IV. ERCP in Acute and Chronic Pancreatitis
Epidemiology, natural history, and predictors of disease outcome in acute and chronic pancreatitis

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Acute pancreatitis

The incidence of acute pancreatitis varies considerably throughout the world. Recent data suggest that the incidence is comparatively low in England and the Netherlands (perhaps 5-10 per 100,000), is somewhat higher in Scotland and Denmark (approximately 25-35 per 100,000 inhabitants), and is still higher in the United States and Finland (approximately 70-80 per 100,000 inhabitants).1 The incidence appears to be increasing, but these data may reflect improved methodology of diagnosis and more

Chronic pancreatitis

The incidence of chronic pancreatitis appears to be in the range of 3 to 10 per 100,000 population in many parts of the world.1 The most important medical problems associated with chronic pancreatitis include abdominal pain, steatorrhea, and diabetes mellitus. In addition, in recent years, chronic pancreatitis has been shown to be a premalignant condition.26, 27 Two important etiologies are alcohol and tropical pancreatitis. The cause of the latter condition remains elusive. In addition, some

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    Reprint requests: Peter A. Banks, MD, Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115.

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