By V. Balakrishnan (M.D.), Harish Kumar (DNB), Indian Pancreatitis Study Group, S. Sudhindran, A. G. Unnikrishnan
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Extra resources for Chronic pancreatitis and pancreatic diabetes in India
However, it appears that both CFTR-associated chronic pancreatitis 14 and tropical pancreatitis are duct drainage problems. In CFTR-associated pancreatitis the problem is in generating proximal flow resulting in low head pressure. ) and large stones appear to cause distal resistance with high proximal pressures. This hypothesis is also supported by the observation that tropical pancreatitis, in some cases, is associated with pancreatic atrophy – similar to what is seen with other forms of pancreatitis duct obstruction.
There is better hygiene, as a result of better literacy and health awareness and standard of living. Cassava, which was an inexpensive poor man’s diet, has been replaced to a large extent, by rice, through improved purchasing power and availability through 31 the public distribution system22. People eat more fish, meat and poultry. Medical facilities have remarkably improved and are more easily accessible than what obtained thirty years back. Diabetics are better cared for and more closely monitored, thanks to a parallel, or even more powerful network of private healthcare facilities.
Alcoholism has 38 phenomenally increased in India in general, and in Kerala in particular, and as a result, we see many more cases of alcoholic pancreatitis now than earlier. A large number of the alcoholics are smokers too and there is the likelihood of an additive effect of smoking with alcoholism in the causation of pancreatitis. Patients of chronic pancreatitis live longer (many of them to fifties and a few, even to sixties), and fewer require surgery for relief of pain, as in a large number, pain can be controlled with medical treatment.
Chronic pancreatitis and pancreatic diabetes in India by V. Balakrishnan (M.D.), Harish Kumar (DNB), Indian Pancreatitis Study Group, S. Sudhindran, A. G. Unnikrishnan