Chronic pancreatitis: Pathogenesis and molecular aspects

J. Kleeff, H. Friess, Murray Korc, M. W. Büchler

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Chronic pancreatitis (CP) is characterized by irreversible morphological and functional alterations of the pancreas presenting clinically with upper abdominal pain as well as exocrine and endocrine insufficiencies. CP is morphologically characterized by pancreatic head enlargement, calcifications of the parenchyma, cysts, and pancreatic stones. The most common etiological factor of CP in Western industrialized countries is alcohol abuse; less common factors include hereditary pancreatitis, CP due to metabolic disturbances, CP due to pancreas divisum or duodenal wall cysts, and idiopathic CP. The molecular alterations leading to the chronic inflammatory process are nor completely understood. Research during the last years, however, has elucidated that a number of growth factors and their receptors are overexpressed in CP, which is thought to contribute to the high degree of pancreatic fibrosis and to the proliferative potential of ductular cells in this disorder. In addition, gene mutations have been detected in a subgroup of CP samples underscoring the premaligant potential of CP. In this review we will summarize our current knowledge about pathogenic and molecular aspects of CP.

Original languageEnglish (US)
Pages (from-to)3-10
Number of pages8
JournalAnnali Italiani di Chirurgia
Volume71
Issue number1
StatePublished - Jan 2000
Externally publishedYes

Fingerprint

Chronic Pancreatitis
Pancreas
Pancreatic Cyst
Growth Factor Receptors
Developed Countries
Abdominal Pain
Alcoholism
Cysts
Fibrosis
Mutation

Keywords

  • CFTR
  • Chronic pancreatitis
  • Gene mutations
  • Growth factors
  • K-ras

ASJC Scopus subject areas

  • Surgery

Cite this

Kleeff, J., Friess, H., Korc, M., & Büchler, M. W. (2000). Chronic pancreatitis: Pathogenesis and molecular aspects. Annali Italiani di Chirurgia, 71(1), 3-10.

Chronic pancreatitis : Pathogenesis and molecular aspects. / Kleeff, J.; Friess, H.; Korc, Murray; Büchler, M. W.

In: Annali Italiani di Chirurgia, Vol. 71, No. 1, 01.2000, p. 3-10.

Research output: Contribution to journalArticle

Kleeff, J, Friess, H, Korc, M & Büchler, MW 2000, 'Chronic pancreatitis: Pathogenesis and molecular aspects', Annali Italiani di Chirurgia, vol. 71, no. 1, pp. 3-10.
Kleeff J, Friess H, Korc M, Büchler MW. Chronic pancreatitis: Pathogenesis and molecular aspects. Annali Italiani di Chirurgia. 2000 Jan;71(1):3-10.
Kleeff, J. ; Friess, H. ; Korc, Murray ; Büchler, M. W. / Chronic pancreatitis : Pathogenesis and molecular aspects. In: Annali Italiani di Chirurgia. 2000 ; Vol. 71, No. 1. pp. 3-10.
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