The genesis of chronic pancreatitis in the South African black population.
Pancreatitis was previously an unknown disease among black South Africans but has recently emerged as a common clinical problem. This has taken place pari passu with a change in the pattern of alcoholic consumption--Western-type spirits in addition to home-brews. Seventy patients with chronic alcoholic pancreatitis manifesting as clinically acute pancreatitis, and 90 patients with chronic calcific pancreatitis were studied. A high alcohol intake was associated with the pancreatitis in all cases. The prognosis in clinically acute pancreatitis was good, whereas chronic calcific pancreatitis has a high morbidity and mortality rate.