Evolution of Rosemont’s indeterminate for chronic pancreatitis in recurrent acute pancreatitis patients with 1-year follow-up: A prospective case series

Authors

  • Arun Vaidya Senior Resident, Department of Gastroenterology, School of Digestive and Liver Diseases, Institute of Post Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India https://orcid.org/0000-0001-6843-2406
  • Partha Sarathi Patra Associate Professor, Department of Gastroenterology, School of Digestive and Liver Diseases, Institute of Post Graduate Medical Education and Research and Seth Sukhlal Karnani Memorial Hospital, Kolkata, West Bengal, India https://orcid.org/0000-0003-4100-1280

DOI:

https://doi.org/10.3126/ajms.v14i1.48497

Keywords:

Pancreatitis; Indeterminate; Idiopathic; Endoscopic ultrasound; Rosemont

Abstract

Some patients presenting with recurrent acute pancreatitis (RAP), while undergoing endoscopic ultrasound (EUS), are classified as indeterminate for chronic pancreatitis (CP) according to Rosemont criteria. We are describing the clinical and radiological evolution of 14 such patients for 1 year. All the patients were closely followed up at 3 monthly intervals and subjected to ultrasound abdomen and blood sugar profile 6 monthly and EUS after 12 months. Males were 93%. Median age was 26 years. Most common etiology of RAP was idiopathic followed by ethanol and hypertriglyceridemia. On 1-year follow-up, 35.7% remained pain free and 28.6% had acute pancreatitis attack. Endocrine and exocrine insufficiency seen in one and two patients, respectively. Follow-up EUS in eight patients revealed Rosemont “normal” in 1, “Indeterminate” in 2, suggestive of CP in 3, and consistent with CP in two patients. Therefore, Rosemont’s “Indeterminate’’ progress to suggestive/consistent with CP in majority of patients.

Downloads

Download data is not yet available.
Abstract
32
PDF
65

Downloads

Published

2023-01-01

How to Cite

Vaidya, A., & Partha Sarathi Patra. (2023). Evolution of Rosemont’s indeterminate for chronic pancreatitis in recurrent acute pancreatitis patients with 1-year follow-up: A prospective case series. Asian Journal of Medical Sciences, 14(1), 233–237. https://doi.org/10.3126/ajms.v14i1.48497

Issue

Vol. 14 No. 1 (2023)

Section

Case Series

License

Copyright (c) 2022 Asian Journal of Medical Sciences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The journal holds copyright and publishes the work under a Creative Commons CC-BY-NC license that permits use, distribution and reprduction in any medium, provided the original work is properly cited and is not used for commercial purposes. The journal should be recognised as the original publisher of this work.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).