Non-alcoholic duct destructive chronic pancreatitis

Background—The pathology of non-alcoholic chronic pancreatitis has not yet been sufficiently studied. Aims—To identify the major changes of pancreatic tissue in patients surgically treated for non-alcoholic chronic pancreatitis. Patients—Pancreatectomy specimens from 12 patients with non-alcoholic c...

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Published in:Gut 1997-08, Vol.41 (2), p.263-268
Main Authors: Ectors, N, Maillet, B, Aerts, R, Geboes, K, Donner, A, Borchard, F, Lankisch, P, Stolte, M, Lüttges, J, Kremer, B, Klöppel, G
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Antigens
Archives & records
Autoimmune Diseases - pathology
Autoimmune Diseases - surgery
Bile
Biological and medical sciences
Chronic Disease
Colleges & universities
Crohn's disease
Digestive system
duct destructive pancreatitis
Female
Hospitals
Humans
Immunoglobulins
Immunohistochemistry
Inflammation
Inflammatory bowel disease
Investigative techniques, diagnostic techniques (general aspects)
Liver
Lymphocytes
Male
Medical sciences
Middle Aged
Morphology
non-alcoholic chronic pancreatitis
Pancreas
Pancreatic Ducts - pathology
Pancreatitis - pathology
Pancreatitis - surgery
Pancreatitis, Alcoholic - pathology
Pancreatitis, Alcoholic - surgery
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Patients
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cited_by cdi_FETCH-LOGICAL-b572t-964adb3a43f9ad4246fde4fae0533d5b75e81ffd2527e2ad9f01fa275a4096e03
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container_end_page 268
container_issue 2
container_start_page 263
container_title Gut
container_volume 41
creator Ectors, N
Maillet, B
Aerts, R
Geboes, K
Donner, A
Borchard, F
Lankisch, P
Stolte, M
Lüttges, J
Kremer, B
Klöppel, G
description Background—The pathology of non-alcoholic chronic pancreatitis has not yet been sufficiently studied. Aims—To identify the major changes of pancreatic tissue in patients surgically treated for non-alcoholic chronic pancreatitis. Patients—Pancreatectomy specimens from 12 patients with non-alcoholic chronic pancreatitis, including four patients with autoimmune or related diseases (Sjögren’s syndrome, primary sclerosing cholangitis, ulcerative colitis, and Crohn’s disease), were reviewed. Methods—Morphological changes were studied histologically and immunohistochemically (to type inflammatory cells) and compared with the pancreatic alterations found in 12 patients with alcoholic chronic pancreatitis. Results—In patients with non-alcoholic chronic pancreatitis, with or without associated autoimmune or related diseases, pancreatic inflammation particularly involved the ducts, commonly resulting in duct obstruction and occasionally duct destruction. None of these features was seen in alcoholic chronic pancreatitis which, however, showed pseudocysts and calcifications. Conclusion—The pancreatic changes in patients with non-alcoholic chronic pancreatitis clearly differ from those with alcoholic chronic pancreatitis. The term chronic duct destructive pancreatitis is suggested for this type of pancreatic disease.
doi_str_mv 10.1136/gut.41.2.263
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Aims—To identify the major changes of pancreatic tissue in patients surgically treated for non-alcoholic chronic pancreatitis. Patients—Pancreatectomy specimens from 12 patients with non-alcoholic chronic pancreatitis, including four patients with autoimmune or related diseases (Sjögren’s syndrome, primary sclerosing cholangitis, ulcerative colitis, and Crohn’s disease), were reviewed. Methods—Morphological changes were studied histologically and immunohistochemically (to type inflammatory cells) and compared with the pancreatic alterations found in 12 patients with alcoholic chronic pancreatitis. Results—In patients with non-alcoholic chronic pancreatitis, with or without associated autoimmune or related diseases, pancreatic inflammation particularly involved the ducts, commonly resulting in duct obstruction and occasionally duct destruction. None of these features was seen in alcoholic chronic pancreatitis which, however, showed pseudocysts and calcifications. 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Aims—To identify the major changes of pancreatic tissue in patients surgically treated for non-alcoholic chronic pancreatitis. Patients—Pancreatectomy specimens from 12 patients with non-alcoholic chronic pancreatitis, including four patients with autoimmune or related diseases (Sjögren’s syndrome, primary sclerosing cholangitis, ulcerative colitis, and Crohn’s disease), were reviewed. Methods—Morphological changes were studied histologically and immunohistochemically (to type inflammatory cells) and compared with the pancreatic alterations found in 12 patients with alcoholic chronic pancreatitis. Results—In patients with non-alcoholic chronic pancreatitis, with or without associated autoimmune or related diseases, pancreatic inflammation particularly involved the ducts, commonly resulting in duct obstruction and occasionally duct destruction. None of these features was seen in alcoholic chronic pancreatitis which, however, showed pseudocysts and calcifications. 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identifier ISSN: 0017-5749
ispartof Gut, 1997-08, Vol.41 (2), p.263-268
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subjects Adolescent
Adult
Aged
Antigens
Archives & records
Autoimmune Diseases - pathology
Autoimmune Diseases - surgery
Bile
Biological and medical sciences
Chronic Disease
Colleges & universities
Crohn's disease
Digestive system
duct destructive pancreatitis
Female
Hospitals
Humans
Immunoglobulins
Immunohistochemistry
Inflammation
Inflammatory bowel disease
Investigative techniques, diagnostic techniques (general aspects)
Liver
Lymphocytes
Male
Medical sciences
Middle Aged
Morphology
non-alcoholic chronic pancreatitis
Pancreas
Pancreatic Ducts - pathology
Pancreatitis - pathology
Pancreatitis - surgery
Pancreatitis, Alcoholic - pathology
Pancreatitis, Alcoholic - surgery
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Patients
title Non-alcoholic duct destructive chronic pancreatitis
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