Читать книгу Pathy's Principles and Practice of Geriatric Medicine - Группа авторов - Страница 542

A primary complication of chronic pancreatitis is pain, the management of which will be discussed below. Nutritional issues, in particular fat malabsorption, can be seen in severe chronic pancreatitis and may lead to obvious steatorrhea and weight loss. Diabetes due to chronic pancreatitis, sometimes termed type 3c diabetes, is relatively uncommon but can be more difficult to control due to both insulin and glucagon insufficiency. Episodes of hyper‐ and hypo‐glycaemia are more likely. They can be further exacerbated by concomitant exocrine insufficiency, resulting in malabsorption. While diabetes is relatively uncommon in chronic pancreatitis, it is a nearly inevitable consequence of major pancreatic resection such as Whipple surgery (see Chapter 86).