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Definition and classification of chronic pancreatitis
1Department of Surgery, University of Saskatchewan, S7N 0W8, Saskatoon, Saskatchewan, Canada. keith@sask.usask.ca
World Journal of Surgery
|October 10, 2003
Summary
Chronic pancreatitis definitions have evolved, focusing on etiology and clinical features. International classifications, like the ICD-10, are crucial for a common language in research and clinical studies.
Area of Science:
- Gastroenterology and Hepatology
- Medical Informatics
Background:
- Chronic pancreatitis is defined by clinical and etiological features.
- Numerous classifications exist, originating with the Marseille Classification in 1963.
- Disease definition must incorporate etiology, clinical presentation, and pathology.
Purpose of the Study:
- To review the evolution of chronic pancreatitis classifications.
- To emphasize the need for a standardized international classification.
- To propose modification of the ICD-10 classification for a common language.
Main Methods:
- Literature review of chronic pancreatitis classifications.
- Analysis of defining features including etiology and clinical sequelae.
- Discussion of technological advancements in pancreatic imaging.
Main Results:
- Historical classifications like Marseille (1963) established foundational definitions.
- Etiology, clinical evidence, and organ pathology are key defining features.
- Improved imaging aids in documenting pancreatic derangements.
Conclusions:
- A unified international classification is essential for clinical and research consistency.
- Modification of the World Health Organization's ICD-10 classification is proposed.
- A common language facilitates research, clinical practice, and health outcomes studies.