Cargando…
Acute pancreatitis is a very rare comorbidity of acute ischemic stroke
Background: Although acute pancreatitis is listed among the exclusion criteria for the administration of recombinant tissue plasminogen activator according to the Japanese Guideline for the Management of Stroke, the co-occurrence of acute pancreatitis and acute ischemic stroke has not been investiga...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Japanese Association of Rural Medicine
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981022/ https://www.ncbi.nlm.nih.gov/pubmed/29875900 http://dx.doi.org/10.2185/jrm.2956 |
_version_ | 1783327961933414400 |
---|---|
author | Ota, Kiyobumi Oniki, Ayako Kobayashi, Zen Ishihara, Shoichiro Tomimitsu, Hiroyuki Shintani, Shuzo |
author_facet | Ota, Kiyobumi Oniki, Ayako Kobayashi, Zen Ishihara, Shoichiro Tomimitsu, Hiroyuki Shintani, Shuzo |
author_sort | Ota, Kiyobumi |
collection | PubMed |
description | Background: Although acute pancreatitis is listed among the exclusion criteria for the administration of recombinant tissue plasminogen activator according to the Japanese Guideline for the Management of Stroke, the co-occurrence of acute pancreatitis and acute ischemic stroke has not been investigated. The present study aimed to assess the incidence rate of acute pancreatitis in patients with acute ischemic stroke. Methods: This study consecutively enrolled all patients with ischemic stroke admitted to the Department of Neurology, JA Toride Medical Center between April 2014 and March 2016. Diagnosis of acute pancreatitis was made according to the revised Atlanta Classification of Acute Pancreatitis. We retrospectively analyzed serum amylase activity and the frequency of acute pancreatitis as a comorbidity of ischemic stroke. Results: A total of 411 ischemic stroke patients were included. Serum amylase activity was measured for 364 patients, 27 of whom presented with amylase activity exceeding the upper limit of normal. In two patients with serum amylase activity greater than three times-fold the upper limit of normal, computed tomography or transabdominal ultrasonography showed no characteristic findings of acute pancreatitis. No patient in the cohort met the diagnostic criteria for acute pancreatitis. Conclusions: Acute pancreatitis is a very rare comorbidity of acute ischemic stroke. |
format | Online Article Text |
id | pubmed-5981022 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Japanese Association of Rural Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-59810222018-06-06 Acute pancreatitis is a very rare comorbidity of acute ischemic stroke Ota, Kiyobumi Oniki, Ayako Kobayashi, Zen Ishihara, Shoichiro Tomimitsu, Hiroyuki Shintani, Shuzo J Rural Med Original Article Background: Although acute pancreatitis is listed among the exclusion criteria for the administration of recombinant tissue plasminogen activator according to the Japanese Guideline for the Management of Stroke, the co-occurrence of acute pancreatitis and acute ischemic stroke has not been investigated. The present study aimed to assess the incidence rate of acute pancreatitis in patients with acute ischemic stroke. Methods: This study consecutively enrolled all patients with ischemic stroke admitted to the Department of Neurology, JA Toride Medical Center between April 2014 and March 2016. Diagnosis of acute pancreatitis was made according to the revised Atlanta Classification of Acute Pancreatitis. We retrospectively analyzed serum amylase activity and the frequency of acute pancreatitis as a comorbidity of ischemic stroke. Results: A total of 411 ischemic stroke patients were included. Serum amylase activity was measured for 364 patients, 27 of whom presented with amylase activity exceeding the upper limit of normal. In two patients with serum amylase activity greater than three times-fold the upper limit of normal, computed tomography or transabdominal ultrasonography showed no characteristic findings of acute pancreatitis. No patient in the cohort met the diagnostic criteria for acute pancreatitis. Conclusions: Acute pancreatitis is a very rare comorbidity of acute ischemic stroke. The Japanese Association of Rural Medicine 2018-05-29 2018-05 /pmc/articles/PMC5981022/ /pubmed/29875900 http://dx.doi.org/10.2185/jrm.2956 Text en ©2018 The Japanese Association of Rural Medicine This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Ota, Kiyobumi Oniki, Ayako Kobayashi, Zen Ishihara, Shoichiro Tomimitsu, Hiroyuki Shintani, Shuzo Acute pancreatitis is a very rare comorbidity of acute ischemic stroke |
title | Acute pancreatitis is a very rare comorbidity of acute ischemic
stroke |
title_full | Acute pancreatitis is a very rare comorbidity of acute ischemic
stroke |
title_fullStr | Acute pancreatitis is a very rare comorbidity of acute ischemic
stroke |
title_full_unstemmed | Acute pancreatitis is a very rare comorbidity of acute ischemic
stroke |
title_short | Acute pancreatitis is a very rare comorbidity of acute ischemic
stroke |
title_sort | acute pancreatitis is a very rare comorbidity of acute ischemic
stroke |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981022/ https://www.ncbi.nlm.nih.gov/pubmed/29875900 http://dx.doi.org/10.2185/jrm.2956 |
work_keys_str_mv | AT otakiyobumi acutepancreatitisisaveryrarecomorbidityofacuteischemicstroke AT onikiayako acutepancreatitisisaveryrarecomorbidityofacuteischemicstroke AT kobayashizen acutepancreatitisisaveryrarecomorbidityofacuteischemicstroke AT ishiharashoichiro acutepancreatitisisaveryrarecomorbidityofacuteischemicstroke AT tomimitsuhiroyuki acutepancreatitisisaveryrarecomorbidityofacuteischemicstroke AT shintanishuzo acutepancreatitisisaveryrarecomorbidityofacuteischemicstroke |