Document Detail


Chronic pancreatitis beginning in childhood and adolescence.
MedLine Citation:
PMID:  1734855     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We identified 10 patients with symptoms beginning before the age of 20 years in a group of 69 patients with proven chronic pancreatitis. Six of the 10 patients were women. There was a family history of pancreatitis in three patients and alcohol exposure in seven patients. Three patients were dependent on narcotics at the time of presentation. Six of the 10 patients had pancreatic duct dilatation to 10 mm or more in diameter during observation. These six patients underwent pancreaticojejunostomy, with clinical improvement in five patients. The median time of follow-up was 19 years from presentation. No patient developed diabetes and one developed malabsorption. Only three patients were free of pain, but four other patients had only mild episodes that rarely required hospital admission. One patient died of metastatic abdominal carcinoma of unknown origin 51 years after developing familial pancreatitis. Chronic pancreatitis beginning at a young age is sufficiently common to merit special awareness. It is compatible with prolonged survival, and pancreaticojejunostomy may help if the pancreatic duct reaches sufficient size. The disease does not seem to burn out with time.
Authors:
J M Little; N Tait; A Richardson; R Dubois
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  127     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-03-04     Completed Date:  1992-03-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  90-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Westmead Hospital, Westmead, NSW, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Child
Chronic Disease
Female
Humans
Male
Pancreatic Ducts / pathology
Pancreatitis* / etiology,  pathology,  therapy

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