Chronic pancreatitis

Alternative names:

chronic relapsing pancreatitis

Treatment:

Management of the symptoms of chronic pancreatitis is achieved by reducing pancreatic stimulation, alleviating fat indigestion, reducing pain, and treating diabetes with the following measures:

• low-fat diet
• fat-soluble vitamins and calcium in diet
• no alcohol use or caffeine
• pain relief with analgesics
• controlling blood-sugar levels by giving insulin
• pancreatic enzymes to correct underproduction

Surgery to alleviate an obstruction may be recommended if an anatomic lesion is found. In advanced cases, all or part of the pancreas may be removed.

Expectations (prognosis):

This is a serious disease that may lead to disability. The outcome is usually better if abstinence from alcohol is maintained.

Complications:

• narcotic addiction (substance abuse)
• ascites
• cysts
• obstruction of the common bile duct
• permanent diabetes mellitus
• blood clots in the splenic vein

Calling your health care provider:

Call for an appointment with your health care provider if symptoms of pancreatitis develop.

Call for an appointment with your health care provider if symptoms of pancreatitis worsen or do not improve with treatment.