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Chronic pancreatitis

MedGen UID:
101753
Concept ID:
C0149521
Disease or Syndrome
Synonyms: Chronic Pancreatitis; Pancreatitis, Chronic
SNOMED CT: Chronic pancreatitis (235494005); CP - Chronic pancreatitis (235494005)
 
HPO: HP:0006280
Monarch Initiative: MONDO:0005003
OMIM®: 167790

Definition

A chronic form of pancreatitis. [from HPO]

Term Hierarchy

Conditions with this feature

Phosphate transport defect
MedGen UID:
87455
Concept ID:
C0342749
Disease or Syndrome
Glycogenosis due to glucose-6-phosphatase deficiency (G6P) type b, or glycogen storage disease (GSD) type 1b, is a type of glycogenosis due to G6P deficiency (see this term).
Tropical pancreatitis
MedGen UID:
334069
Concept ID:
C1842402
Disease or Syndrome
A rare pancreatic disease of juvenile onset occurring mainly in tropical developing countries and characterized by chronic non-alcoholic pancreatitis manifesting with abdominal pain, steatorrhea and fibrocalculous pancreatopathy. It is also commonly associated with the development of pancreatic calculi and pancreatic cancer at a much higher frequency than seen in ordinary chronic pancreatitis.
Nephronophthisis-like nephropathy 1
MedGen UID:
461769
Concept ID:
C3150419
Disease or Syndrome
The nephronophthisis (NPH) phenotype is characterized by reduced renal concentrating ability, chronic tubulointerstitial nephritis, cystic renal disease, and progression to end-stage renal disease (ESRD) before age 30 years. Three age-based clinical subtypes are recognized: infantile, juvenile, and adolescent/adult. Infantile NPH can present in utero with oligohydramnios sequence (limb contractures, pulmonary hypoplasia, and facial dysmorphisms) or postnatally with renal manifestations that progress to ESRD before age 3 years. Juvenile NPH, the most prevalent subtype, typically presents with polydipsia and polyuria, growth retardation, chronic iron-resistant anemia, or other findings related to chronic kidney disease (CKD). Hypertension is typically absent due to salt wasting. ESRD develops at a median age of 13 years. Ultrasound findings are increased echogenicity, reduced corticomedullary differentiation, and renal cysts (in 50% of affected individuals). Histologic findings include tubulointerstitial fibrosis, thickened and disrupted tubular basement membrane, sporadic corticomedullary cysts, and normal or reduced kidney size. Adolescent/adult NPH is clinically similar to juvenile NPH, but ESRD develops at a median age of 19 years. Within a subtype, inter- and intrafamilial variability in rate of progression to ESRD is considerable. Approximately 80%-90% of individuals with the NPH phenotype have no extrarenal features (i.e., they have isolated NPH); ~10%-20% have extrarenal manifestations that constitute a recognizable syndrome (e.g., Joubert syndrome, Bardet-Biedl syndrome, Jeune syndrome and related skeletal disorders, Meckel-Gruber syndrome, Senior-Løken syndrome, Leber congenital amaurosis, COACH syndrome, and oculomotor apraxia, Cogan type).

Professional guidelines

PubMed

Szatmary P, Grammatikopoulos T, Cai W, Huang W, Mukherjee R, Halloran C, Beyer G, Sutton R
Drugs 2022 Aug;82(12):1251-1276. Epub 2022 Sep 8 doi: 10.1007/s40265-022-01766-4. PMID: 36074322Free PMC Article
Zhao Z, Liu W
Technol Cancer Res Treat 2020 Jan-Dec;19:1533033820962117. doi: 10.1177/1533033820962117. PMID: 33357065Free PMC Article
Singh VK, Yadav D, Garg PK
JAMA 2019 Dec 24;322(24):2422-2434. doi: 10.1001/jama.2019.19411. PMID: 31860051

Curated

UK NICE Guideline NG104, Pancreatitis, 2020

Recent clinical studies

Etiology

Beyer G, Habtezion A, Werner J, Lerch MM, Mayerle J
Lancet 2020 Aug 15;396(10249):499-512. doi: 10.1016/S0140-6736(20)31318-0. PMID: 32798493
Arvanitakis M, Ockenga J, Bezmarevic M, Gianotti L, Krznarić Ž, Lobo DN, Löser C, Madl C, Meier R, Phillips M, Rasmussen HH, Van Hooft JE, Bischoff SC
Clin Nutr 2020 Mar;39(3):612-631. Epub 2020 Jan 22 doi: 10.1016/j.clnu.2020.01.004. PMID: 32008871
Hart PA, Conwell DL
Am J Gastroenterol 2020 Jan;115(1):49-55. doi: 10.14309/ajg.0000000000000421. PMID: 31764092Free PMC Article
O'Brien SJ, Omer E
Nutr Clin Pract 2019 Oct;34 Suppl 1:S13-S26. doi: 10.1002/ncp.10379. PMID: 31535736
Lerch MM, Gorelick FS
Gastroenterology 2013 Jun;144(6):1180-93. doi: 10.1053/j.gastro.2012.12.043. PMID: 23622127

Diagnosis

Vege SS, Chari ST
N Engl J Med 2022 Mar 3;386(9):869-878. doi: 10.1056/NEJMcp1809396. PMID: 35235728
Beyer G, Habtezion A, Werner J, Lerch MM, Mayerle J
Lancet 2020 Aug 15;396(10249):499-512. doi: 10.1016/S0140-6736(20)31318-0. PMID: 32798493
Hart PA, Conwell DL
Am J Gastroenterol 2020 Jan;115(1):49-55. doi: 10.14309/ajg.0000000000000421. PMID: 31764092Free PMC Article
Barry K
Am Fam Physician 2018 Mar 15;97(6):385-393. PMID: 29671537
Kleeff J, Whitcomb DC, Shimosegawa T, Esposito I, Lerch MM, Gress T, Mayerle J, Drewes AM, Rebours V, Akisik F, Muñoz JED, Neoptolemos JP
Nat Rev Dis Primers 2017 Sep 7;3:17060. doi: 10.1038/nrdp.2017.60. PMID: 28880010

