The Cribsiders S6 Ep140: Acute Recurrent & Chronic Pancreatitis - When Belly Pain Persists
Apr 30, 2025
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Defining Pancreatitis Types
- Acute recurrent pancreatitis involves at least two distinct episodes with resolution between episodes.
- Chronic pancreatitis diagnosis requires imaging changes plus symptoms or pancreatic insufficiency evidence.
Genetics in Pancreatitis
- Acute recurrent and chronic pancreatitis share many causes, including genetic and ductal abnormalities.
- About 70-75% of pediatric patients have genetic risk factors for pancreatitis.
Second Episode Workup Advice
- After a second pancreatitis episode, order MRCP and genetic testing promptly.
- Use imaging to classify pancreatitis and guide workup for underlying causes.