![]() The diagnosis rests on cross-sectional imaging, or endoscopic ultrasound, but these tests might be non-diagnostic early in the clinical course. Monitor for the development of secondary diabetesĪlthough chronic pancreatitis is commonly attributed to alcohol consumption, it is now clear that newly discovered genetic mutations and smoking are also important risk factors, and idiopathic chronic pancreatitis is much more common than appreciated. ![]() If abdominal pain is disproportionate, consider whether there is a complication such as a pseudocyst, obstruction, malignancy, or hyperalgesia Pancreatic insufficiency typically takes 10 years to develop and is best managed with replacement therapy ![]() Older people, those with diabetes, and those who smoke or drink to excess can have changes on imaging that mimic pancreatitis Although alcohol consumption is the most common cause of chronic pancreatitis, smoking and genetic mutations are also risk factors
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