Table 1 Clinical characteristics at diagnosis and laboratory/imaging exams of all patients with IPMN who underwent surgery (n = 124) and of the subgroup who had duodenopancreatectomy or total pancreatectomy (n = 75)
Variables | All type of resection N = 124 N (%) | Whipple procedure and total pancreatectomy N = 75 N (%) | Distal pancreatectomy N = 45 N (%) | P * |
|---|---|---|---|---|
Age (median; range) | 66.1 (67; 28–84) | 69.2 (68; 53–80) | 63,8 (66,5; 28–84) | 0.1 |
Men, n (%) | 60 (48) | 39 (52) | 19 (15) | 0.3 |
ASA score | ||||
1 | 38 (31) | 25 (34) | 12 (26) | |
2 | 81 (65) | 48 (64) | 30 (66) | |
3 | 5 (4) | 2 (2.5) | 3 (8) | |
4–5 | 0 | 0 | 0 | 0.4 |
First symptoms | ||||
Acute pancreatitis | 23 (18.5) | 14 (18) | 9 (20) | 0.9 |
Jaundice | 8 (6.5) | 8 (10.5) | 0 | 0.9 |
New onset of diabetes | 8 (6.5) | 8 (10.5) | 0 | 0.9 |
Weight loss | 8 (6.5) | 6 (8) | 2 (4) | 0.7 |
Diarrhoea and/or steatorrhea | 3 (2.5) | 3 (4) | 0 | 0.3 |
Signs of chronic pancreatitis | 6 (5) | 7 (9.5) | 0 | 0.2 |
Abdominal pain | 23 (18.5) | 14 (18) | 9 (20) | 0.9 |
No symptom | 45 (36) | 22 (29) | 20 (45) | 0.1 |
Serum CA 19–9 (n = 33; 27%) | Serum CA 19–9 (realized n = 20; 27%) | |||
Normal | 21 (63) | 12 (60) | 9 (20) | 0.7 |
Elevated | 12 (37) | 8 (40) | 4 (9) | |
CT | 106 (86) | 65 (86) | 41 (90) | 0.5 |
MRCP | 74 (59) | 44 (59) | 30 (66) | 0.5 |
EUS | 68 (55) | 39 (52) | 25 (56) | 0.8 |
(EUS-FNA) | (29; 43%) | (20; 51%) | (9; 20%) | |
At least two radiologic investigations | 89 (71) | 39 (52) | 45 (100) | |
MRCP + CT | 57 (46) | 28 (37) | 29 (64) | |
EUS + CT | 56 (45) | 33 (44) | 23(51) | |
EUS + MRCP | 45 (36) | 25 (34) | 20 (45) | |
EUS + CT + MRCP | 34 (27.5) | 20 (27) | 14 (31) | |