Chronic Pancreatitis in Copenhagen: A Retrospective Study of 64 Consecutive Patients

A longitudinal study of 64 patients with chronic pancreatitis is presented. The patients were followed up for a median period of 4 years. Pain was the dominant symptom in 43 of the patients, but only 5 patients had pancreatic resection because of pain. Alcoholism was the etiology in 45 patients. Com...

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Veröffentlicht in:Scandinavian journal of gastroenterology 1982-10, Vol.17 (7), p.925-931
Hauptverfasser: Pedersen, N. Thorsgaard, Andersen, B. Nyboe, Pedersen, G., Worning, H.
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container_end_page 931
container_issue 7
container_start_page 925
container_title Scandinavian journal of gastroenterology
container_volume 17
creator Pedersen, N. Thorsgaard
Andersen, B. Nyboe
Pedersen, G.
Worning, H.
description A longitudinal study of 64 patients with chronic pancreatitis is presented. The patients were followed up for a median period of 4 years. Pain was the dominant symptom in 43 of the patients, but only 5 patients had pancreatic resection because of pain. Alcoholism was the etiology in 45 patients. Complications were common: 34 patients developed steatorrhea and 29 diabetes. Two major groups of associated diseases contributed to a high morbidity in chronic pancreatitis: 24 patients presented with duodenal ulcer, and 8 developed malignant tumors. This number is significantly higher than expected in a matched population (P < 0.01). Twenty-six of the patients died within the observation period from complications of chronic pancreatitis (38%). from malignant neoplasms (15%), or from other causes (46%). The calculated mortality rate after 7 years of observation was close to 50%. Most patients were recruited from the lower social classes, and most were unemployed. We conclude that chronic pancreatitis in Copenhagen is associated with a high morbidity, a high mortality, and a poor social prognosis.
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source MEDLINE; Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete
subjects Adolescent
Adult
Aged
Causes of death
Chronic Disease
chronic pancreatitis
complications
Denmark
etiology
Female
Follow-Up Studies
Humans
Male
Middle Aged
mortality
neoplasms
Pancreatitis - complications
Pancreatitis - epidemiology
Pancreatitis - mortality
Prognosis
Retrospective Studies
social aspects
Social Class
surgery
symptoms
title Chronic Pancreatitis in Copenhagen: A Retrospective Study of 64 Consecutive Patients
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