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- Excess alcohol intake
- Recurrent attacks of acute pancreatitis
- Family history of:
- hyperparathyroidism associated with chronic pancreatitis
- chronic pancreatitis
- Chronic kidney disease
- Congenital conditions, such as pancreas divisum
- Ischemia—insufficient blood supply to the pancreas
- Hyperlipidemia—elevated blood fat levels
- Hypertriglyceridemia—elevated blood triglyceride levels
- Hypercalcemia—elevated blood calcium levels
- Cystic fibrosis
- Pseudocysts—build up of fluids and debris
- Abdominal pain that: may get worse when eating or drinking, spreading to the back, or become constant and disabling
- Spreads to the back
- Gets worse when eating or drinking
- Becomes constant or disabling
- Nausea and vomiting
- Weight loss
- Diarrhea—with presence of excess fat or nitrogen-based substances in the stool
- Blood tests—to look for elevated levels the digestive enzymes or other conditions
- Stool tests
- IV fluids
- Nasogastric tube—A long, thin tube is threaded through your nose and into your stomach for feeding.
- Prescription pain relievers
- Pancreatic enzymes
- Vitamin supplements
- Medications to control diabetes if it develops
- Necrosectomy—Removal of dying or dead (necrotic) pancreatic tissue. Pancreatic necrosis is more serious if an infection is present. This procedure can also be done with endoscopy.
- ECRP—To open any collapsed ducts or drain cysts.
- Cholecystectomy—To remove the gallbladder.
National Institute of Diabetes and Digestive and Kidney Diseases http://www.niddk.nih.gov
National Pancreas Foundation http://www.pancreasfoundation.org
Canadian Association of Gastroenterology http://www.cag-acg.org
Health Canada http://www.hc-sc.gc.ca
Chronic pancreatitis. DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated April 22, 2013. Accessed December 4, 2013.
Chronic pancreatitis. Tulane University School of Medicine website. Available at: http://tulane.edu/som/pancreas-biliary/diseases/chronic-pancreatitis.cfm. Accessed December 4, 2013.
Grant JP. Nutritional support in acute and chronic pancreatitis. Surg Clin North Am. 2011;91(4):805-820, viii.
Pancreatitis. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://digestive.niddk.nih.gov/ddiseases/pubs/pancreatitis. Updated August 16, 2012. Accessed December 4, 2013.
Singh VV, Toskes PP. Medical therapy for chronic pancreatitis pain. Curr Gastroenterol Rep. 2003; 5:110.
- Reviewer: Michael Woods, MD
- Review Date: 12/2013 -
- Update Date: 12/00/2013 -