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CHRONIC PANCREATITIS-COMPLICATIONS

Gastroenterology

CHRONIC PANCREATITIS-COMPLICATIONS

1. Initial asymptomatic phase followed by recurrent abdominal pain.

2. Pseudocyst formation.

3. Gastric varices without oesophageal varices (from splenic vein thrombosis).

4. B 12 malabsorption.

5. In late stage patients develop steatorrhea and diabetes mellitus (> 80% of pancreas destroyed). Leads to brittle diabetes due to decreased production of insulin & glucagon, hence less stringent control of hyperglycemia is required.

6. Pancreatic exocrine insufficiency.

7. 4% lifetime risk of pancreatic CA.



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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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