Chronic pancreatitis and gastroduodenal diseases-some etiological and clinical tangents
Keywords:
chronic pancreatitis, gastric diseasesAbstract
Chronic pancreatitis (CP) is an enigmatic process of uncertain pathogenesis, unpredictable clinical course and unclear treatment. In recent decades, more and more evidence has emerged of the relations of pancreatic lesions with gastroduodenal diseases. It was proposed to study the etiological and clinical tangents of CP and gastroduodenal pathologies and their reflection through the analysis of bibliographic sources. CP and some gastroduodenal diseases have sufficient evidence of association through similar clinical symptoms and different pathological pathways, which may include environmental, metabolic, infectious, autoimmune, obstructive factors. H. pylori infection may be involved in the development and evolution of CP, in the exocrine pancreatic secretion of the pancreas, and CP may influence gastrointestinal physiology with the consequent colonization of the pathogen. H. pylori could be involved in autoimmune pancreatitis (AIP), mainly by inducing autoimmunity, molecular mimicry and apoptosis. AIP is associated with polyorganic damage, including the stomach, through the development of gastritis, ulcers and gastric polyps. Pancreatitis, both acute and chronic, is associated with various complications. Gastrointestinal complications, although less common, are still a significant cause of increased morbidity and hospitalization in a patient’s clinical course. Early diagnosis of these complications is sometimes difficult and requires a complex and timely clinical-paraclinical approach.
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https://doi.org/10.1097/MPA.0000000000000351
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https://doi.org/10.3941/jrcr.v4i11.588
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https://doi.org/10.1016/S1542-3565(04)00013-8
24. Chen, Xin; Yang, Mo; Wang, Bangmao. A Case of Acute Hypertrophic Gastritis With Pancreatitis and Allergic Purpura.American Journal of Gastroenterology: October 2014 - Volume 109 - Issue - p S44-S45 PMID: 9516396. https://doi.org/10.1016/S0016-5085(98)70589-X
7. Di Campli C, Nocente R, Costamagna G, Gentiloni N, Burioni R, Wu J, Armuzzi A, Zern MA, Gasbarrini G, Gasbarrini A. No evidence of Helicobacter pylori sequences in pancreatic juices of patients affected by chronic pancreatitis. Int J Pancreatol. 2000 Dec;28(3):181-5. PMID: 11373055. https://doi.org/10.1385/IJGC:28:3:181
8. Manes G, Dominguez-Muñoz JE, Hackelsberger A, Leodolter A, Rössner A, Malfertheiner P. Prevalence of Helicobacter pylori infection and gastric mucosal abnormalities in chronic pancreatitis. Am J Gastro enterol. 1998 Jul;93(7):1097-100. PMID: 9672337. https://doi.org/10.1111/j.1572-0241.1998.336_b.x
9. Regan PT, Malagelada JR, Dimagno EP, Go VL. Postprandial gastric function in pancreatic insufficiency. Gut. 1979 Mar;20(3):249-54. PMID: 35448; PMCID: PMC1412313. https://doi.org/10.1136/gut.20.3.249
10. Niemann T, Larsen S, Mouritsen EA, Thorsgaard N. Helicobacter pylori infection in patients with chronic pancreatitis and duodenal ulcer. Scand J Gastroenterol. 1997 Dec;32(12):1201-3. PMID: 9438316. https://doi.org/10.3109/00365529709028147
11. Shimosegawa T, Chari ST, Frulloni L, et al; International Association of Pancreatology. International consensus diagnostic criteria for autoimmune pancreatitis: guidelines of the International Association of Pancreatology. Pancreas. 2011;40(3):352-358. https://doi.org/10.1097/MPA.0b013e3182142fd2
12. Baez JC., et al. Gastric involvement in autoimmune pancreatitis: MDCT and histopathologic features. JOP. 2010 Nov 9;11(6):610-3
13. Deheragoda M, Church N, Rodriguez-Justo M, Munson P, Sandanayake N, Seward E, et al. The use of immunoglobulin G4 immunostaining in diagnosing pancreatic and extrapancreatic involvement in autoimmune pancreatitis. Clin Gastroenterol Hepatol 2007; 5:1229-34. [PMID 17702660] https://doi.org/10.1016/j.cgh.2007.04.023
14. Chang MC, Chang YT, Wei SC, Kuo CH, Liang PC, Wong JM. Autoimmune pancreatitis associated with high prevalence of gastric ulcer independent of Helicobacter pylori infection status. Pancreas 2009; 38:442-6. [PMID 19276869] https://doi.org/10.1097/MPA.0b013e31819b5f3c
15. Kamisawa T, Egawa N, Nakajima H, Tsuruta K, Okamoto A, Hayashi Y, Funata N. Gastrointestinal findings in patients with autoimmune pancreatitis. Endoscopy 2005; 37:1127-30. [PMID: 16281144] https://doi.org/10.1055/s-2005-870369
16. Kaji R, Okabe Y, Ishida Y, Takedatsu H, Kawahara A, Aino H, et al. Autoimmune pancreatitis presenting with IgG4-positive multiple gastric polyps. Gastrointest Endosc 2010; 71:420-2. [PMID: 19846081] https://doi.org/10.1016/j.gie.2009.07.023
17. Kubota K. et al. Clinical significance of swollen duodenal papilla in autoimmune pancreatitis. Pancreas. 2007 Nov;35(4):e51-60. https://doi.org/10.1097/mpa.0b013e31812575b4
18. Crosara S. et al. Autoimmune pancreatitis: Multimodality non-invasive imaging diagnosis World J Gastroenterol. 2014 Dec 7; 20(45): 16881-16890. https://doi.org/10.3748/wjg.v20.i45.16881
19. Bansal A. et al. Gastrointestinal complications in acute and chronic pancreatitis JGH Open. 2019 Dec; 3(6): 450-455. https://doi.org/10.1002/jgh3.12185
20. Ramsey ML, Conwell DL, Hart PA. Complications of chronic pancreatitis. Dig. Dis. Sci. 2017; 62: 1745-50. https://doi.org/10.1007/s10620-017-4518-x
21. Oza VM, Skeans JM, Muscarella P et al Groove pancreatitis, a masquerading yet distinct clinicopathological entity: analysis of risk factors and differentiation. Pancreas. 2015; 44: 901-8. https://doi.org/10.1097/MPA.0000000000000351
22. Ferreira A., Ramalho M., Herédia V., R. de Campos, P. Marques Groove pancreatitis: a case report and review of the literature. J Radiol Case Rep. 2010; 4(11): 9-17. https://doi.org/10.3941/jrcr.v4i11.588
23. Howes, N. et al. Clinical and genetic characteristics of hereditary pancreatitis in Europe. Clin. Gastroenterol. Hepatol. 2, 252-261 (2004). https://doi.org/10.1016/S1542-3565(04)00013-8
24. Chen, Xin; Yang, Mo; Wang, Bangmao. A Case of Acute Hypertrophic Gastritis With Pancreatitis and Allergic Purpura.American Journal of Gastroenterology: October 2014 - Volume 109 - Issue - p S44-S45 https://doi.org/10.14309/00000434-201410002-00142
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