Saudi Journal of Gastroenterology
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Year : 2001  |  Volume : 7  |  Issue : 1  |  Page : 30-33

Acute pancreatitis in Saudi patients

Department of Gastroenterology, Riyadh Armed Forces Hospital, Riyadh, Saudi Arabia

Correspondence Address:
Mohamed A Al-Karawi
Riyadh Armed Forces Hospital, P.O. Box 7897, Riyadh 11159
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

PMID: 19861763

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Background: The epidemiology of acute pancreatitis in Saudi Arabia is greatly different from that in Western Countries. Aim: To evaluate and compare the risk factors and clinical features of acute pancreatitis. Patients and Methods: The course of acute pancreatitis was retrospectively analyzed in 218 patients who had their first attack and were admitted at Riyadh Armed Forces Hospital during the period 1.01.85-31.05.97. Results: From these 218, 130 patients were in the age group of 20-55 yrs. (74+, 56>), 76 were > 55 yrs. Of age (42 +, 34>) and only 12 were < 20 yrs. (6 Females, 6 Males). The precipitating cause was biliary disease in 147, post-operative in ten, hyperlipidemia in seven, post-ERCP in five, infection in four and alcohol in four. Four had rare causes and 37 no obvious cause. Severe pancreatitis diagnosed in 70 patients, 51 of them were > 55 yrs. of age and 45 were precipitated by biliary disease. Twenty six developed complications (21 were > 55 yrs. old) and four deaths. Twenty two patients of these who had severe form had diabetes mellitus, 37 had fever at presentation and 56 had leukocytosis. Conclusions: The commonest etiology of acute pancreatitis was biliary in 147 patients (67.5%) followed by postoperative pancreatitis in 10 patients (4.6%). Alcohol as etiological factor was rare (1.8%). The epidemiology and the risk factors differed markedly in Saudi Arabia, where alcohol is prohibited

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