000 02772na a2200229 4500
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008 130622s2011 xxx||||| |||| 00| 0 eng d
040 _cH12O
041 _aspa
100 _aManzanares López-Manzanares, Javier
_91165
_ePediatría
245 0 0 _aPancreatitis en la fibrosis quística: correlación con el genotipo y estado pancreático
_h[artículo]
260 _bAnales de Pediatría,
_c2011
300 _a75(6):401-408.
500 _aFormato Vancouver: Sojo Aguirre A, Martínez Ezquerra N, Bousoño García C, García Novo MD, Heredia González S, Manzanares López-Manzanares J, et al. Pancreatitis en la fibrosis quística: correlación con el genotipo y estado pancreático. An Pediatr (Barc). 2011;75(6):401-8.
501 _aPMID: 21820373
504 _aContiene 45 referencias
520 _aPancreatitis is an uncommon complication of cystic fibrosis (CF). Either single or recurrent acute episodes can occur and it occasionally may follow a protracted course with relentless destruction of the pancreas. Moreover mild mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) have been found in many cases of idiopathic chronic pancreatitis. We describe a group of patients with CF who had one or more episodes of pancreatitis. We have estimated its prevalence in a large population of patients with CF across Spain. METHODS: A retrospective descriptive study was conducted by collecting the demographic, clinical and laboratory data, pancreatic status and genotype of CF patients who attended the CF Units in 5 Spanish hospitals. RESULTS: The overall number of CF patients under follow-up in the five centres was 520, of which 17 cases with pancreatitis were identified. The prevalence of pancreatitis in this population was 3.3%, higher than previously reported. Noticeably eight of the 17 patients (47.06%) had pancreatic insufficiency. This appears to be, partly, in contrast with that classically found, as this complication is usually associated with patients with a certain level of pancreatic reserve. No associations with genotype, age, gender or other factors were found. CONCLUSIONS: The prevalence of pancreatitis in our CF patients was higher than that found in other CF populations, and was not limited to patients with pancreatic sufficiency. It occurred mostly in teenagers and young adults often with mild pulmonary disease. The CF genotype was variable. The course of the patients should be carefully monitored, and further information on the long-term outcome of larger cohorts of patients is needed.
710 _9446
_aServicio de Pediatría-Neonatología
856 _uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/8/pc8817.pdf
_ySolicitar documento
942 _n0
_2ddc
_cART
999 _c8817
_d8817