Presentation
Infected pseudocyst as a consequence of tropical pancreatitis presenting as psoas abscess is unusual. We report a 40-year-old man who presented with pain in the right lumbar region. [ncbi.nlm.nih.gov]
Some are well nourished or even overweight at presentation. Abdominal pain is the presenting feature of tropical chronic pancreatitis in up to 90% of cases. [diapedia.org]
Recent reports indicate change in profile of CP in India with identification of novel risk factors; and delayed presentation as well as delayed onset of exocrine and endocrine insufficiency. [tropicalgastro.com]
We present a case of an 11 year old boy who was diagnosed as having tropical chronic pancreatitis. CASE REPORT An 11 year old boy presented with history of para-umbilical pain since 6 years. [bhj.org.in]
Entire Body System
- Painter
Sharer N, Schwarz M, Malone G, Howarth A, Painter J, Super M, Braganza J: Mutations of the cystic fibrosis gene in patients with chronic pancreatitis. N Engl J Med 1998;339:645–652. [karger.com]
- Gangrene
For the present however, this case report only shows that severe peripheral vessel disease causing gangrene can occur in diabetic subjects with TCP. [pancreas.imedpub.com]
Gastrointestinal
- Abdominal Pain
Clinical Features The main symptoms are abdominal pain(70%), diabetis mellitus(55%), weight loss(65%) and obstructive jaundice in 2%. Rarely patient may present with abdominal mass, ascitis or gastrointestinal bleeding. [orion-group.net]
There were similar episodes of such type of abdominal pain. Abdominal pain was mid epigastric, dull aching in nature, increased after taking meal and some times radiating to back. [ijstd.org]
Abdominal pain is the presenting feature of tropical chronic pancreatitis in up to 90% of cases. The pain is intermittent, severe, upper abdominal radiating to the back, and is relieved by leaning forward. [diapedia.org]
Patients present with abdominal pain, weight loss, pancreatic calcifications, and glucose intolerance or diabetes mellitus. [ncbi.nlm.nih.gov]
- Regurgitation
It is postulated that regurgitation of the pancreatic juice leads to chronic inflammation, metaplasia of the biliary epithelium and, eventually, to gallbladder cancer. [pancreas.imedpub.com]
Neurologic
- Neglect
2019 19 Comprehensive phenotyping reveals interactions and functions of Arabidopsis thaliana TCP genes in yield determination. ( 30903633 ) van Es SW...Immink RGH 2019 20 mutTCPdb: a comprehensive database for genomic variants of a tropical country neglected [malacards.org]
Materials and methods Data collection TCP is a neglected tropical disease, therefore limited information is available. [academic.oup.com]
Workup
Provides all the necessary tools to make a comprehensive diagnostic workup including data from ancillary techniques and molecular findings whenever appropriate. [books.google.es]
Workup of a patient with familial pancreatic cancer. Pancreas 1999 ; 18(3): 219–224. Crossref, Medline, Google Scholar 41 Ghaneh P, Costello E, Neoptolemos JP. Biology and management of pancreatic cancer. Gut 2007 ; 56(8): 1134–1152. [pubs.rsna.org]
Urine
- Microalbuminuria
There was no evidence of clinical neuropathy or microalbuminuria. His routine blood tests were normal including hematology, thyroid function tests, liver function tests, and serum calcium. Anti-TPO antibodies were negative. [hormones.gr]
The prevalence of microvascular complications such as retinopathy, neuropathy, nephropathy, or microalbuminuria observed in FCPD is similar to that in type 2 diabetes[ 28 ]. [wjgnet.com]
Serum
- Dyslipidemia
However, these patients with pancreatic diabetes resulting from TCP (as in our case) have macrovascular disease in the absence of obesity, hypertension and overt dyslipidemia. [pancreas.imedpub.com]
Treatment
New guidelines to evaluate the response to treatment in solid tumors. European Organization for Research and Treatment of Cancer. National Cancer Institute of the United States. National Cancer Institute of Canada. [books.google.com]
Treatment may be frustrating, and may include pancreatic enzymes, duct manipulations at endoscopic retrograde cholangiopancreatography, octreotide, celiac axis blocks for pain control, or surgery via drainage and/or resection. [ncbi.nlm.nih.gov]
Prognosis
