№ 12Thematic Questions20 min read
Chronic pancreatitis
1. Big picture
Chronic pancreatitis is a progressive fibro-inflammatory destruction of the pancreas. Unlike acute pancreatitis, which is an emergency inflammatory episode, chronic pancreatitis is a long-term structural disease causing:
- Chronic abdominal pain
- Pancreatic duct strictures/stones
- Exocrine pancreatic insufficiency → steatorrhea, weight loss
- Endocrine insufficiency → diabetes mellitus
- Local complications → pseudocyst, biliary obstruction, duodenal obstruction, splenic vein thrombosis
- Increased pancreatic cancer risk
The surgical exam question is mainly:
Chronic pancreatitis
↓
Is there pain, duct dilatation, infl
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