tropical pancreatitis


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A type of chronic pancreatitis seen mainly in tropical countries. It affects 126/100,000 in southern India, more commonly young people, involves the main pancreatic duct and results in large ductal calculi
Aetiology Unknown, but SPINK1 mutation and environmental factors are likely
Management Pain relief with analgesics and enzyme supplementation with proteases; control diabetes and steatorrhoea; endotherapy coupled with stone fragmentation by extracorporeal shock wave lithotripsy for those who do not respond to medical therapy. Surgical decompression of main pancreatic duct by lateral pancreato-jejunostomy for those with severe pain unresponsive to other therapy

tropical pancreatitis

Abbreviation: TP
Pancreatitis of unclear cause, found primarily in children in Northern Africa and Southeast Asia.
See also: pancreatitis
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