Causes :

 Long term alcohol abuse

Sequelae :
 Smoking
 2nd DM
 Long standing pancreatic obs : pseudocyst,
 Severe chronic pain
calculi, trauma, neoplasm, pancreas divisum
 Pancreatic exo. Insuff -> malabsorption,
 Tropical pancreatitis – india, Africa, midd east
steatorrhea
 Hereditary pancreatitis
 Pancreatic pseudocyst

Chronic pancreatitis

Clinical features
 Epigastric pain radiate to back I(x)
 Relieve by leaning 4ward + get down  AXR: speckled calcification
 Precipitate by food (fatty)  USS + CT = pancreatic enlargement,
 Weight loss <- poor diet + malabsorp + inadequate pseudocyst, dilatation o pancreatic duct.
intake  MRCP/ERCP = assess duct dilatation + stenosis
 Steatorrhea  Random blood gluc
 2nd DM
 Mild fever(during attack)
 ↑serum amylase
 Transient/intermittent jaundice
 Duodenal obstruction
 Splenic v thrombosis -> splenomegaly,
hypersplenism, gastric + esophageal varices T(x)
Medical
 X alcohol
 ↓fat diet
 Fat soluble vit
 Adequate analgesia
 Celiac plexus blockade

Surgical
 ERCP -> endoscopic sphincterotomy + insert
pancreatic duct stent -> decompressed duct
 Pancreaticojejunostomy