Schneider et al report the M-ANNHEIM system for evaluating a patient with chronic pancreatitis. An essential part of patient evaluation is to identify possible risk factors. The system was developed at the the University of Heidelberg in Mannheim, Germany.
Patient selection: chronic pancreatitis
The M of M-ANNHEIM refers to the multiple risk factors that may be involved.
Designation
Risk Factor
Includes
A
alcohol consumption
N
nicotine
consumption in pack years
N
nutritional factors
diet, hyperlipidemia
H
hereditary factors
hereditary, familial, early-onset idiopathic
E
efferent duct factors
sphincter of Oddi dysfunction, pancreas divisum, duct obstruction, duct stricture
