The leading causes of chronic pancreatitis are alcohol and idiopathic pancr
eatitis. The importance of genetic factors in chronic pancreatitis has been
uncertain. Recently, however, it was learned that many patients with idiop
athic chronic pancreatitis have mutations of the cystic fibrosis gene, This
article reviews the evidence that links mutations of this gene to unexplai
ned pancreatitis, and discusses the implications of this for the evaluation
, pathogenesis, classification, and possible prevention of pancreatitis.