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 result in earlier age of PC diagnosis. METHODS:We evaluated PC patients prospectively enrolled in the Pancreatic Adenocarcinoma Gene Environment Risk (PAGER) study at the University of Pittsburgh for history of pancreatitis and reviewed relevant medical records and imaging studies. Univariate and multivariable linear regression analyses evaluated the relationship between PC and remote history of AP. RESULTS:Among 790 patients with histologically confirmed PC, 114 (14.4%) had a history of pancreatitis (AP within 2 years of PC diagnosis in 69 [8.7%], remote history of AP in 28 [3.5%], CP in 4 [0.5%], and unknown duration of pancreatitis in 13 [1.6%]). After controlling for age, sex, body mass index, smoking, alcohol history, and diabetic status at diagnosis, patients with a remote history of AP were diagnosed on average 4.7 years earlier with PC when compared with PC patients without history of AP (P < 0.035). CONCLUSIONS:Remote history of AP may accelerate carcinogenesis in PC.

journal_name

Pancreas

journal_title

Pancreas

authors

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

doi

10.1097/MPA.0000000000001160

subject

Has Abstract

pub_date

2018-11-01 00:00:00

pages

1262-1266

issue

10

eissn

0885-3177

issn

1536-4828

journal_volume

47

pub_type

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