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Chronic Pancreatitis
R. F. JONES, M.D.;
R. CLEMENTS, M.D.;
C. C. PEARSON, M.D.;
L. D. HILL, M.D.;
C. S. STONE, Jr., M.D.
AMA Arch Intern Med. 1960;105(2):320-323.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Introduction
This exhibit was prepared to present the practical aspects of the management of pancreatitis. Etiologic factors based on the pathophysiology of the disease are listed, and some are graphically illustrated. Pertinent clinical signs and symptoms and the important diagnostic tests are outlined. Finally the medical and surgical management of pancreatitis is reviewed.
Pathogenesis and Etiology
Repeated episodes of pancreatitis, either edematous or hemorrhagic, lead to the chronic disease state. Occasionally, one episode of fulminant hemorrhagic pancreatitis may be followed by progressive pancreatic fibrosis and calcification with resultant pancreatic insufficiency.
Pancreatitis is a disease of diverse etiology. From a practical standpoint, most cases are initiated by continued exocrine secretion in the presence of pancreatic ductal obstruction. The majority of cases are associated with biliary tract disease and/or alcoholism.
Biliary Tract Disease
A high percentage of patients with pancreatitis have associated biliary tract disease. Pancreatic ductal obstruction can occur in the
. . . [Full Text PDF of this Article]
Author Affiliations
Seattle
The Mason Clinic.
Footnotes
Submitted for publication Sept. 18, 1959.
This outline was prepared as a Scientific Exhibit at the American Medical Association's Annual Meeting in June, 1959. Although it is still in exhibit form, the material is so clearly presented that it was considered suitable for the "Treatment" section of the Archives.
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