Ever-increasing diversity of drug-induced pancreatitis.


Journal

World journal of gastroenterology
ISSN: 2219-2840
Titre abrégé: World J Gastroenterol
Pays: United States
ID NLM: 100883448

Informations de publication

Date de publication:
14 Jun 2020
Historique:
received: 24 01 2020
revised: 27 03 2020
accepted: 28 05 2020
entrez: 27 6 2020
pubmed: 27 6 2020
medline: 15 5 2021
Statut: ppublish

Résumé

With over 100000 hospital admissions per annum, acute pancreatitis remains the leading gastrointestinal cause of hospitalization in the United States and has far-reaching impact well beyond. It has become increasingly recognized that drug-induced pancreatitis (DIP), despite accounting for less than 3% of all cases, represents an important and growing though often inconspicuous cause of acute pancreatitis. Nevertheless, knowledge of DIP is often curtailed by the limited availability of evidence needed to implicate given agents, especially for non-prescription medications. Indeed, the majority of available data is derived from case reports, case series, or case control studies. Furthermore, the mechanism of injury and causality for many of these drugs remain elusive as a definitive correlation is generally not established (< 10% of cases). Several classification systems have been proposed, but no single system has been widely adopted, and periodic updates are required in light of ongoing pharmacologic expansion. Moreover, infrequently prescribed medications or those available over-the-counter (including herbal and other alternative remedies) are often overlooked as a potential culprit of acute pancreatitis. Herein, we review the ever-increasing diversity of DIP and the potential mechanisms of injury with the goal of raising awareness regarding the nature and magnitude of this entity. We believe this manuscript will aid in increasing both primary and secondary prevention of DIP, thus ultimately facilitating more expedient diagnosis and a decrease in DIP-related morbidity.

Identifiants

pubmed: 32587438
doi: 10.3748/wjg.v26.i22.2902
pmc: PMC7304112
doi:

Substances chimiques

Pharmaceutical Preparations 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

2902-2915

Informations de copyright

©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict-of-interest statement: None relevant to this submission.

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Auteurs

Simcha Weissman (S)

Department of Medicine, Hackensack University-Palisades Medical Center, North Bergen, NJ 07047, United States.

Muhammad Aziz (M)

Department of Medicine, University of Toledo Medical Center, Toledo, OH 43614, United States.

Ryan B Perumpail (RB)

Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, United States.

Tej I Mehta (TI)

Department of Interventional Radiology, Johns Hopkins University Hospital, Baltimore, MD 21205, United States.

Rutwik Patel (R)

Department of Medicine, Hackensack University-Palisades Medical Center, North Bergen, NJ 07047, United States.

James H Tabibian (JH)

Division of Gastroenterology, Department of Medicine, Olive View-UCLA Medical Center, Sylmar, CA 91342 and David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, United States. jtabibian@dhs.lacounty.gov.

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