Uscanga L, Robles-Díaz G, Sarles H
Dig Dis Sci. 1985 Feb;30(2):110-3. doi: 10.1007/BF01308194.
Alcoholism and malnutrition have been implicated commonly in the etiology of chronic pancreatitis (CP). The geographical distribution and clinical and nutritional features differ between the alcoholic and tropical forms of CP. This work presents the etiology and nutritional characteristics of CP in Mexico, a country in which both alcoholism and childhood malnutrition are common. Two well-defined groups of patients have been identified: an alcoholic group composed mainly of males with a mean age at clinical onset of 41 years and a high dietary intake of fat, protein, carbohydrates, and calories; and a nonalcoholic group with a female preponderance, a mean age at onset of 23 years, and a higher intake of protein than controls. We conclude that alcoholic chronic pancreatitis in Mexico is similar to that reported in other temperate countries. Although the nonalcoholic group resembles that observed in tropical countries in many ways, our patients are not malnourished, further questioning the role of childhood malnutrition in the pathogenesis of this type of chronic pancreatitis.
酒精中毒和营养不良通常被认为是慢性胰腺炎（CP）病因中的常见因素。酒精性CP和热带性CP在地理分布以及临床和营养特征方面存在差异。本文介绍了墨西哥CP的病因和营养特征，在该国酒精中毒和儿童营养不良都很常见。已确定了两组明确的患者：酒精性组主要由男性组成，临床发病时的平均年龄为41岁，饮食中脂肪、蛋白质、碳水化合物和热量的摄入量较高；非酒精性组以女性居多，发病时的平均年龄为23岁，蛋白质摄入量高于对照组。我们得出结论，墨西哥的酒精性慢性胰腺炎与其他温带国家报道的情况相似。虽然非酒精性组在许多方面与热带国家观察到的情况相似，但我们的患者并非营养不良，这进一步质疑了儿童营养不良在这类慢性胰腺炎发病机制中的作用。
