Post-pancreatitis diabetes: clinical experience in 40 cases Diabetes post pancreatitis: experiencia clínica en 40 casos.
Author
dc.contributor.author
García García, Patricio Andrés
Author
dc.contributor.author
Tapia Tapia, Alejandra
Admission date
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2019-01-29T15:50:03Z
Available date
dc.date.available
2019-01-29T15:50:03Z
Publication date
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1994
Cita de ítem
dc.identifier.citation
Revista medica de Chile, Volumen 122, Issue 10, 2018, Pages 1163-1168
Identifier
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00349887
Identifier
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https://repositorio.uchile.cl/handle/2250/162535
Abstract
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The clinical features and evolution of 40 patients with diabetes mellitus secondary to chronic pancreatitis were reviewed and compared with 40 insulin dependent diabetics, matched for the disease duration. The diagnosis of pancreatitis was confirmed by the existence of pancreatic calcifications, surgery or autopsy and was associated to alcoholism in males and biliary diseases in females. Diabetes appeared, as a mean, 3 years after the diagnosis of pancreatitis. Ninety percent of subjects required insulin and, in males, these requirements were higher than their matched controls. Episodes of ketoacidosis were less frequent than in insulin dependent patients (8 vs 48% p < 0.001) and pulmonary tuberculosis had a higher prevalence (22.5 vs 5% p < 0.01). Nephropathy was observed with equal frequency in both groups but the incidence of retinopathy was higher in postpancreatic diabetics (38 vs 20% p < 0.01). It is concluded that the features of diabetes secondary to chronic pancreatitis are si