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Chronic Pancreatitis: Prognosis

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Pancreatitis

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Abstract

The three leading problems of chronic pancreatitis are pain, exocrine and endocrine pancreatic insufficiency. They, along with numerous pancreatic complications and/or pancreatitis-associated diseases, affect the course and determine the prognosis of chronic pancreatitis. Their exact influence, however, has not yet been fully investigated. Only a few long-term studies have correlated the three leading problems with the course of the disease.

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References

  1. Ammann R (1970) Die Behandlung der chronischen Pankreatitis. Dtsch Med Wochenschr 95: 1234–1235

    Article  PubMed  CAS  Google Scholar 

  2. Ammann R (1970) Die chronische Pankreatitis. Zur Frage der Operationsindikation und Beitrag zum Spontanverlauf der chronisch-rezidivierenden Pankreatitis. Dtsch Med Wochenschr 95: 1–7

    Article  PubMed  CAS  Google Scholar 

  3. Ammann R (1989) Klinik, Spontanverlauf und Therapie der chronischen Pankreatitis. Unter spezieller Berücksichtigung der Nomenklaturprobleme. Schweiz Med Wochenschr 119: 696–706

    PubMed  CAS  Google Scholar 

  4. Ammann RW (1992) Alcohol-and non-alcohol-induced pancreatitis: clinical aspects. In: Burns GP, Bank S (eds) Disorders of the Pancreas. Current Issues in Diagnosis and Management. McGraw-Hill, New York, pp 253–272

    Google Scholar 

  5. Ammann RW, Akovbiantz A, Largiadèr F, Schueler G (1984) Course and outcome of chronic pancreatitis. Longitudinal study of a mixed medical-surgical series of 245 patients. Gastroenterology 86: 820–828

    PubMed  CAS  Google Scholar 

  6. Ammann RW, Buehler H, Muench R, Freiburghaus AW, Siegenthaler W (1987) Differences in the natural history of idiopathic (nonalcoholic) and alcoholic chronic pancreatitis. A comparative long-term study of 287 patients. Pancreas 2: 368–377

    Article  PubMed  CAS  Google Scholar 

  7. Ammann RW, Hammer B, Fumagalli I (1973) Chronic pancreatitis in Zurich, 1963–1972. Clinical findings and follow-up studies of 102 cases. Digestion 9: 404–415

    Article  PubMed  CAS  Google Scholar 

  8. Ammann RW, Largiadèr F, Akovbiantz A (1979) Pain relief by surgery in chronic pancreatitis? Relationship between pain relief, pancreatic dysfunction, and alcohol withdrawal. Scand J Gastroenterol 14: 209–215

    Article  PubMed  CAS  Google Scholar 

  9. Ammann RW, Muench R, Otto R, Buehler H, Freiburghaus AU, Siegenthaler W (1988) Evolution and regression of pancreatic calcification in chronic pancreatitis. A prospective long-term study of 107 patients. Gastroenterology 95: 1018–1028

    PubMed  CAS  Google Scholar 

  10. Andersen BN, Scheel J, Rune SJ, Worning H (1982) Exocrine pancreatic function in patients with dyspepsia. Hepatogastroenterology 29: 35–37

    PubMed  CAS  Google Scholar 

  11. Axon ATR, Classen M, Cotton PB, Cremer M, Freeny PC, Lees WR (1984) Pancreatography in chronic pancreatitis: international definitions. Gut 25: 1107–1112

    Article  PubMed  CAS  Google Scholar 

  12. Bank S, Marks IN, Vinik AI (1975) Clinical and hormonal aspects of pancreatic diabetes. Am J Gastroenterol 64: 13–22

    PubMed  CAS  Google Scholar 

  13. Begley CG, Roberts-Thomson IC (1985) Spontaneous improvement in pancreatic function in chronic pancreatitis. Dig Dis Sci 30: 1117–1120

    Article  PubMed  CAS  Google Scholar 

  14. Bradley III EL (1982) Pancreatic duct pressure in chronic pancreatitis. Am J Surg 144: 313–316

    Article  PubMed  Google Scholar 

  15. Capitaine Y, Roche B, Wiesner L, Hahnloser P (1988) Pancréatite chronique: histoire naturelle et évolution en relation avec l’alcoolisme. Schweiz Med Wochenschr 118: 817–820

    PubMed  CAS  Google Scholar 

  16. Couet C, Genton P, Pointel JP, Louis J, Gross P, Saudax E, Debry G, Drouin P (1985) The prevalence of retinopathy is similar in diabetes mellitus secondary to chronic pancreatitis with or without pancreatectomy and in idiopathic diabetes mellitus. Diabetes Care 8: 323–328

    Article  PubMed  CAS  Google Scholar 

  17. Creutzfeldt W, Fehr H, Schmidt H (1970) Verlaufsbeobachtungen und diagnostische Verfahren bei der chronisch-rezidivierenden und chronischen Pankreatitis. Schweiz Med Wochenschr 100: 1180–1189

