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Chronic pancreatitis in Mexico City.
G Robles-Díaz1, F Vargas, L Uscanga
1Pancreas Clinic, Instituto Nacional de la Nutrición Salvador Zubirán, Mexico City, Mexico.
Pancreas
|July 1, 1990
Summary
Chronic pancreatitis (CP) incidence was 4.4 per 1,000 admissions, often linked to alcoholism. Nonalcoholic CP patients experienced better survival and less frequent diabetes or exocrine insufficiency.
Area of Science:
- Gastroenterology
- Hepatology
- Internal Medicine
Background:
- Chronic pancreatitis (CP) is a significant gastrointestinal disease.
- Understanding its incidence, causes, and outcomes is crucial for patient management.
Purpose of the Study:
- To retrospectively analyze the incidence, etiology, clinical characteristics, and long-term outcomes of chronic pancreatitis.
- To compare outcomes between alcoholic and idiopathic CP.
- To identify risk factors and survival trends in CP patients.
Main Methods:
- Retrospective analysis of 150 chronic pancreatitis cases over 12 years.
- Data collection on patient demographics, etiology, clinical presentation, and outcomes.
- Statistical analysis to compare subgroups and assess survival.
Main Results:
- Overall CP incidence was 4.4 per 1,000 hospital admissions.
- Alcoholism was the primary cause (68%), followed by idiopathic (29%).
- Idiopathic CP presented earlier and had less diabetes/exocrine insufficiency than alcoholic CP.
- Actuarial mortality was 30% at 10 and 20 years, with better survival in nonalcoholic patients.
- Five cases of pancreatic cancer were observed.
Conclusions:
- Chronic pancreatitis has a notable incidence, with alcoholism being the predominant cause.
- Idiopathic CP differs from alcoholic CP in age of onset and complication rates.
- Long-term survival in CP is significant, with a trend towards better outcomes in nonalcoholic individuals.