Therapy

Strand DS, Law RJ, Yang D, Elmunzer BJ
Gastroenterology 2022 Oct;163(4):1107-1114. Epub 2022 Aug 22 doi: 10.1053/j.gastro.2022.07.079. PMID: 36008176
Yang D, Forsmark CE
Curr Opin Gastroenterol 2017 Sep;33(5):396-403. doi: 10.1097/MOG.0000000000000377. PMID: 28771447
Kirkegård J, Mortensen FV, Cronin-Fenton D
Am J Gastroenterol 2017 Sep;112(9):1366-1372. Epub 2017 Aug 1 doi: 10.1038/ajg.2017.218. PMID: 28762376
de la Iglesia-García D, Huang W, Szatmary P, Baston-Rey I, Gonzalez-Lopez J, Prada-Ramallal G, Mukherjee R, Nunes QM, Domínguez-Muñoz JE, Sutton R; NIHR Pancreas Biomedical Research Unit Patient Advisory Group
Gut 2017 Aug;66(8):1354-1355. Epub 2016 Dec 9 doi: 10.1136/gutjnl-2016-312529. PMID: 27941156Free PMC Article
Majumder S, Chari ST
Lancet 2016 May 7;387(10031):1957-66. Epub 2016 Mar 2 doi: 10.1016/S0140-6736(16)00097-0. PMID: 26948434

Prognosis

Gandhi S, de la Fuente J, Murad MH, Majumder S
Clin Transl Gastroenterol 2022 Mar 28;13(3):e00463. doi: 10.14309/ctg.0000000000000463. PMID: 35142721Free PMC Article
Petrov MS, Yadav D
Nat Rev Gastroenterol Hepatol 2019 Mar;16(3):175-184. doi: 10.1038/s41575-018-0087-5. PMID: 30482911Free PMC Article
Machicado JD, Yadav D
Dig Dis Sci 2017 Jul;62(7):1683-1691. Epub 2017 Mar 9 doi: 10.1007/s10620-017-4510-5. PMID: 28281168Free PMC Article
DiMagno MJ, DiMagno EP
Curr Opin Gastroenterol 2010 Sep;26(5):490-8. doi: 10.1097/MOG.0b013e32833d11b2. PMID: 20693896
Nair RJ, Lawler L, Miller MR
Am Fam Physician 2007 Dec 1;76(11):1679-88. PMID: 18092710

Clinical prediction guides

Beyer G, Habtezion A, Werner J, Lerch MM, Mayerle J
Lancet 2020 Aug 15;396(10249):499-512. doi: 10.1016/S0140-6736(20)31318-0. PMID: 32798493
Gutta A, Fogel E, Sherman S
Expert Rev Gastroenterol Hepatol 2019 Nov;13(11):1089-1105. Epub 2019 Nov 8 doi: 10.1080/17474124.2019.1685871. PMID: 31663403Free PMC Article
Singh VK, Haupt ME, Geller DE, Hall JA, Quintana Diez PM
World J Gastroenterol 2017 Oct 21;23(39):7059-7076. doi: 10.3748/wjg.v23.i39.7059. PMID: 29093615Free PMC Article
Rasmussen HH, Irtun O, Olesen SS, Drewes AM, Holst M
World J Gastroenterol 2013 Nov 14;19(42):7267-75. doi: 10.3748/wjg.v19.i42.7267. PMID: 24259957Free PMC Article
Lindkvist B
World J Gastroenterol 2013 Nov 14;19(42):7258-66. doi: 10.3748/wjg.v19.i42.7258. PMID: 24259956Free PMC Article

Recent systematic reviews

Beyer G, Hoffmeister A, Lorenz P, Lynen P, Lerch MM, Mayerle J
Dtsch Arztebl Int 2022 Jul 25;119(29-30):495-501. doi: 10.3238/arztebl.m2022.0223. PMID: 35945698Free PMC Article
Massironi S, Fanetti I, Viganò C, Pirola L, Fichera M, Cristoferi L, Capurso G, Invernizzi P, Danese S
Aliment Pharmacol Ther 2022 Jun;55(12):1478-1491. Epub 2022 May 3 doi: 10.1111/apt.16949. PMID: 35505465Free PMC Article
Pekgöz M
World J Gastroenterol 2019 Aug 7;25(29):4019-4042. doi: 10.3748/wjg.v25.i29.4019. PMID: 31413535Free PMC Article
Kirkegård J, Mortensen FV, Cronin-Fenton D
Am J Gastroenterol 2017 Sep;112(9):1366-1372. Epub 2017 Aug 1 doi: 10.1038/ajg.2017.218. PMID: 28762376
de la Iglesia-García D, Huang W, Szatmary P, Baston-Rey I, Gonzalez-Lopez J, Prada-Ramallal G, Mukherjee R, Nunes QM, Domínguez-Muñoz JE, Sutton R; NIHR Pancreas Biomedical Research Unit Patient Advisory Group
Gut 2017 Aug;66(8):1354-1355. Epub 2016 Dec 9 doi: 10.1136/gutjnl-2016-312529. PMID: 27941156Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NICE, 2020
      UK NICE Guideline NG104, Pancreatitis, 2020

    Consumer resources

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