    PubMed  CAS  Google Scholar 

  18. Creutzfeldt W, Perings E (1972) Is the infrequency of vascular complications in human secondary diabetes related to nutritional factors? Acta Diabetol Lat 9, Suppl. 1: 432–445

    Article  Google Scholar 

  19. Ebbehej N, Borly L, Bülow J, Rasmussen SG, Madsen P (1990) Evaluation of pancreatic tissue fluid pressure and pain in chronic pancreatitis. A longitudinal study. Scand J Gastroenterol 25: 462–466

    Article  Google Scholar 

  20. Ebbehej N, Borly L, Madsen P, Matzen P (1990) Comparison of regional pancreatic tissue fluid pressure and endoscopic retrograde pancreatographic morphology in chronic pancreatitis. Scand J Gastroenterol 25: 756–760

    Article  Google Scholar 

  21. Frey CF, Child III CG, Fry W (1976) Pancreatectomy for chronic pancreatitis. Ann Surg 184: 403–414

    Article  PubMed  CAS  Google Scholar 

  22. Garcia-Pugés AM, Navarro S, Ros E, Elena M, Ballesta A, Aused R, Vilar-Bonet J (1986) Reversibility of exocrine pancreatic failure in chronic pancreatitis. Gastroenterology 91: 17–24

    PubMed  Google Scholar 

  23. Gastard J, Joubaud F, Farbos T, Loussouarn J, Marion J, Pannier M, Renaudet F, Valdazo R, Gosselin M (1973) Etiology and course of primary chronic pancreatitis in Western France. Digestion 9: 416–428

    Article  PubMed  CAS  Google Scholar 

  24. Girdwood AH, Marks IN, Bornman PC, Kottler RE, Cohen M (1981) Does progressive pancreatic insufficiency limit pain in calcific pancreatitis with duct stricture or continued alcohol insult? J Clin Gastroenterol 3: 241–245

    Article  PubMed  CAS  Google Scholar 

  25. Goebell H (1986) Beginn and Entwicklung der chronischen Pankreatitis. Internist 27: 172–174

    PubMed  CAS  Google Scholar 

  26. Gullo L, Costa PL, Labò G (1977) Chronic pancreatitis in Italy. Aetiological, clinical and histological observations based on 253 cases. Rendic Gastroenterol 9: 97–104

    Google Scholar 

  27. Gullo L, Parenti M, Monti L, Pezzilli R, Barbara L (1990) Diabetic retinopathy in chronic pancreatitis. Gastroenterology 98: 1577–1581

    PubMed  CAS  Google Scholar 

  28. Holmberg JT, Isaksson G, Ihse I (1985) Long term results of pancreticojejunostomy in chronic pancreatitis. Surg Gynecol Obstet 160: 339–346

    PubMed  CAS  Google Scholar 

  29. Jensen AR, Matzen P, Malchow-Moller A, Christoffersen I, The Copenhagen Pancreatitis Study Group (1984) Pattern of pain, duct morphology, and pancreatic function in chronic pancreatitis. A comparative study. Scand J Gastroenterol 19: 334–338

    Google Scholar 

  30. Joffe BI, Novis B, Seftel HC, Krut L, Bank S (1971) Ischaemic heart-disease and pancreatic diabetes. Lancet 2: 269

    Article  PubMed  CAS  Google Scholar 

  31. Kondo T, Hayakawa T, Noda A, Ito K, Yamazaki Y, Iinuma Y, Okumura N, Sakakibara A, Mizuno R, Naruse S (1981) Follow-up study of chronic pancreatitis. Gastroenterol Jpn 16: 46–53

    PubMed  CAS  Google Scholar 

  32. Lankisch PG, Löhr-Happe A, Otto J, Creutzfeldt W (1993) Natural course in chronic pancreatitis. Pain, exocrine and endocrine pancreatic insufficiency and prognosis of the disease. Digestion 54: 148–155

    Article  PubMed  CAS  Google Scholar 

  33. Lankisch PG, Seidensticker F, Löhr-Happe A, Otto J, Creutzfeldt W (1995) The course of pain is the same in alcohol-and nonalcohol-induced chronic pancreatitis. Pancreas 10: 338–341

    Article  PubMed  CAS  Google Scholar 

  34. Layer P, Yamamoto H, Kalthoff L, Clain JE, Bakken LJ, DiMagno EP (1994) The different courses of early-and late-onset idiopathic and alcoholic chronic pancreatitis. Gastroenterology 107: 1481–1487

    PubMed  CAS  Google Scholar 

  35. Leger L, Lenriot JP, Lemaigre G (1974) Five to twenty year followup after surgery for chronic pancreatitis in 148 patients. Ann Surg 180: 185–191

    Article  PubMed  CAS  Google Scholar 

  36. Levitt NS, Adams G, Salmon J, Marks INS, Musson G, Swanepoel C, Levy M, Byrne MJ (1995) The prevalence and severity of microvascular complications in pancreatic diabetes and IDDM. Diabetes Care 18: 971–974

    Article  PubMed  CAS  Google Scholar 

  37. Linde J, Nilsson LH, Bârâny FR (1977) Diabetes and hypoglycemia in chronic pancreatitis. Scand J Gastroenterol 12: 369–373

