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Kota SK, Krishna SV, Lakhtakia S, et al. Metabolic pancreatitis: Etiopathogenesis and management. Indian J Endocrinol Metab. 2013;17(5):799-805doi: 10.4103/2230-8210.117208.
Kota, S. K., Krishna, S. V., Lakhtakia, S., & Modi, K. D. (2013). Metabolic pancreatitis: Etiopathogenesis and management. Indian journal of endocrinology and metabolism, 17(5), 799-805. https://doi.org/10.4103/2230-8210.117208
Kota, Sunil Kumar, et al. "Metabolic pancreatitis: Etiopathogenesis and management." Indian journal of endocrinology and metabolism vol. 17,5 (2013): 799-805. doi: https://doi.org/10.4103/2230-8210.117208
Kota SK, Krishna SV, Lakhtakia S, Modi KD. Metabolic pancreatitis: Etiopathogenesis and management. Indian J Endocrinol Metab. 2013 Sep;17(5):799-805. doi: 10.4103/2230-8210.117208. PMID: 24083160; PMCID: PMC3784862.
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Indian J Endocrinol Metab. 2013 Sep;17(5):799-805. doi: 10.4103/2230-8210.117208.

Metabolic pancreatitis: Etiopathogenesis and management.

Indian journal of endocrinology and metabolism

Sunil Kumar Kota, S V S Krishna, Sandeep Lakhtakia, Kirtikumar D Modi

Affiliations

  1. Department of Endocrinology, Medwin Hospital, Hyderabad, Andhra Pradesh, India.

PMID: 24083160 PMCID: PMC3784862 DOI: 10.4103/2230-8210.117208

Abstract

Acute pancreatitis is a medical emergency. Alcohol and gallstones are the most common etiologies accounting for 60%-75% cases. Other important causes include postendoscopic retrograde cholangiopancreatography procedure, abdominal trauma, drug toxicity, various infections, autoimmune, ischemia, and hereditary causes. In about 15% of cases the cause remains unknown (idiopathic pancreatitis). Metabolic conditions giving rise to pancreatitis are less common, accounting for 5%-10% cases. The causes include hypertriglyceridemia, hypercalcemia, diabetes mellitus, porphyria, and Wilson's disease. The episodes of pancreatitis tend to be more severe. In cases of metabolic pancreatitis, over and above the standard routine management of pancreatitis, careful management of the underlying metabolic abnormalities is of paramount importance. If not treated properly, it leads to recurrent life-threatening bouts of acute pancreatitis. We hereby review the pathogenesis and management of various causes of metabolic pancreatitis.

Keywords: Hypercalcemia; hypertriglyceridemia; metabolic etiologies; pancreatitis

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