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Opinion from the United States

  • A. L. Warshaw
Conference paper

Abstract

It has been said that perhaps one-third of recurrent pancreatitis is caused by gallstones, one-third by alcohol, and one-third by other factors. When those other factors are not apparent, it has been the practice to label pancreatitis “idio-pathic,” which implies something that happens spontaneously. However, I take the view that nothing happens spontaneously, that every case of pancreatitis has a specific cause, and that the task is to find it in order to focus treatment appropriately. Pancreatitis may be agnogenic (cause unknown) but not idiopathic (no particular cause). The causes of recurrent pancreatitis may be mechanical (gallstones, ampullary stenosis, congenital cysts or duplications, neoplasms, postinflammatory duct stricture, duodenal obstruction), metabolic (hyper-lipidemia, hypercalcemia, drugs including alcohol), or, idiopathic (agnogenic). This essay will focus on obstructive disorders of the duodenal ampullae (major and minor), in particular ampullary stenosis and ampullary dysfunction (dyskinesia).

Keywords

Pancreatic Duct Endoscopic Sphincterotomy Pancreas Divisum Recurrent Pancreatitis Acute Recurrent Pancreatitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • A. L. Warshaw

There are no affiliations available

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