- Pancreatitis is a disease in which inflammation occurs in the pancreas, located behind the stomach, and can manifest in acute or chronic forms.
- Gallstones and excessive alcohol consumption are representative risk factors; genetic diseases such as cystic fibrosis, hypercalcemia, hyperlipidemia, certain medications, and autoimmune diseases can also be causes.
- The core mechanism is the process in which digestive enzymes are activated within the pancreas before they move to the small intestine, thereby damaging pancreatic tissue.
- The representative clinical manifestation is severe epigastric pain; in acute pancreatitis, nausea and vomiting may accompany it.
- Risks and prognosis may vary depending on gallstones, alcohol consumption, smoking, genetic/autoimmune factors, blood lipid/calcium levels, and comorbidities.
- Acute pancreatitis occurs suddenly and can improve within a few days with treatment, whereas chronic pancreatitis can lead to weight loss and steatorrhea through continuous damage and worsening.
- Diagnosis is made by integrating symptoms and physical examination findings with blood tests, abdominal imaging, and additional tests to evaluate causes and complications when necessary.
- The cause and severity cannot be determined solely based on abdominal pain or pancreatic enzyme levels; test results must be interpreted in conjunction with the timing of onset and clinical context.
- Management focuses on acute-phase fluid therapy and pain control, along with evaluation of causes and complications; for chronic cases, nutritional support, abstinence from alcohol and smoking, and digestive enzyme supplementation are considered.
- Treatment varies depending on whether the condition is acute or chronic, the cause, and the severity; the provided data alone cannot be used to judge the approval or superiority of specific drugs or therapies.