Choi CW, Kim GH, Kang DH, Kim HW, Kim DU, Heo J, Song GA, Park DY, Kim S. Associated factors for a hyperechogenic pancreas on endoscopic ultrasound. World J Gastroenterol 2010; 16(34): 4329-4334 [PMID: 20818817 DOI: 10.3748/wjg.v16.i34.4329]
Corresponding Author of This Article
Gwang Ha Kim, MD, PhD, Department of Internal Medicine, Pusan National University School of Medicine and the Medical Research Institute, Pusan National University Hospital, 1-10 Ami-dong, Seo-Gu, Busan 602-739, South Korea. doc0224@chol.com
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World J Gastroenterol. Sep 14, 2010; 16(34): 4329-4334 Published online Sep 14, 2010. doi: 10.3748/wjg.v16.i34.4329
Table 1 Baseline characteristics of the study population (mean ± SD) n (%)
Total patients (n = 284)
Gender (M:F)
102:182
Age (yr)
52.1 ± 12.2
Hyperechogenic pancreas positive
110 (38.7)
Current cigarette smoking
70 (24.6)
Current alcohol drinking
106 (37.3)
Hypertension (≥ 140/90 mmHg)
61 (21.5)
BMI (kg/m2)
23.1 ± 2.9
Fatty liver
94 (33.1)
Diabetes mellitus
46 (16.2)
Hypercholesterolemia
46 (16.1)
CT measurement (n = 132)
SAT area (cm2)
145.6 ± 49.3
VAT area (cm2)
71.7 ± 43.6
Table 2 Comparison between the patients with and without hyperechogenic pancreas (mean ± SD) n (%)
HP negative (n = 174)
HP positive (n = 110)
P value
Age (yr)
48.9 ± 12.0
57.2 ± 10.7
< 0.001
Male gender
69 (39.9)
33 (30.0)
0.099
BMI (kg/m2)
22.4 ± 2.8
24.0 ± 2.7
< 0.001
Smoking
47 (27.0)
23 (20.9)
0.245
Alcohol
71 (40.8)
35 (31.8)
0.127
Type 2 DM
7 (4.0)
12 (10.9)
0.024
Hypertension
25 (14.4)
36 (32.7)
< 0.001
Hypercholesterolemia
20 (11.5)
26 (23.6)
0.007
Fatty liver
46 (26.4)
48 (43.6)
0.003
Table 3 Multivariate analysis of the clinical risk factors for hyperechogenic pancreas
P value
OR
95% CI
Male gender
0.013
2.636
1.224-5.678
Age older than 60 yr
0.001
2.874
1.537-5.372
Obesity (BMI > 25 kg/m2)
0.439
1.296
0.673-2.496
Smoking
0.612
1.227
0.557-2.701
Alcohol
0.435
0.773
0.405-1.475
Type 2 DM
0.646
1.304
0.420-4.055
Hypertension
0.044
2.037
1.018-4.072
Hypercholesterolemia
0.099
1.821
0.893-3.713
Fatty liver
0.008
2.219
1.226-4.016
Table 4 Comparison of adipose tissue between patients with and without hyperechogenic pancreas n (%)
HP negative (n = 79)
HP positive (n = 53)
P value
VAT area (cm2)
< 0.001
Quartile I (< 35.2)
23 (29.1)
9 (17.0)
Quartile II (35.2-65.9)
25 (31.6)
8 (15.1)
Quartile III (65.9-94.0)
19 (24.1)
14 (26.4)
Quartile IV (> 94.0)
12 (15.2)
22 (41.5)
SAT area (cm2)
0.008
Quartile I (< 109.3)
24 (30.4)
9 (17.0)
Quartile II (109.3-139.7)
22 (27.8)
11 (20.8)
Quartile III (139.7-179.2)
18 (22.8)
16 (30.2)
Quartile IV (> 179.2)
15 (19.0)
17 (32.1)
Table 5 Multivariable analysis: Unadjusted and adjusted analyses for the relationships of the abdominal adipose tissue area with hyperechogenic pancreas, OR (95% CI)
Citation: Choi CW, Kim GH, Kang DH, Kim HW, Kim DU, Heo J, Song GA, Park DY, Kim S. Associated factors for a hyperechogenic pancreas on endoscopic ultrasound. World J Gastroenterol 2010; 16(34): 4329-4334