[Acute pancreatitis and primary hyperparathyroidism: a multicentric study by the Francophone Association of Endocrine Surgeons] : Pancréatite aiguë et hyperparathyroïdie primaire : étude multicentrique de l'Association francophone de chirurgie endocrinienne - CNRS - Centre national de la recherche scientifique Accéder directement au contenu
Article Dans Une Revue Journal de Chirurgie Année : 2009

[Acute pancreatitis and primary hyperparathyroidism: a multicentric study by the Francophone Association of Endocrine Surgeons] : Pancréatite aiguë et hyperparathyroïdie primaire : étude multicentrique de l'Association francophone de chirurgie endocrinienne

Résumé

BACKGROUND: Primary hyperparathyroidism is an unusual cause of acute pancreatitis. The aim of this study was to analyse data from multiple centers concerning patients with primary hyperparathyroidism and associated acute pancreatitis and to analyze potential predictive factors. METHODS: In this retrospective multicentric study, 19 patients were identified (Group A) with the associated diagnoses of acute pancreatitis and primary hyperparathyroidism. Their clinical data was compared to that of a control group of 65 patients (group B) with primary hyperparathyroidism without acute pancreatitis. RESULTS: Age, parathormone levels and pathology (uni/multiglandular disease) were similar between the two groups. The mean plasma calcium level was significantly higher in group A (12.64 mg/100ml) than in group B patients without pancreatitis (11.28 mg/100ml) (p<0.0001). CONCLUSION: This study confirms the causal relationship between primary hyperparathyroidism and acute pancreatitis. The degree of hypercalcemia may play an important role in this association. Calcium levels should be measured in all patients with acute pancreatitis.

Domaines

Chirurgie
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Dates et versions

hal-00594325 , version 1 (19-05-2011)

Identifiants

Citer

Cécile Curto, Cécile Caillard, Thibault Desurmont, Frédéric Sebag, Laurent Brunaud, et al.. [Acute pancreatitis and primary hyperparathyroidism: a multicentric study by the Francophone Association of Endocrine Surgeons] : Pancréatite aiguë et hyperparathyroïdie primaire : étude multicentrique de l'Association francophone de chirurgie endocrinienne. Journal de Chirurgie, 2009, 146 (3), pp.270-4. ⟨10.1016/j.jchir.2009.06.016⟩. ⟨hal-00594325⟩
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