Role of genetic disorders in acute recurrent pancreatitis.

Abstract:

:There was remarkable progress in the understanding of the role genetic risk factors in chronic pancreatitis. These factors seem to be much more important than thought in the past. The rare autosomal-dominant mutations N29I and R122H of PRSS1 (cationic trypsinogen) as well as the variant N34S of SPINK1 (pancreatic secretory trypsin inhibitor) are associated to a disease onset in childhood or youth. Compared to chronic alcoholic pancreatitis the progression is slow so that for a long time only signs of acute-recurrent pancreatitis are found. Only at later time points (more than 10-15 years) there is evidence for chronic pancreatitis in the majority of patients. Acute recurrent pancreatitis may therefore be regarded as a transition state until definite signs of chronic pancreatitis are detectable.

journal_name

World J Gastroenterol

authors

Keim V

doi

10.3748/wjg.14.1011

subject

Has Abstract

pub_date

2008-02-21 00:00:00

pages

1011-5

issue

7

eissn

1007-9327

issn

2219-2840

journal_volume

14

pub_type

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