Two cases of thiopurine-induced acute pancreatitis in inflammatory bowel disease

Jun Nishikawa*, Takahiko Kudo, Takako Miyazaki, Hiroshi Mihara, Akira Ueda, Takayuki Ando, Shinya Kajiura, Haruka Fujinami, Kohei Ogawa, Ayumu Hosokawa, Toshiro Sugiyama

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Thiopurine drugs have been widely used in the treatment of inflammatory bowel disease. However, their use is limited by adverse effect that can lead to cessation of therapy. We report 2 cases of thiopurine-induced acute pancreatitis in patients with inflammatory bowel disease. Both patients complained of abdominal pain, showed elevated pancreatic enzymes, and swollen pancreases on computed tomography. The patients' signs and symptoms resolved uneventfully after withdrawal of the thiopurine drugs. Although the mechanism of thiopurine-induced pancreatitis remains unclear, close monitoring and early recognition of acute pancreatitis is important in the management of new thiopurine users.

Original languageEnglish
Pages (from-to)224-230
Number of pages7
JournalJournal of Japanese Society of Gastroenterology
Volume109
Issue number2
StatePublished - 2012/02

ASJC Scopus subject areas

  • Gastroenterology

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