Francés FE, Taracena PS, Rodríguez WFL, Díaz GEJ

Language: Spanish
References: 13
Page: 21-25
PDF size: 263.22 Kb.

ABSTRACT

Introduction: acute pancreatitis is one of the most common conditions affecting the digestive tract, and the information regarding the relationship between acute pancreatitis and splanchnic vein thrombosis is limited. This study aims to identify factors contributing to the development of splanchnic vein thrombosis in patients with acute pancreatitis. Objective: a retrospective documentation of cases involving patients with splanchnic vein thrombosis and acute pancreatitis was performed. These cases were compared with patients without thrombosis to determine factors that may contribute to a prothrombotic state in patients with acute pancreatitis. Material and methods: this is a descriptive, retrospective, and analytical case-control study (2016-2023). Cases were defined as patients with splanchnic vein thrombosis, while controls were those without thrombosis. After identifying patients through imaging records, clinical files were reviewed to obtain variable data. Results: a total of 280 patients with acute pancreatitis were studied, of whom 13 patients (4.6%) developed splanchnic vein thrombosis, with an average age of 47 years. It was observed that neoplastic-origin pancreatitis was exclusively associated with thrombosis, while biliary-origin pancreatitis was not (p = 0.005). Overweight/obesity significantly increased the risk of thrombosis (p = 0.013), and neoplasms showed a marginal association (p = 0.053). Conclusion: the cause of acute pancreatitis and BMI are important factors in determining the risk of thrombosis in the splanchnic circulation; both a neoplastic etiology and a higher BMI are associated with an increased risk of thrombosis.

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