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Pancreatitis  
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Copyright © Nucleus Medical Media, Inc.

Definition  

Pancreatitis is a disease in which the pancreas becomes inflamed. The pancreas is a long, flat, pear-shaped organ located behind the stomach. It makes digestive enzymes and hormones, including insulin. In pancreatitis, the digestive enzymes attack the tissue that produces them.

  • Acute pancreatitis—occurs suddenly, with severe upper abdominal pain (This can be a serious, life-threatening illness if not treated.)
  • Chronic pancreatitis—a progressive disorder that can destroy the pancreas
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Causes  

Causes of pancreatitis include:

  • Alcohol abuse (most common cause)
  • Gallstones and other obstructions
  • Surgery or trauma to the pancreas
  • Certain medicines
  • Unknown causes (approximately 15% of cases)
  • Elevated blood triglyceride levels (hypertriglyceridemia)
  • Infections
  • HIV infection
  • A defective pancreas duct (pancreas divisum)
  • Complication of endoscopic retrograde cholangiopancreatography (ERCP)
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Risk Factors  

A risk factor is something that increases your chance of getting a disease or condition. Risk factors for pancreatitis include:

  • Alcohol abuse
  • Family history of pancreatitis
  • Personal history of previous acute pancreatitis
  • Medicines, including:
    • Estrogens
    • Sulfonamides
    • Tetracyclines
    • Thiazides
  • Pancreatic cancer
  • Hyperlipidemia (excessive levels of fat in the blood)
  • Hypercalcemia (increased calcium in the blood)
  • Viral infections, such as mumps
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Symptoms  

Symptoms include:

  • Severe pain in the center of the upper abdomen that:
    • Sometimes spreads into the upper back
    • Is often made worse by eating, walking, or lying down on your back
    • Is less severe in chronic pancreatitis, with a gradual onset that may be tolerable for weeks
  • Nausea and vomiting
  • Diarrhea
  • Fever
  • Jaundice (yellowing of the skin)
  • Shock—a severe change in the body's vital tasks (such as, rapid but weak pulse, rapid and shallow respiration, and low blood pressure) (in severe, acute cases)
  • Unexplained weight loss
  • Symptoms of diabetes :
    • Inc