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Postgraduate Medical Journal 2007;83:562-563; doi:10.1136/pgmj.2007.059287
Copyright © 2007 The Fellowship of Postgraduate Medicine
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EDITORIAL

Epidemiology

Chronic pancreatitis in India: the changing spectrum

N Udayakumar , V Jayanthi

Stanley Medical College, Chennai, India

Correspondence to:
Correspondence to:
Professor V Jayanthi
Stanley Medical College, Chennai- 600 001, India; drjayanthi35@yahoo.co.in

The spectrum of chronic pancreatitis in India is changing, with increased occurrence in older patients, incidence of milder disease including milder diabetes, increasing longevity, and increasing association with alcoholism and smoking

Abbreviations: ACP, alcoholic chronic pancreatitis; AIP, autoimmune pancreatitis; TCP, tropical chronic pancreatitis

The first 150 words of the full text of this article appear below.

A 58-year-old man was admitted to our hospital with abdominal pain. He had a history of alcohol intake of >80 g a day for more than 30 years. His blood sugar was within normal limits, while his serum amylase and lipase were elevated. There was no history of steatorrhoea and the faecal fat excretion was within normal limits. Computerised tomography of the abdomen revealed the presence of small ill-defined calculi in the pancreatic ducts with speckled margins. Endoscopic retrograde cholangio-pancreatography showed mild ductal dilatation. With this clinical presentation and imaging characteristics, a diagnosis of alcoholic chronic pancreatitis (ACP) was made.

This is the spectrum of chronic pancreatitis patients I and my colleagues in gastroenterology are now seeing in India, which is in stark contrast to the chronic pancreatitis patients I saw as a trainee 25 years ago. Has the spectrum of chronic pancreatitis in India changed?


CHARACTERISTICS OF CHRONIC PANCREATITIS
Chronic pancreatitis is . . . [Full text of this article]






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