Journal Article

The different course of alcoholic and idiopathic chronic pancreatitis: A long-term study of 2,037 patients

Xie, Ting, Liu, Yu, Hu, Liang-Hao, Hao, Lu, Guo, Hong-Lei, Wang, Dan, Zeng, Xiang-Peng, Li, Bai-Rong, Wang, Teng, Cong, Zhi-Jie, Xu, Zheng-Lei, Li, Zhao-Shen, Wang, Li-Sheng, Liao, Zhuan, Chen, Hui, Zou, Wen-Bin, Du, Ting-Ting, Bi, Ya-Wei, Lin, Jin-Huan, Pan, Jun, Xin, Lei, Ji, Jun-Tao, Zhang, Di

2018

Overview

Chronic pancreatitis (CP) is a chronic inflammatory disease of the pancreas. This study aimed to compare the natural course of alcoholic chronic pancreatitis (ACP) and idiopathic chronic pancreatitis (ICP). CP patients admitted to our center from January 2000 to December 2013 were enrolled. Characteristics were compared between ACP and ICP patients. Cumulative rates of diabetes mellitus (DM), steatorrhea, pancreatic stone, pancreatic pseudocyst, biliary stricture, and pancreatic cancer after the onset and the diagnosis of CP were calculated, respectively. The cumulative rates of DM and steatorrhea after diagnosis of pancreatic stone were also calculated. A total of 2,037 patients were enrolled. Among them, 19.8% (404/2,037) were ACP and 80.2% (1,633/2,037) were ICP patients. ACP and ICP differs in many aspects, especially in gender, age, smoking, complications, morphology of pancreatic duct, and type of pain. The development of DM, steatorrhea, PPC, pancreatic stone, and biliary stricture were significantly earlier and more common in ACP patients. No significant difference was observed for pancreatic cancer development. There was a rather close correlation between exocrine/endocrine insufficiency and pancreatic stone in ACP patients, which was much less correlated in ICP patients. The long-term profile of ACP and ICP differs in some important aspects. ACP patients usually have a more severe course of CP. These differences should be recognized in the diagnosis and treatment of CP.

• Publisher: Public Library of Science,Public Library of Science (PLoS)
• Subject: Adult / Alcohol / Alcoholism / Biology and Life Sciences / Cancer / Care and treatment / Causes of / Complications / Complications and side effects / Computer and Information Sciences / Cysts / Development and progression / Diabetes / Diabetes mellitus / Diagnosis / Digestive System Surgical Procedures / Endoscopy / Female / Gallstones / Gastroenterology / Home remedies / Humans / Lithotripsy / Longitudinal Studies / Male / Mathematical analysis / Medical diagnosis / Medicine and Health Sciences / Middle Aged / Morphology / Pain / Pancreas / Pancreatic cancer / Pancreatitis / Pancreatitis, Alcoholic - complications / Pancreatitis, Alcoholic - diagnosis / Pancreatitis, Alcoholic - therapy / Pancreatitis, Chronic - complications / Pancreatitis, Chronic - diagnosis / Pancreatitis, Chronic - therapy / Patients / Risk Factors / Smoking / Social Sciences / Steatorrhea / Stone / Stricture / Studies / Treatment Outcome