Etiology,Diagnosis And Treatment Of Chronic Panceratitis:A Clinical Analysis Of 118 Cases

Objective To analyze and summarize our hospital with chronic pancreatitis etiology, diagnosis and treatment experience, raise the level of awareness of the disease in our hospital, to get a preliminary understanding of the characteristics of chronic pancreatitis in Guangxi.Methods In a retrospective analysis, we analyzed the clinical data of 118 patients with chronic pancreatitis in the First Affiliated Hospital of Guangxi Medical University from January 2012 to December 2015, to analyze the characteristicsts of the high risk population, etiology, clinical manifestations, complications, laboratory tests, imaging methods, treatment methods,etc, and to analysis the effect of smoking and drinking on pancreatic calcification, pancreatic diabetes and weight respectively.Result The study included 118 cases of chronic pancreatitis patients,106 cases of male and 14 cases of females, male to female ratio was 8.83:1. Peasants were the highest percentage of all professions (46.61%). Etiology study showed that there are 70 cases of alcoholic factor (59.32%)) and 42 cases of gallstone factor (35.59%). The main clinical manifestations of chronic pancreatitis patients was stomachache (82.20%), followed by weight loss (61.86%). Diagnosis of chronic pancreatitis commonly used imaging methods which include B ultrasonic, CT, MRI/MRCP, ERCP, EUS, their positive rate was respectively 50.85%,87.50%,85.19%,68.97%,93.94%. In terms of treatment,78 cases were taken to conservative treatment (66.10%),19 cases were taken endoscopic treatment (16.10%) and 21 cases were taken to surgical treatment (17.80%). When suffering from pancreatic calcification (62.86%), pancreatic diabetes (52.86%) and underweight (42.86%), the proportion of long-term drinking of patients with chronic pancreatitis was respectively higher than the proportion of non-drinking chronic pancreatitis patients (41.67%,0%, 25.00%)) (P< 0.05). When suffering from pancreatic calcification, the proportion of long-term smoking of patients with chronic pancreatitis (61.04%) was higher than the proportion of non-smoking chronic pancreatitis patients (41.46%) (P<0.05)Conclusion In our hospital, drinking was a major cause of chronic pancreatitis, the long-term drinking patients with chronic pancreatitis were more likely to suffer from pancreatic calcification, pancreatic diabetes and underweight than non-drinking patients with chronic pancreatitis. The long-term smoking patients with chronic pancreatitis were more likely to suffer from pancreatic calcification than non-smoking patients with chronic pancreatitis. In our hospital, the most common imaging methods was CT in the diagnosis of chronic pancreatitis, the highest positive rate method was EUS in the diagnosis of chronic pancreatitis.