Morphology-Based Surgery for Chronic Pancreatitis: Findings from a Europe-Wide Study and the Case for Unified, Next-Generation Guidelines

Morphology-Based Surgery for Chronic Pancreatitis: Findings from a Europe-Wide Study and the Case for Unified, Next-Generation Guidelines

A Europe-wide prospective study shows wide variation in morphology-based surgery for chronic pancreatitis and no clear outcome advantage from current guideline concordance — underscoring the need for unified, clearer recommendations on resections, parenchyma-preserving operations, and small-duct disease.
Type 3c Diabetes from Chronic Pancreatitis: Mechanisms, Diagnosis, and Practical Management

Type 3c Diabetes from Chronic Pancreatitis: Mechanisms, Diagnosis, and Practical Management

This article synthesizes current understanding of type 3c diabetes (T3cDM) caused by chronic pancreatitis—covering pathophysiology (islet loss, exocrine insufficiency, altered incretin and hepatic/peripheral insulin sensitivity), diagnostic approaches, and pragmatic treatment strategies including enzyme replacement and tailored glycemic therapy.