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Idiopathic chronic pancreatitis in India
  1. H Ramesh
  1. Department of Gastrointestinal Surgery, Lakeshore Hospital & Research Center, Cochin, Kerala, India
  1. Correspondence to Dr H Ramesh, 31/543, Subash Nagar, Edappally, Cochin 682024, Kerala, India; hramesh{at}

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I read with interest the paper by Midha et al1 which brings a new perspective on non-alcoholic chronic pancreatitis in India which raises some concerns.

The term ‘tropical pancreatitis’ was used to denote a form of chronic pancreatitis unassociated with alcohol abuse which occurred in the tropics and subtropics. The subtropics, by definition, denote geographic areas adjacent to the tropical zone (usually 20–40° latitude) where daytime temperatures remain above 10°C for >8 months of the year. India's geographic latitudinal extent is 6.74678°N to 37.09681°N and daytime temperatures do exceed 10°C for >8 months, and hence qualifies as being ‘tropical’.

In the study, the definition for chronic pancreatitis is vague. Our own preference is to use four criteria: …

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  • Linked articles 223321, 228379.

  • Competing interests None to declare.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; not externally peer reviewed.

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