Table of Contents
What causes obstructive pancreatitis?
Potential causes of pancreatic ductal obstruction include: (1) anatomical congenital variations of the biliopancreatic ductal system; (2) acquired obstructive conditions at the level of major/minor papilla, the level of the main pancreatic duct (MPD), or the level of the duodenal wall; (3) pancreatic sphincter of Oddi …
How can I remember pancreatitis?
An easy way to remember the causes of pancreatitis is by using the mnemonic I GET SMASHED….Introduction

- Biliary pancreatitis represents 40% of the cases due to gallstones.
- Idiopathic represents about 25% of the cases.
- Alcohol-induced acute pancreatitis represents 20% of the cases.
What are the 3 main causes of acute pancreatitis?
Conditions that can lead to acute pancreatitis include:

- Gallstones.
- Alcoholism.
- Certain medications.
- High triglyceride levels in the blood (hypertriglyceridemia)
- High calcium levels in the blood (hypercalcemia), which may be caused by an overactive parathyroid gland (hyperparathyroidism)
- Pancreatic cancer.
- Abdominal surgery.
What does calcification of the pancreas mean?
Calcification, which is another sign of chronic inflammation, can develop throughout the pancreas. These calcifications are like stones that are within the tissue itself, or within the pancreatic duct (Figure 1).
Can pancreatitis be caused by stress?
Emotional stress can excite the vagus nerve (connects the brain with the stomach) and causes the stomach to be stimulated to produce excessive amounts of acid. As noted, this increase in acid stimulates an increase in pancreatic secretion production. This can exacerbate pancreatitis once it has been established.
How does pancreatitis cause third spacing?
This is caused by release of cytokines and other pro inflammatory mediators. These further cause vasodilatation, intravascular volume depletion, and end organ hypoperfusion. Patients of acute pancreatitis have significant fluid loss in third space. This is evident by increased hematocrit.
What is end stage pancreatitis?
Stage C is the end stage of chronic pancreatitis, where pancreatic fibrosis has led to clinical exocrine and/or endocrine pancreatic function loss (steatorrhea and/or diabetes mellitus). Complications of chronic pancreatitis might or might not be present.
What are four causes of pancreatitis?
What causes pancreatitis?
- Medications (many can irritate the pancreas).
- High triglyceride levels (fat in the blood).
- Infections.
- Abdominal injury.
- Metabolic disorders such as diabetes.
- Genetic disorders such as cystic fibrosis.
What is the life expectancy of someone with pancreatitis?
The overall survival rate is 70% at 10 years and 45% at 20 years. In an international study, 559 deaths occurred among patients with chronic pancreatitis, compared with an expected number of 157, which creates a standard mortality ratio of 3.6.