Aparisi L, Sabater L, Del-Olmo J, Sastre J, Serra MA, Campello R, Bautista D, Wassel A, Rodrigo JM. Does an association exist between chronic pancreatitis and liver cirrhosis in alcoholic subjects? World J Gastroenterol 2008; 14(40): 6171-6179 [PMID: 18985807 DOI: 10.3748/wjg.14.6171]
Corresponding Author of This Article
Dr. Luis Aparisi, Liver Unit, Hospital Clínico Universitario, Avda. Blasco Ibañez 17, Valencia 46010, Spain. aparisi_lui@gva.es
Article-Type of This Article
Clinical Research
Open-Access Policy of This Article
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World J Gastroenterol. Oct 28, 2008; 14(40): 6171-6179 Published online Oct 28, 2008. doi: 10.3748/wjg.14.6171
Table 1 General characteristic of patients with ACP, ALC or ASA
ACP (n = 53)
ALC (n = 57)
ASA (n = 30)
P
Age at the beginning of the study
51.8 ± 9.7
56.1 ± 9.9
49.9 ± 7.9
CP vs LC, CP vs ASA, NS; LC vs ASA, P = 0.010
Men (%)
98
84
70
CP vs LC, P = 0.011; CP vs ASA, P = 0.001; LC vs ASA, NS
Age at diagnosis
39 ± 9.2
51.5 ± 9.6
-
P = 0.001
Alcohol intake (g/d)
120 ± (75-250)
118 (70-255)
121 (70-400)
NS
Years of alcoholism
20 (10-35)
25 (10-52)
18.5 (9-36)
CP vs LC, P = 0.01; LC vs ASA, P = 0.006; CP vs ASA, NS
Ethanol, kg of total intake
876 (273-2920)
1095 (481-3832)
965 (229-3358)
NS
Smoking
94.3%
80.7%
96.7%
CP vs LC, P = 0.030; CP vs ASA, NS; LC vs ASA, P = 0.035
BMI
23.4 ± 3.6
26.5 ± 4.4
24.8 ± 4.6
CP vs LC, P = 0.001
Table 2 Potential risk factors for CP or LC: Distribution of frequencies and OR in patients with ACP or ALC n (%)
ACP 53
ALC 57
OR (95% CI)
P
Gender (female)
1 (1.9)
9 (15.8)
9.7 (1.1-79.8)
0.017
BMI > 28
4 (7.5)
15 (26.8)
4.5 (1.4-14.5)
0.008
BMI < 20
7 (13.2)
4 (7)
0.49 (0.13-1.8)
0.280
Age > 45 yr at diagnosis
14 (26.4)
41 (71.9)
7.1 (3.1-16.6)
0.001
Smoking
50 (94.3)
46 (80.7)
0.25 (0.06-0.95)
0.044
Alcohol > 150 g/d
16 (30.2)
19 (33.3)
1.12 (0.5-2.5)
0.775
Years alcoholism > 20
22 (41.5)
30 (52.6)
1.56 (0.73-3.32)
0.243
Table 3 Clinical manifestations, functional parameters and imaging characteristics of CP in patients with ACP, ALC or ASA
ACP (n = 53)
ALC (n = 57)
ASA (n = 30)
P
Pancreatic pain
85%
0%
0%
< 0.001
IDDM
68%
5.3%
0%
< 0.001
NIDDM
5.7%
19.3%
10%
CP vs LC, P = 0.03; CP vs ASA, LC vs ASA, NS
Diarrhoea/steatorrhoea
54.7%
0%
0%
< 0.001
Calcifications
77.4%
0%
0%
< 0.001
Dilatation of pancreatic duct
67.9%
0%
0%
< 0.001
Pancreatic pseudocysts
58.5%
0%
0%
< 0.001
Table 4 Clinical manifestations, functional parameters and imaging characteristics of LC in patients with ACP, ALC or ASA
ACP (n = 53)
ALC (n = 57)
ASA (n = 30)
P
Ascites
0%
66.7%
0%
Haemorrhage in upper digestive tract
1.9%
45.6%
0%
< 0.001
Child-Pugh index > 5
5.7%
98.2%
0%
< 0.001
INR > 1.2
0%
73.7%
0%
< 0.001
Esophageal varices
1.9%
77.2%
0%
< 0.001
Splenomegaly
1.9%
77.2%
0%
< 0.001
Portal hypertension
3.8%
96.5%
0%
< 0.001
Citation: Aparisi L, Sabater L, Del-Olmo J, Sastre J, Serra MA, Campello R, Bautista D, Wassel A, Rodrigo JM. Does an association exist between chronic pancreatitis and liver cirrhosis in alcoholic subjects? World J Gastroenterol 2008; 14(40): 6171-6179