A COMPARATIVE ON CLINICAL PICTURES OF PATIENTS WITH CHRONIC PANCREATITIS:Viewed from Its Etiologies

概要

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This study was carried out to find a difference of clinical pictures of 112 patients with chronic pancreatitis, who were divided into 4 groups according to its etiologies, seen in Hokuriku district during the past 8 years.The patients were divided into idiopathic group (44 cases), alcoholic group (42 cases), bile tract group (17 cases) and other origin group (9 cases). Chronic pancreatitis was diagnosed by the following criteria: calcification of pancreas on X-ray, positive P-S test or histological proofs of chronic pancreatitis.The idiopathic group showed no difference in sex and a less frequency of abdominal pain and pancreatic calcification than other groups. The alcoholic group, of which 97.6% were male, showed the highest percentage of pancreatic calcification, had a low pancreatic function in many of them and showed a poorer prognosis than other groups. The bile tract group was seen in older age than other groups, and clinical findings concerning diseases of the bile tract were observed. The other origin group was seen in younger age, and had a low pancreatic function in many of them and showed more resistence to therapy.Accordingly, it is recognized that there was a difference of clinical pictures among each groups.
財団法人日本消化器病学会の論文