Newer horizons in the etiology of pancreatitis: Metabolic and endocrinologic factors
1. Pancreatitis associated with alcoholism and biliary-tract disease account for etiology in only approximately two-thirds of the cases of chronic pancreatitis. The remainder comprise clinical varieties of pancreatitis of metabolic, vascular, and endocrinologic pathogenesis. These varieties are not as rare as previously thought.
2. Five case reports are presented illustrating silent, painless, hyperparathyroid-associated, hereditary-familial, and perhaps, hereditary-parathyroid-associated pancreatitis. The theoretical and clinical implications are discussed.
3. The importance of excluding parathyroid disease in all patients with pancreatic calculi is stressed.
4. A patient is presented who, in 7 years following sphincterotomy, has exhibited no roentgen, laboratory, or clinical evidence of deterioration of gallbladder function and no cholecystic inflammatory disease.
KeywordsPublic Health Pancreatitis Inflammatory Disease Chronic Pancreatitis Clinical Implication
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