Levy et al identified risk factors associated with increased mortality in a patient with chronic pancreatitis. The authors are from Hopital Beaujon in Clichy and Hopital Antoine Beclere in Clamart, France.
Patient selection: adult with chronic pancreatitis
Risk factors for increased mortality:
(1) male gender
(2) diabetes mellitus (indicative of pancreatic endocrine insufficiency)
(3) surgical procedure (associated with postoperative mortality)
(4) continued drinking with ongoing alcoholic liver disease
Factors associated with decreased mortality:
(1) one or more attacks of acute pancreatitis (which may be associated with an increased likelihood of alcohol abstinence)
A patient with chronic pancreatitis should:
(1) abstain from alcohol
(2) avoid any unnecessary surgery
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