EN : acute pancreatitis

DE : die Pankreatitis, die Bauchspeicheldrüsenentzündung

FR : une pancréatite aiguë

Links :

Acute pancreatitis on Medscape
Clinical manifestations and diagnosis of acute pancreatitis on Uptodate
Treatment of acute pancreatitis on Uptodate
Acute pancreatitis on RadiologyAssistant.nl
Acute pancreatitis on Wikipedia EN
Pankreatitis on Wikipedia DE
Pancréatite aiguë sur Wikipedia FR

Etiology :

Biliary tract disease :
- Gallstones passing into bile duct and lodging in Oddi's sphincter (40% in developed countries)
- Occult microlithiasis
Alcohol (40%) :
- habitual ingestion over 10-15 years
- binge drinking
- especially if manometry of Oddi's sphincter is performed
Drugs (10%) (List of drugs associated with acute pancreatitis)
Hereditary pancreatitis
Hypercalcemia (hyperparathyroidism, Vit D excess, )
Developmental abnormalities of the pancreas (pancreas divisum, annular pancreas )
Hypertriglygliceridemia (>12 mmol/l) on uptodate
- Causes of secondary hypertriglyceridemia :
- Diabetes mellitus types 1 and 2 and type 1 with diabetic ketoacidosis
- Alcohol
- Hypothyroidism
- Hormone supplementation with estrogen or Tamoxifen
- Pregnancy
Connective tissue disease (SLE)
Toxins (organophosphate, insecticid, scorpion stings, snake bites)
Surgical procedures (abdominal or cardiopulmonary bypass surgeries causing ischemia to the pancreas)
Vascular abnormalities
Autoimmune pancreatitis
Crohn's dsease

Useful tools :

Apache II scoring system (calculator) on Medscape
Ranson criteria on Wikipedia EN (definition)
Ranson criteria for non-gallstone pancreatitis on MDCalc (calculator) on Medscape (calculator)
Ranson criteria for gallstone pancreatitis on Medscape (calculator)