Chronic pancreatic cancer

Question 1

What is the most common cause?

Answer 1

70% of cases caused by alcohol abuse

Question 2

Name 3 other causes of chronic pancreatitis?

Answer 2

1. Gallstones
2. Cystic fibrosis
3. alpha 1 antitrypsin deficiency

Question 3

Name 3 clinical features?

Answer 3

1. epigastric pain, radiating to the back
2. Pancreatic insufficiency
   - Diabetes mellitus
   - Malabsorbtion and steatorrhea

Question 4

Conservative management

Answer 4

1. analgesia
2. Pancreatic enzyme supplementation
3. Insulin /Diabetes control
4. Lifestyle - stop alcohol use/smoking

Question 5

Surgical management

Answer 5

1. rare method of mx

Pancreatic resection