Theme |
Gastorointestinal Diseases --from the Standpoint of Psychosomatic Medicine |
Title |
What is Suspicious Type of Chronic Pancreatitis ? |
Author |
Yoshihide Nakai |
Psychosomatic Internal Medicine, Division in the First Department of Internal Medicine, Kansai Medical University |
[ Summary ] |
In order to demonstrate the psychosomatic medical conditions associated with mild chronic pancreatitis (the suspicious type), a psychosomatic medical investigation was conducted on chronic pancreatitis comparing with 30 cases of severe chronic pancreatitis (the definit type). In the suspicious type, we observed a marked neurotic tendency, autonomic disorder, complications with IBS or biliary dyskinesia with high frequency (78% and 65%). This disease appears to be based on systemic autonomic disorder as well as general alimentary disorder in periphery. The frequency of accompanying depression was involved as high as 54%. Taking into consideration that antidepressants were immediately effective, it is thus suggested that the central nervous system participates in the crisis of this disease. |