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World J Gastroenterol. Apr 28, 2010; 16(16): 2065-2066
Published online Apr 28, 2010. doi: 10.3748/wjg.v16.i16.2065
Published online Apr 28, 2010. doi: 10.3748/wjg.v16.i16.2065
Acute pancreatitis in pregnancy: An unresolved issue
Pankaj Jain, Department of Gastroenterology, Fortis Modi Hospital, Kota 324005, India
Author contributions: Jain P analyzed the articles, performed the literature search and wrote the article.
Correspondence to: Pankaj Jain, MD, DM, Consultant Gastroenterologist, Department of Gastroenterology, Fortis Modi Hospital, Kota 324005, India. panj2007@rediffmail.com
Telephone: +91-744-2473501 Fax: +91-744-2473500
Received: January 29, 2010
Revised: February 27, 2010
Accepted: March 6, 2010
Published online: April 28, 2010
Revised: February 27, 2010
Accepted: March 6, 2010
Published online: April 28, 2010
Abstract
Management of acute pancreatitis in pregnancy is based on expert opinion only, due to geographic and ethic variations. Nonbiliary causes should be sought as they are associated with worse outcomes. Alcohol as a cause of acute pancreatitis is not rare. Hemoconcentration as a marker of fluid deficit and severity should be predicted with caution and fluid resuscitation should be done carefully by closely monitoring the central venous pressure, cardiac and respiratory system. Hypercalcemia of hyperparathyroidism may be falsely lowered due to hypoalbuminemia or suppressed by magnesium tocolysis.
Keywords: Acute pancreatitis, Pregnancy, Sedation, Nonbiliary cause