Уважаемые коллеги,
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Цитата:
Chronic pancreatitis is commonly defined as a continuing chronic inflammatory process of the pancreas, characterized by irreversible morphological changes. This chronic inflammation can lead to chronic abdominal pain and/or impairment of endocrine and exocrine function of the pancreas. Chronic pancreatitis usually is envisioned as an atrophic fibrotic gland with dilated ducts and calcifications. However, findings on conventional diagnostic studies may be normal in the early stages of chronic pancreatitis, as the inflammatory changes can be seen only by histologic examination.
By definition, chronic pancreatitis is a completely different process from acute pancreatitis.
определение по сути тоже самое, о котором писал уважаемый Gallen. С другой стороны у Feldman: Sleisenger & Fordtran's Gastrointestinal and Liver Disease, 8th ed. читаем:
Цитата:
these systems make the assumption that acute pancreatitis and chronic pancreatitis are entirely separate entities, when in fact there is now abundant evidence documenting the evolution in many patients from acute to chronic pancreatitis