Acute pancreatitis – intermittent episodes of pancreatitis, usually requiring hospitalization, separated by periods of time with no symptoms. Acute recurrent pancreatitis has about 20 percent chance of becoming chronic pancreatitis over several years.

Chronic pancreatitis – due to chronic scarring of the pancreas from inflammation over the course of many years.

• Autoimmune pancreatitis
• Hereditary pancreatitis

Other pancreatic disorders include:

• Exocrine pancreatic insufficiency (EPI)
• Cystic Fibrosis (CF): associated GI disorders
• Pancreatic Cancer

To schedule an appointment to discuss your need for pancreatitis treatment, call us at 888-229-7408.

Symptoms for acute and chronic pancreatitis are the same; however, those with chronic pancreatitis experience more frequent symptoms. Symptoms may include:

• Abdominal pain
• Tenderness in the abdomen
• Fever
• Chills
• Nausea
• Vomiting
• Weakness
• Clay-colored stools
• Oily stools (chronic pancreatitis only)
• Weight loss (chronic pancreatitis only)

To diagnose pancreatitis, we begin with a comprehensive exam and collect a thorough history. Acute pancreatitis is diagnosed with blood tests and an abdominal CT scan. Chronic pancreatitis can be diagnosed by imaging tests, such as a CT scan; however, viewing small duct inflammation and blockages may require endoscopic ultrasound. Endoscopic ultrasound uses a thin, flexible tube called an endoscope passed through the mouth to examine the digestive tract. The ultrasound component produces sound waves that create quality, detailed images.

We partner with our multidisciplinary team, including pancreatic surgeons, to provide the most comprehensive care as well as an individualized treatment plan for each patient. Our first goal is to figure out the cause of pancreatitis and treat it if possible. Treatments may include:

• Alcohol and/or tobacco cessation programs
• Gallbladder removal – if gallstones are the cause of pancreatitis
• Pancreas surgery – if fluid needs to be drained from the pancreas

For improving pancreatic duct drainage or removing bile duct stones (which can cause pancreatitis), we can use endoscopic retrograde cholangiopancreatography (ERCP). This is a procedure that combines x-ray and upper endoscopy, using an endoscope, which is a lighted, flexible tube, about the thickness of a finger. The doctor passes the tube through the mouth and into the duodenum, identifies the small opening to the bile and pancreatic ducts, then places a wire or injects contrast dye into the ducts to view the ducts, which can be seen on x-ray. Treatment can then take place by passing small tools through the endoscope. If we cannot correct the cause of pancreatitis, we try to improve symptoms using:

• Pancreatic enzymes – tablets to improve digestion and treat malabsorption
• A low-fat diet – our dietician works with patients to create a healthy meal plan
• Chronic neuromodulators – inhibits the transmission of nerve impulses to reduce pain
• Octreotide injections – an injected drug, not FDA-approved for this indication
• Surgical drainage or removal of part of the pancreas