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Related Concept Videos

Chronic Pancreatitis I: Introduction01:25

Chronic Pancreatitis I: Introduction

24
Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80%...
24
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

903
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
903
Chronic Pancreatitis II: Pathophysiology01:21

Chronic Pancreatitis II: Pathophysiology

24
Chronic pancreatitis is a progressive and irreversible inflammation of the pancreas, most often caused by long-term alcohol abuse, but it can also be related to ductal obstruction, smoking, or genetic factors.Chronic pancreatitis occurs when the pancreas is repeatedly exposed to harmful agents like alcohol, smoking, ductal obstruction, or genetic predisposition. These factors lead to the release of toxic metabolites and inflammatory cytokines, sustaining chronic inflammation in the pancreatic...
24
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

560
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
560
Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

1.5K
Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
1.5K
Acute Pancreatitis I: Introduction01:25

Acute Pancreatitis I: Introduction

19
Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...
19

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Hyperglycemia During Acute Pancreatitis and Progression to Early-Onset Diabetes After Recovery: Preliminary Findings From the Diabetes Related to Acute Pancreatitis and Its Mechanisms (DREAM) Study.

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Associations between dietary patterns and diabetes in patients with acute pancreatitis: a cross-sectional analysis from the DREAM study.

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Related Experiment Video

Updated: Apr 26, 2026

An Obstructive Chronic Pancreatitis Model Established Through Electrocoagulation
06:28

An Obstructive Chronic Pancreatitis Model Established Through Electrocoagulation

Published on: October 31, 2025

641

Chronic pancreatitis.

Anand R Gupte1, Chris E Forsmark

  • 1aDivision of Gastroenterology, Hepatology and Nutrition, University of Florida bDivision of Gastroenterology, Malcolm Randall VA Medical Center, Gainesville, Florida, USA.

Current Opinion in Gastroenterology
|July 18, 2014
PubMed
Summary

Diagnosing chronic pancreatitis early is challenging, but new endoscopic and MRI techniques show promise. Effective management includes addressing nutritional deficiencies, type 3c diabetes, and pain with non-narcotic options before considering surgery.

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Area of Science:

  • Gastroenterology
  • Hepatology
  • Endocrinology

Background:

  • Chronic pancreatitis diagnosis remains challenging.
  • Patients face risks of nutritional deficiencies, osteoporosis, and type 3c diabetes.
  • Pain management is a significant clinical issue.

Purpose of the Study:

  • To review key clinical observations in chronic pancreatitis from 2013.
  • To highlight advancements in diagnosis and treatment strategies.
  • To emphasize the importance of comprehensive patient management.

Main Methods:

  • Review of clinical observations and recent literature on chronic pancreatitis.
  • Evaluation of diagnostic techniques including endoscopic ultrasonography-elastography and MRI.
  • Assessment of treatment modalities such as nutritional support, diabetes management, pain control, endoscopic therapy, and surgery.

Main Results:

  • Early diagnosis is difficult; newer imaging techniques show potential.
  • Nutritional deficiencies, osteoporosis, and type 3c diabetes are common and require intervention.
  • Antioxidants, neuromodulators, endoscopic therapy, and surgery are treatment options for pain and complications, with surgery offering more durable results.

Conclusions:

  • Advanced imaging may improve early chronic pancreatitis diagnosis.
  • Addressing nutritional issues and type 3c diabetes is crucial.
  • Pain management should prioritize non-narcotic and adjunct therapies, with endoscopic and early surgical interventions being viable options for select patients.