Table 5

Thiopurine-induced pancreatitis in leading Crohn’s disease guideline publications

GuidelineReference to pancreatitisQuantification of thiopurine-association pancreatitis risk
British Society of Gastroenterology consensus guidelines21
Published June 2019
Recognises that thiopurines are contraindicated in pancreatitis, even at a low dose, due to high chances for recurrence.
Does not state risk of occurrence on thiopurines.
No effect size estimate provided.
National Institute for Health and Care Excellence—NG12922
Published May 2019
Recognises that thiopurines are contraindicated if a patient has experienced past episodes of pancreatitis.
Does not state risk of occurrence on thiopurines.
No effect size estimate provided.
American College of Gastroenterology clinical guideline23
Published April 2018
Recognises that thiopurines are associated with pancreatitis.No effect size estimate provided.
Japanese Society of Gastroenterology clinical practice guidelines24
Published February 2018
Recognised pancreatitis as a side effect of azathioprine and 6-mercaptopurine (evidence level: A)No effect size estimate provided.
European Crohn’s and Colitis Organisation consensus guideline25 26
Published September 2016
Recognises that thiopurines are contraindicated if a patient has previous experienced episodes of pancreatitis.
Does not state risk of occurrence on thiopurines.
No effect size estimate provided.
World Gastroenterology Organisation global guidelines27
Published August 2015
No reference.No effect size estimate provided.
American Gastroenterological Association Institute guideline28
Published December 2013
No reference.No effect size estimate provided.