Etiology, diagnosis, and management of chronic pancreatitis associated primary complications: a narrative review - Report - MDSpire

Etiology, diagnosis, and management of chronic pancreatitis associated primary complications: a narrative review

  • By

  • Liqi Sun

  • Mengruo Jiang

  • Xiaoyun Wang

  • Yuwei Sun

  • Yatao Tu

  • Zhaoshen Li

  • Lisi Peng

  • Haojie Huang

  • July 9, 2026

  • 0 min

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Clinical Report: Causes, identification, and treatment of primary complications related to chronic pancreatitis

Overview

Chronic pancreatitis (CP) leads to irreversible structural damage and various complications, including pancreatic exocrine and endocrine insufficiencies. This review provides an overview of the etiology, diagnostic criteria, and management strategies for these complications.

Background

Chronic pancreatitis is a progressive inflammatory disease characterized by irreversible fibrosis and pancreatic functional decline. The condition poses significant clinical challenges due to its multifactorial etiology and the risk of severe complications.

Data Highlights

ComplicationIncidenceMajor Diagnostic MethodsMain Treatment Approaches
Pancreatic Exocrine Insufficiency20% at 5 years, 70% at 20 yearsPancreatic function testsPancreatic enzyme replacement therapy
Endocrine InsufficiencyVariesBlood glucose monitoringInsulin therapy
Metabolic Bone DiseaseVariesDEXA scanCalcium and vitamin D supplementation
Pancreatic PseudocystsVariesCT, MRIDrainage procedures

Key Findings

  • Chronic pancreatitis is associated with complications, including pancreatic exocrine and endocrine insufficiencies.
  • The prevalence of pancreatic exocrine insufficiency increases with disease duration and smoking history.
  • Diagnostic methods include pancreatic function tests and imaging techniques.
  • Treatment strategies involve pancreatic enzyme replacement therapy and nutritional support.

Clinical Implications

Healthcare professionals should be aware of the complications associated with chronic pancreatitis.

Conclusion

This comprehensive review highlights the critical need for a structured approach to the diagnosis and management of complications related to chronic pancreatitis, which can significantly impact patient care.

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  9. Recent Advances in the Treatment of Severe Acute Pancreatitis
  10. ACR Appropriateness Criteria® Chronic Pancreatitis
  11. Diagnosis and Classification of Diabetes: Standards of Care in Diabetes—2025
  12. European guidelines for the diagnosis and treatment of pancreatic exocrine insufficiency
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  14. Effect of Early Surgery vs Endoscopy-First Approach on Pain in Patients With Chronic Pancreatitis: The ESCAPE Randomized Clinical Trial - PMC
  15. Long-Term Outcomes of Early Surgery vs Endoscopy First in Chronic Pancreatitis: Follow-Up Analysis of the ESCAPE Randomized Clinical Trial - PubMed
  16. Surgery versus Endoscopy for the Management of Painful Chronic Pancreatitis: A Systematic Review and Meta-Analysis of Randomized Trials
  17. Analgesic Management of Chronic Pancreatitis | Digestive Diseases and Sciences | Springer Nature Link
  18. Precision Medicine Treatment for Painful Chronic Pancreatitis | Current Treatment Options in Gastroenterology | Springer Nature Link
  19. Total Pancreatectomy and Islet Autotransplantation: Imaging Findings and Complications | RadioGraphics
  20. ESPEN practical guideline on clinical nutrition in acute and chronic pancreatitis - ScienceDirect
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  22. Prevalence of Osteopathy in Chronic Pancreatitis: A Systematic Review and Meta-Analysis - PubMed

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