Journal:Spinal Cord (formerly Paraplegia)
Year, Volume, Issue, Page(s):14, 52, 11, 817-820
Study investigated the association of acute pancreatitis in acute spinal cord injury (SCI). A prospective observational study was conducted with 78 patients with an acute SCI diagnosis confirmed by clinical examination and image analysis, with partial, complete deficit or without deficit according to the American Spinal Injury Association (ASIA) Classification. The association of acute pancreatitis in patients with SCI was 11.53 percent. The occurrence of pancreatitis or high levels of serum pancreatic enzymes in patients with ASIA A was 41.7 percent and only 4.17 percent in patients with ASIA E (no neurological deficit). In all, 55.2 percent of patients who presented pancreatitis or high levels of serum pancreatic enzymes had cervical level of SCI and 34.5 percent had thoracic level. Adynamic ileus was observed in 68.96 percent of this group. The authors concluded that, in acute SCI, the occurrence of acute pancreatitis or high serum levels of pancreatic enzymes are more frequent in patients with ASIA A Classification, cervical/thoracic level of spinal injury and adynamic ileus.