胰腺炎
医学
遗传性胰腺炎
遗传倾向
胰腺炎,慢性
流行病学
入射(几何)
外分泌胰腺
内科学
胃肠病学
重症监护医学
胰腺
疾病
胰蛋白酶原
酶
化学
物理
光学
胰蛋白酶
生物化学
作者
Shounak Majumder,Suresh T. Chari
出处
期刊:The Lancet
[Elsevier]
日期:2016-05-01
卷期号:387 (10031): 1957-1966
被引量:288
标识
DOI:10.1016/s0140-6736(16)00097-0
摘要
Chronic pancreatitis describes a wide spectrum of fibro-inflammatory disorders of the exocrine pancreas that includes calcifying, obstructive, and steroid-responsive forms. Use of the term chronic pancreatitis without qualification generally refers to calcifying chronic pancreatitis. Epidemiology is poorly defined, but incidence worldwide seems to be on the rise. Smoking, drinking alcohol, and genetic predisposition are the major risk factors for chronic calcifying pancreatitis. In this Seminar, we discuss the clinical features, diagnosis, and management of chronic calcifying pancreatitis, focusing on pain management, the role of endoscopic and surgical intervention, and the use of pancreatic enzyme-replacement therapy. Management of patients is often challenging and necessitates a multidisciplinary approach.
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