“Idiopathic” Pancreatitis: Do We Need to Know the Cause?
In the United Kingdom about half the attacks of acute pancreatitis are related to gallstones and about one-quarter to alcohol consumption (Table 1). Other aetiological agents have been reviewed elsewhere (Tables 2 and 3). This chapter is concerned with the search for an aetiology in patients in whom initial assessment has shown no evidence of gallstones and no excessive alcohol consumption (non-gallstone non-alcohol related (NGNA) pancreatitis). Patients with recurrent NGNA pancreatitis deserve particularly thorough investigation to forestall further sttacks, although these patients have a similar distribution of aetiology to primary cases (Table 4).
KeywordsAcute Pancreatitis Common Bile Duct Stone Endoscopic Sphincterotomy Pancreas Divisum Ampullary Carcinoma
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