Is an inflammation of the Pancreas that has been present for a longer duration of time.

Somewhat similar to acute pancreatitis and can present with acute form in someone with chronic pancreas damage.

Fibrosis and destruction of pancreas tissue that results in decreased or abnormal function can occur.

Seen more often in Men then Women

Is 1 of the 2 classifications of  pancreatitis –  the other is acute pancreatitis .

Symptoms:

    -    Abdominal pain
    -    Steatorrhea  -  difficulty with absorption of fat from diet – causes changes in bowel movement
    -    Nausea
    -    Vomiting
    -    Loss of weight
    -    Fatigue

Causes:
    -    unknown
    -    Chronic medication use   [Steroids or anti-inflammatory drugs]
    -    Chronic Alcohol abuse
    -    Dysfunction of Sphincter of Oddi
    -    Trauma
    -    Cystic Fibrosis
    -    Malnutrition

CT and X-rays may show calcification on pancreas
Lipase and Amylasemay or may not be elevated  -  Enzymes produce in pancreas and can “leak” during pancreatitis

Secretin stimualtion test is often very important

Treatment:

Pain medication

Surgery

ERCP  -  (endoscopic retrograde cholangiopancreatography)

Pancreatic enzyme replacement with supplements

Insulin in some cases where production has been compromised due to complication