{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T21:01:50Z","timestamp":1791838910129,"version":"4.3.4"},"reference-count":78,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,2,24]],"date-time":"2024-02-24T00:00:00Z","timestamp":1708732800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["UEG Journal"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Splanchnic vein thrombosis is a complication of acute pancreatitis (AP) and is likely often underdiagnosed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>We aimed to understand the time course and risk factors of splanchnic vein thrombosis in the early phase of AP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A systematic search was conducted using the PRISMA guidelines (PROSPERO registration CRD42022367578). Inclusion criteria were appropriate imaging techniques in adult AP patients, studies that reported splanchnic vein thrombosis data from the early phase, and reliable information on the timing of imaging in relation to the onset of pancreatitis symptoms or hospital admission. The proportion of patients with thrombosis with 95% confidence intervals (CI) was calculated using random\u2010effects meta\u2010analyses, and multiple subgroup analyses were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 1951 patients from 14 studies were analyzed. The proportion of patients with splanchnic vein thrombosis within 12\u00a0days after symptom onset was 0.13 (CI 0.07\u20130.23). The occurrence was lowest at 0.06 (CI 0.03\u20130.1) between 0 and 3\u00a0days after symptom onset, and increased fourfold to 0.23 (CI 0.16\u20130.31) between 3 and 11\u00a0days. On hospital admission, the proportion of patients affected was 0.12 (CI 0.02\u20130.49); it was 0.17 (CI 0.03\u20130.58) 1\u20135\u00a0days after admission. The prevalence in mild, moderate, and severe AP was 0.15 (CI 0.05\u20130.36), 0.26 (CI 0.15\u20130.43), and 0.27 (CI 0.17\u20130.4), respectively. Alcoholic etiology (0.31, CI 0.13\u20130.58) and pancreatic necrosis (0.55, CI 0.29\u20130.78, necrosis above 30%) correlated with increased SVT prevalence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The risk of developing splanchnic vein thrombosis is significant in the early stages of AP and may affect up to a quarter of patients. Alcoholic etiology, pancreatic necrosis, and severity may increase the prevalence of splanchnic vein thrombosis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ueg2.12550","type":"journal-article","created":{"date-parts":[[2024,2,24]],"date-time":"2024-02-24T12:38:35Z","timestamp":1708778315000},"page":"678-690","source":"Crossref","is-referenced-by-count":12,"title":["The risk of developing splanchnic vein thrombosis in acute pancreatitis increases 3\u00a0days after symptom onset: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-3167-0563","authenticated-orcid":false,"given":"Ruben Zsolt","family":"Borb\u00e9ly","sequence":"first","affiliation":[{"name":"Centre for Translational Medicine Semmelweis University  Budapest Hungary"},{"name":"Department of Medical Imaging Bajcsy\u2010Zsilinszky Hospital and Clinic  Budapest 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