ReviewTherapeutic advances in gastroenterology2026
Idiopathic chronic pancreatitis: clinical highlights.
Review in Therapeutic advances in gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Chronic pancreatitis (CP) is a fibro-inflammatory syndrome associated with environmental, genetic, autoimmune, and metabolic factors. Although the main burden of CP is chronic pain and pancreatic insufficiency, epidemiological data indicate that CP patients are at significantly higher risk of developing pancreatic ductal adenocarcinoma (PDAC). CP is a disease that requires complex management based on reducing the severity of symptoms, as there is no curative treatment available. Idiopathic chronic pancreatitis (ICP) is diagnosed after ruling out other possible causes and remains the second most common type of CP-8%-30% of cases. A distinction is made between early-onset ICP (EO-ICP) and late-onset ICP (LO-ICP) based on the age of onset. ICP is characterized by a milder course than CP of other etiologies. In particular, considering the subtypes of ICP, there is a tendency that pain occurs significantly more frequently in EO-ICP compared to alcoholic CP (ACP) and LO-ICP. In turn, diabetes and exocrine pancreatic insufficiency seem to develop much faster in patients with LO-ICP than in patients with ACP and EO-ICP. However, in CP associated with genetic causes, especially mutations in the serine protease 1 (
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