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Previous Volume 332:1482-1490 June 1, 1995 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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In 1788 Cawley reported on a "free living young man" who had died of emaciation and diabetes and whose postmortem examination revealed multiple pancreatic calculi.¹ In the two centuries since that early description of chronic pancreatitis, literally thousands of reports dealing with this disease have been published, yet chronic pancreatitis remains an enigmatic process of uncertain pathogenesis, unpredictable clinical course, and unclear treatment.

Classification and Pathology

Acute and chronic pancreatitis are distinguished from each other on the basis of structural and functional criteria. In acute pancreatitis, the gland is normal before the attack and can return to normal after resolution of the attack, . . . [Full Text of this Article]

Causes of Chronic Pancreatitis

Pathogenesis

Natural History

Medical History and Physical Examination

Laboratory Tests

Imaging Procedures

Pancreatic-Function Tests

Differential Diagnosis

Treatment

Pain

Malabsorption

Pseudocysts

Pancreatic Ascites and Pleural Fistulas

Duodenal and Bile-Duct Obstruction

Source Information

From the Departments of Surgery (M.L.S.) and Medicine (I.W., S.F.) and the Pancreatico-Biliary Diseases Center, Beth Israel Hospital and Harvard Medical School, Boston.

Address reprint requests to Dr. Steer at the Department of Surgery, Beth Israel Hospital, 330 Brookline Ave., Boston, MA 02215.

References

Related Letters:

Chronic Pancreatitis
Maule W. F., Ramadori G., Münke H., Schmid R. M., Adler G., Seidler D.
Extract | Full Text  
N Engl J Med 1995; 333:1221-1222, Nov 2, 1995. Correspondence

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