新日期:1989-01-01 00:00:00

  • Pregnane X Receptor Expression in Human Pancreatic Adenocarcinoma: Associations With Clinicopathologic Parameters, Tumor Proliferative Capacity, Patients' Survival, and Retinoid X Receptor Expression.

    abstract:OBJECTIVES:Pregnane X receptor (PXR) has been involved in human malignancy, either by directly affecting carcinogenesis or by inducing drug-drug interactions and chemotherapy resistance. The present study aimed to assess the clinical significance of PXR in pancreatic adenocarcinoma. METHODS:Pregnane X receptor and its...

    journal_title:Pancreas

    pub_type: 杂志文章

    doi:10.1097/MPA.0000000000000405

    authors: Koutsounas I,Giaginis C,Alexandrou P,Zizi-Serbetzoglou A,Patsouris E,Kouraklis G,Theocharis S

    更新日期:2015-10-01 00:00:00