Chronic pancreatitis

Chronic pancreatitis Compared to acute– Maybe painless, normal amylase and lipase, mononuclear infiltrate and fibrosis TIGARO– Toxin(ethanol, hypercalcemia, hyperlipidemia, acidosis, CRF), idiopathic, Genetic, autoimmune(Sjogren, IBD, PBC), Recurrent acute, Obstructive Etiology– alcohol, smoking, hereditary pancreatitis(before 20yrs old), ductal obstruction, tropical pancreatitis, systemic(cystic fibrosis, SLE), CFTR, SPINK1, PRSS1,  Presentation– pain(after meal 15~30mins), steatorrhea>protein deficiency, pancreatic diabetes(alpha and […]