The prognosis of TCP patients has improved in the last two to three decades because of the better understanding of the natural history of TCP but its aetio-pathogenesis continues to be elusive. [posterng.netkey.at]
Treatment and prognosis The presence of necrosis implies a poorer prognosis with mortality rates reported up to 14% 3, if sterile. [radiopaedia.org]
The prognosis is good relative to other causes of chronic pancreatitis. [diapedia.org]
In the last few decades, the prognosis has markedly improved as a result of better management of diabetes. [journals.lww.com]
After diagnosis the patient prognosis is dismal with few surviving over 5 years. Treatment regimes are highly patient variable and often the patients are too sick to undergo surgical resection or chemotherapy. [mdpi.com]
Etiology
Etiology of this disease is still not clear. The authors examine various hypotheses of etiology of TP and advocate the concept wherein pancreatitis of different types may have common etiological factors, but in differing proportions. [citeseerx.ist.psu.edu]
CONCLUSION: Malnutrition is not an etiological factor of TP and weight loss occurred as a result of low calorie intake after the onset of TP. [ncbi.nlm.nih.gov]
[…] causes of CP such as hyperparathyroidism, obstruction and trauma were grouped under miscellaneous etiologies. [tropicalgastro.com]
Epidemiology
The cyanide hypothesis is consistent with the known epidemiologic and metabolic characteristics of these two contrasting forms of pancreatitis. [ncbi.nlm.nih.gov]
Others may -> 388Kb Abstract Tropical and alcoholic forms of chronic pancreatitis differ in their clinical, aetiological and epidemiological features. [mdrf-eprints.in]
Search for more papers by this author First published: February 1992 Cited by: 15 ABSTRACT Tropical and alcoholic forms of chronic pancreatitis differ in their clinical, aetiological and epidemiological features. [onlinelibrary.wiley.com]
Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014, Uttar Pradesh, India, IN X close Abstract Tropical calcific pancreatitis (TCP) is a form of idiopathic chronic pancreatitis with distinct clinical and epidemiological [cmj.sljol.info]
Keywords Calculi; Epidemiology; India; Pancreatitis, Chronic; Prevalence Abbreviations CURES: Chennai Urban Rural Epidemiology Study; FCPD: fibrocalculous pancreatic diabetes INTRODUCTION Fibrocalculous pancreatic diabetes (FCPD) [ 1 ] is a form of diabetes [pancreas.imedpub.com]
Pathophysiology
His primary research is in the pathophysiology and clinical management of acute and chronic pancreatitis. He is Associate Editor of the journal Pancreatology and the World Journal of Surgery . [books.google.com]
References: [1] [12] [13] Complications Pancreatic pseudocysts Definition : encapsulated collection of pancreatic fluid ; which develops 4 weeks after an acute attack of pancreatitis ; can occur in both acute and chronic pancreatitis Pathophysiology : [amboss.com]
[…] biochemistry of nutrition 180 Nutritional disorders and their management 200 Clinical biochemistry of the gastrointestinal tract 214 Assessment of hepatic function and investigation of jaundice 231 Acute and chronic liver disease 250 Glucose metabolism and the pathophysiology [books.google.ro]
Prevention
Yet a better understanding of the pathogenesis of tropical chronic pancreatitis could further improve treatment options and offer an opportunity for prevention of this disorder, which leads to severe morbidity in a large proportion of affected patients [journals.lww.com]
Conclusion 17 Indications for Surgery in Pancreatic Cancer 16 Choice of Surgical Procedures 6 Palliative Treatment of Gastric Outlet Obstruction in Advanced 7 Japanese 25 References 15 Adjuvant Intraoperative Radiation Therapy During 35 Conclusion 40 Prevention [books.google.ro]
Mohan’s Diabetes Specialities Centre, WHO Collaborating Centre for Noncommunicable Diseases Prevention and Control. Chennai, India *Corresponding Author: Viswanathan Mohan Madras Diabetes Research Foundation and Dr. [pancreas.imedpub.com]
[ edit ] Preventive measures for visitors to tropical areas where the condition exists include steps to reduce the likelihood of gastroenteritis. [en.wikipedia.org]
Pancreatic cancer in hereditary pancreatitis: consensus guidelines for prevention, screening and treatment. Pancreatology. 2001;1(5):416–422. [aafp.org]