Prevalence and Clinical Features of Chronic Pancreatitis in China

Abstract

In China, the incidence of CP is rising rapidly; alcohol and biliary stones are the main causes. Endoscopic ultrasonography and endoscopic retrograde cholangiopancreatography are highly sensitive and specific diagnostic methods.

Italian consensus guidelines for chronic pancreatitis

“…Throughout the course of the disease, 80−90% of patients complain of pain, whereas the remaining 10−20% of individuals have "painless pancreatitis" [2,12,[16][17][18]. Pain is usually recurrent and it may be either episodic (type A: short-lived bouts of pain, lasting less than 10 days with long pain-free intervals; more frequent in idiopathic senile or late-onset chronic pancreatitis) or persistent (type B: more severe and long-lasting episodes separated by 1−2-month pain-free intervals, more frequent in alcoholic chronic pancreatitis and idiopathic juvenile or early-onset chronic pancreatitis) [2,12,[16][17][18][19]. Whether pain spontaneously burns out in late stages of uncomplicated chronic pancreatitis is still a matter of debate [5,[20][21][22][23][24][25][26].…”

Is the profile of chronic pancreatitis in India changing?

“…An earlier study [4] from India showed the prevalence of CP to be 125 /10 5 . A Chinese study [5] showed increasing prevalence of CP from 3.08/10 5 in 1996 to 13.52/10 5 population in 2003, and a nationwide survey in Japan [6] showed the prevalence to be 45/10…”

Diagnosis and treatment of duodenal dystrophy in patients with chronic pancreatitis

“…При литературном поиске в системе MEDLINE мы обнаружили и проанализировали 4 многоцентровых исследования, охватывающих 5656 больных ХП, у которых были учтены осложнения заболевания, при этом дуоденальная непроходи-мость не упоминалась ни разу [7,17,22,26]. В ис-следовании J. Domínguez-Muñoz и соавт.…”