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Indian Journal of Surgery
Erschienen in: Indian Journal of Surgery 3/2015

01.12.2015 | Review Article

Chronic Pancreatitis: A Review

verfasst von: A. K. Pujahari

Erschienen in: Indian Journal of Surgery | Sonderheft 3/2015

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Abstract

This is to incorporate the recent trends in chronic pancreatitis. Extensive literature search was done from Pubmed and Ovid SP. Full text articles and abstracts related to chronic pancreatitis were reviewed and the article was prepared. Chronic pancreatitis is evolving fast on its etiology and treatment areas. The main etiological factors are pointing towards genetic, alcohol, and smoking. Autoimmune has also been added as a cause. Endoscopic ultra sound (EUS) becoming the standard diagnostic procedure. Surgery is becoming the treatment of choice for pain and mechanical complications and not the endotherapy in the long-term follow-up. The numbers of surgeries are getting narrowed down. The two etiological groups of chronic pancreatitis namely alcohol + smoking and genetic getting clearer, where the later group present at an early age. Endoscopic ultrasound and imaging with secretin is diagnostic of chronic pancreatitis before the structural changes. Endotherapy is found to be inferior to surgery in long-term pain relief. Diagnostic criteria for autoimmune pancreatitis are established. Pancreaticogenic diabetes (Type3c) and its problem associated with fat malabsorption are being understood.
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Metadaten
Titel
Chronic Pancreatitis: A Review
verfasst von
A. K. Pujahari
Publikationsdatum
01.12.2015
Verlag
Springer India
Erschienen in
Indian Journal of Surgery / Ausgabe Sonderheft 3/2015
Print ISSN: 0972-2068
Elektronische ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-015-1221-z

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