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Chronic pancreatitis in Warsaw.
J Dzieniszewski1, M Jarosz, J Ciok
1Department of Metabolic Diseases and Gastroenterology, National Food and Nutrition Institute, Warszawa, Poland.
Summary
This study approximated chronic pancreatitis (CP) incidence and prevalence in Warsaw, finding alcohol as a primary cause. Patients diagnosed with CP consumed significantly higher protein and fat intake prior to disease onset.
Area of Science:
- Gastroenterology
- Epidemiology
Background:
- Chronic pancreatitis (CP) is a progressive inflammatory condition with significant morbidity.
- Understanding the epidemiological characteristics and risk factors of CP is crucial for public health initiatives.
Purpose of the Study:
- To approximate the incidence and prevalence of chronic pancreatitis (CP) in Warsaw, Poland.
- To investigate dietary habits, specifically protein and fat intake, preceding the onset of CP.
- To identify the primary etiological factors contributing to CP in the studied population.
Main Methods:
- Retrospective analysis of CP cases treated in a district hospital and outpatient departments in Warsaw.
- Calculation of incidence and prevalence rates per 100,000 population.
- Assessment of dietary intake (protein, fats, alcohol) in observed CP patients and comparison with national averages.
Main Results:
- The incidence and prevalence of CP in Warsaw in 1987 were recorded as 5.0 and 17.0 per 100,000 population, respectively.
- Alcohol consumption was identified as the cause in approximately 73% of CP cases, with a mean daily intake of 68 ml for 16 years.
- Patients with CP exhibited higher pre-diagnosis consumption of protein (113 g/day) and fats (175 g/day) compared to the general Polish population (89 g/day and 117 g/day, respectively).
Conclusions:
- Alcohol is a major etiological factor in chronic pancreatitis in Warsaw.
- Elevated protein and fat intake may be associated with the development of chronic pancreatitis.
- Further research is warranted to elucidate the complex interplay of diet and alcohol in CP pathogenesis.