Abstract
The first international meeting on classification of pancreatitis was held in Marseilles, France in 1963. This meeting classified pancreatic inflammatory diseases into two mutually distinct categories — acute pancreatitis and chronic pancreatitis. In acute pancreatitis the pancreas returns to morphologic and functional normalcy after withdrawal of the acute insult. In chronic pancreatitis the pathologic lesions persist and progress in spite of withdrawal of the etiologic agent. In subsequent years three more international meetings have striven to improve and expand on this classification. The salient features of each of the four classifications are presented in tabular form (Tables 1–4). Even today, however, the classification of pancreatitis is far from perfect. This is to a large extent because of our inability in the early stages of the disease to differentiate acute from chronic pancreatitis. In this review, we analyse the drawbacks of the present classification and look and ahead to the possible improvements in the future.
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Chari, S.T., Singer, M.V. (1997). Classification of Pancreatitis: Problems and Prospects. In: Malfertheiner, P., Domínguez-Muñoz, J.E., Schulz, HU., Lippert, H. (eds) Diagnostic Procedures in Pancreatic Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60580-2_1
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DOI: https://doi.org/10.1007/978-3-642-60580-2_1
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