Chronic pancreatitis: Report from a multicenter Italian survey (PanCroInfAISP) on 893 patients

Etiology of chronic pancreatitis: Has it changed in the last decade?

“…In a recent survey on chronic pancreatitis in the Asian-Pacific region [42] , there was a great variability in the frequency of alcoholic pancreatitis, accounting for about 19% of chronic pancreatitis cases in China to 95% in Australia, whereas tropical pancreatitis was 46.4% in China and, obviously, was not present in Australia. In a recent survey of chronic pancreatitis in Italy [43] , chronic pancreatitis associated with alcohol abuse accounted for less than 50% of cases and this figure is lower than that reported by Gullo et al [10] in 1977. However, some regional differences regarding the frequency of alcoholic chronic pancreatitis exist in Italy.…”

“…However, the data reported by the Indian researchers (60% were idiopathic forms of chronic pancreatitis) need to be re-evaluated. In this regard, it is worth noting that the frequency of chronic pancreatitis of unknown origin was 17% in the Italian survey [43] ranging from about 12% in Bologna to 38% in Sicily [44,45] .…”

“…In fact, in Bologna (located in Northern Italy), alcohol as an etiological factor remains high (80.4%) [44] , whereas in Sicily (located in Southern Italy), the percentage of alcoholic chronic pancreatitis is about 60% [45] . In a survey of chronic pancreatitis in Italy [43] , alcohol as an etiological factor of chronic pancreatitis is followed by obstruction (27%), pancreatitis of unknown origin (17%), autoimmunity (4%) and hereditary/genetic factors (4%). The most surprising results come from India.…”

Changing Trends in the Epidemiology of Pancreatitis in Rural Population: Study at a Tertiary Health Care Centre

“…The occurrence of CP was more in these cases. Such pancreatitis of unknown origin have been noted in some other studies as well [7,34,35] . These cases may have been victims of Tropical Pancreatitis [19] .…”

Diagnosis and treatment of duodenal dystrophy in patients with chronic pancreatitis

“…В проспективном мультицен-тровом исследовании, проведенном в Италии L. Frulloni и соавт. [15], из 893 пациентов с ХП у 55 (6,15%) было диагностировано поражение ДПК, описываемое авторами под терминами «дуоденаль-ная дистрофия» или «бороздчатый панкреатит».…”