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Chronic pancreatitis in the British Army 1978-1989.

W M Melia1, M M Sims, D P Whitehouse

  • 1Queen Elizabeth Military Hospital, Woolwich, London.

Journal of the Royal Army Medical Corps
|October 1, 1992
PubMed
Summary

This study reviewed 28 male soldiers diagnosed with chronic pancreatitis between 1978-1989. Alcohol was the primary cause, with most presenting with recurrent painful episodes and developing pancreatic insufficiency.

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Area of Science:

  • Gastroenterology
  • Internal Medicine
  • Epidemiology

Background:

  • Chronic pancreatitis is a debilitating condition.
  • Understanding its etiology and progression in specific populations is crucial.

Purpose of the Study:

  • To investigate the characteristics and outcomes of chronic pancreatitis in a cohort of male soldiers.
  • To identify etiological factors, clinical presentation, and complications.

Main Methods:

  • Retrospective analysis of 28 male soldiers diagnosed with chronic pancreatitis between 1978 and 1989.
  • Data collected on etiology, age at diagnosis, presentation, and complications.

Main Results:

  • Alcohol was the etiological factor in 90% of cases.

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  • The mean age at diagnosis was 30 years.
  • Recurrent painful episodes were the most common presentation.
  • Endocrine and exocrine insufficiency occurred in 25% and 33% of patients, respectively.
  • One-third of patients required surgical intervention.

    • Conclusions:

    • Alcohol-induced chronic pancreatitis is prevalent in male soldiers.
    • The condition often presents with pain and can lead to significant pancreatic insufficiency.
    • Surgical intervention is necessary for a subset of patients.