    Article  PubMed  CAS  Google Scholar 

  38. Lowenfels AB, Maisonneuve P, Cavallini G, Ammann RW, Lankisch PG, Andersen JR, DiMagno EP, Andrén-Sandberg A, Domellöf L, International Pancreatitis Study Group (1994) Prognosis of chronic pancreatitis: an international multicenter study. Am J Gastroenterol 89: 1467–1471

    PubMed  CAS  Google Scholar 

  39. Löhr A (1990) Der natürliche Verlauf der chronischen Pankreatitis. Die Entwicklung der Leitsymptome Schmerzen, exokrine and endokrine Pankreasinsuffizienz and die Prognose der Erkrankung. Med Diss Göttingen

    Google Scholar 

  40. Malfertheiner P, Büchler M, Stanescu A, Ditschuneit H (1987) Pancreatic morphology and function in relationship to pain in chronic pancreatitis. Int J Pancreatol 2: 59–66

    PubMed  CAS  Google Scholar 

  41. Miyake H, Harada H, Kunichika K, Ochi K, Kimura I (1987) Clinical course and prognosis of chronic pancreatitis. Pancreas 2: 378–385

    Article  PubMed  CAS  Google Scholar 

  42. Sarles H, Sahel J (1976) Die chronische Pankreatitis. In: Forell M (ed) Handbuch der Inneren Medizin, Vol. 3/6, Pankreas, 5th edn. Springer, Berlin-Heidelberg-New York, pp 737–844

    Google Scholar 

  43. Sevel D, Bristow JH, Bank S, Marks I, Jackson P (1971) Diabetic retinopathy in chronic pancreatitis. Arch Ophthalmol 86: 245–250

    Article  PubMed  CAS  Google Scholar 

  44. Taylor RH, Bagley FH, Braasch JW, Warren KW (1981) Ductal drainage or resection for chronic pancreatitis. Am J Surg 141: 28–33

    Article  PubMed  CAS  Google Scholar 

  45. Thorsgaard Pedersen N, Andersen BN, Pedersen G, Worning H (1982) Chronic pancreatitis in Copenhagen. A retrospective study of 64 consecutive patients. Scand J Gastroenterol 17: 925–931

    Article  PubMed  CAS  Google Scholar 

  46. Tiengo A, Segato T, Briani G, Setti A, del Prato S, Devidé A, Padovan D, Virgili F, Crepaldi G (1983) The presence of retinopathy in patients with secondary diabetes following pancreatectomy or chronic pancreatitis. Diabetes Care 6: 570–574

    Article  PubMed  CAS  Google Scholar 

  47. Toskes PP, Dawson W, Curington C, Levy NS, Fitzgerald C (1979) Non-diabetic retinal abnormalities in chronic pancreatitis. N Engl J Med 300: 942–946

    Article  PubMed  CAS  Google Scholar 

  48. Trapnell JE (1979) Chronic relapsing pancreatitis: a review of 64 cases. Br J Surg 66: 471–475

    Article  PubMed  CAS  Google Scholar 

  49. Verdonk CA, Palumbo PJ, Gharib H, Bartholomew LG (1975) Diabetic microangiopathy in patients with pancreatic diabetes mellitus. Diabetologia 11: 395–400

    Article  Google Scholar 

  50. Warshaw AL, Popp JW Jr, Schapiro RH (1980) Long-term patency, pancreatic function, and pain relief after lateral pancreaticojejunostomy for chronic pancreatitis. Gastroenterology 79: 289–293

    PubMed  CAS  Google Scholar 

  51. White TT, Keith RG (1973) Long term follow-up study of fifty patients with pancreaticojejunostomy. Surg Gynecol Obstet 136: 353–358

    PubMed  CAS  Google Scholar 

  52. Worning H (1984) Chronic pancreatitis: pathogenesis, natural history and conservative treatment. Clin Gastroenterol 13: 871–894

    PubMed  CAS  Google Scholar 

  53. Ziegler O, Candiloros H, Guerci B, Got I, Crea T, Drouin P (1994) Lower-extremity arterial disease in diabetes mellitus due to chronic pancreatitis. Diabete Metab 20: 540–545

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Medizinische Klinik, Städtisches Krankenhaus, Bögelstraße 1, D-21339, Lüneburg, Germany

    Prof. Dr. P. G. Lankisch

  2. Gastroenterology Division, Brigham and Women’s Hospital, 75 Francis Street, 02115, Boston, MA, USA

    Peter A. Banks M.D. (Associate Professor of Medicine, Harvard Medical School, Director, Clinical Gastroenterology Service)

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  1. Prof. Dr. P. G. Lankisch
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  2. Peter A. Banks M.D.
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© 1998 Springer-Verlag Berlin Heidelberg

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Lankisch, P.G., Banks, P.A. (1998). Chronic Pancreatitis: Prognosis. In: Pancreatitis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-80320-8_20

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  • DOI: https://doi.org/10.1007/978-3-642-80320-8_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-80322-2

  • Online ISBN: 978-3-642-80320-8

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