ABSTRACT
In Brazil, the incidence of IPF due to alcohol-induced CP seems to be higher than in other countries. The authors analysed some general, epidemiologic, laboratory and radiologic features in 98 patients with CP, all of them alcoholics, divided in two groups: 49 patients without IPF (I) and 49 patients with IPF (II). The authors first analysed the following parameters in each group and then comparatively in both groups: age, sex, race, smokers and daily consumption of cigarettes, daily consumption of alcoholic beverages, years of alcohol consumption, and mortality. The authors concluded that pancreatic fistula plays in effusions the main role, secondary to cysts disruption or necrosis of the main pancreatic duct.
Subject(s)
Pancreatic Cyst/complications , Pancreatic Fistula/complications , Pancreatitis/complications , Adult , Age Factors , Alcoholism/complications , Chronic Disease , Female , Humans , Male , Middle Aged , Necrosis , Pancreatic Cyst/epidemiology , Pancreatic Ducts/pathology , Pancreatic Fistula/epidemiology , Pancreatitis/epidemiology , Sex Factors , Time FactorsABSTRACT
Since the first description by Glisson in 1681 many papers about the sphincter of Oddi have been published contributing to the understanding of its physiology. Sphincter manometry has brought to light new facts that allow a better understanding of old concepts such as the biliary dyskinesia and the post-cholecystectomy syndrome as well as a more rational evaluation of the clinical results of the sphincterectomy. A review of the physiologic, pharmacologic, diagnostic and therapeutic aspects of the dysfunction of the sphincter of Oddi is presented.
