Chronic pancreatitis causes: Difference between revisions
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==Causes== | ==Causes== | ||
The causes of pancreatitis are many but at least 70% of adult cases are associated with chronic alcohol use, and most patients have consumed more than 80 g/day of alcohol over six to twelve years.<ref>{{cite journal |journal=Am Fam Physician |date=2007 |volume=76 |issue=11 |pages=1679–88 |title= Chronic pancreatitis |author= Nair RJ, Lawler L, Miller MR |pmid=18092710 |url=http://www.aafp.org/afp/20071201/1679.html}}</ref><ref>Mitchell RMS et al. Pancreatitis. Lancet 2003; 361: 1447–55</ref> | The causes of pancreatitis are many but at least 70% of adult cases are associated with chronic alcohol use, and most patients have consumed more than 80 g/day of alcohol over six to twelve years.<ref>{{cite journal |journal=Am Fam Physician |date=2007 |volume=76 |issue=11 |pages=1679–88 |title= Chronic pancreatitis |author= Nair RJ, Lawler L, Miller MR |pmid=18092710 |url=http://www.aafp.org/afp/20071201/1679.html}}</ref><ref>Mitchell RMS et al. Pancreatitis. Lancet 2003; 361: 1447–55</ref> | ||
* Major | * Major associations with chronic pancreatitis <ref>Mitchell RMS et al. Pancreatitis. Lancet 2003; 361: 1447–55</ref><ref>Frulloni et al. Chronic pancreatitis: Report from a multicenter Italian survey (PanCroInfAISP) on 893 patients. Dig Liver Dis. 2009 Apr;41(4):311-7</ref><ref>Adsay NV et al. Paraduodenal pancreatitis: a clinico-pathologically distinct entity unifying "cystic dystrophy of heterotopic pancreas", "para-duodenal wall cyst", and "groove pancreatitis". Semin Diagn Pathol. 2004 Nov;21(4):247-54. </ref> | ||
** Alcohol | ** Alcohol | ||
*** ≥80 g of ethanol consumption a day for at least 5 years | *** ≥80 g of ethanol consumption a day for at least 5 years | ||
*** Most common cause in men | |||
*** Least common cause in women | |||
** Autoimmunity | ** Autoimmunity | ||
*** Autoimmune pancreatitis | *** Autoimmune pancreatitis | ||
Revision as of 19:42, 1 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Causes
The causes of pancreatitis are many but at least 70% of adult cases are associated with chronic alcohol use, and most patients have consumed more than 80 g/day of alcohol over six to twelve years.[1][2]
- Major associations with chronic pancreatitis [3][4][5]
- Alcohol
- ≥80 g of ethanol consumption a day for at least 5 years
- Most common cause in men
- Least common cause in women
- Autoimmunity
- Autoimmune pancreatitis
- Associated with other systemic disorders (Sjogren syndrome, inflammatory bowel disease, or primary biliary cholangitis)
- Obstruction
- Fibrotic stenosis of either the papilla of Vater or the main pancreatic duct
- Trauma
- Pseudocysts
- Stones
- Tumors
- Pancreas divisum
- Anatomic variations
- Pancreas divisum
- Paraduodenal pancreatitis (Cystic dystrophy of the duodenal wall/groove pancreatitis)
- Metabolic or systemic diseases
- Hypercalcemia
- Hypertryglyceridemia
- Hyperparathyroidism
- Systemic lupus erythematosus
- Genetic
- CFTR
- CTRC
- SPINK1
- PRSS1 gene mutations
- Hereditary pancreatitis
- Idiopathic
- Alcohol
References
- ↑ Nair RJ, Lawler L, Miller MR (2007). "Chronic pancreatitis". Am Fam Physician. 76 (11): 1679–88. PMID 18092710.
- ↑ Mitchell RMS et al. Pancreatitis. Lancet 2003; 361: 1447–55
- ↑ Mitchell RMS et al. Pancreatitis. Lancet 2003; 361: 1447–55
- ↑ Frulloni et al. Chronic pancreatitis: Report from a multicenter Italian survey (PanCroInfAISP) on 893 patients. Dig Liver Dis. 2009 Apr;41(4):311-7
- ↑ Adsay NV et al. Paraduodenal pancreatitis: a clinico-pathologically distinct entity unifying "cystic dystrophy of heterotopic pancreas", "para-duodenal wall cyst", and "groove pancreatitis". Semin Diagn Pathol. 2004 Nov;21(4):247-54.