The Cribsiders S6 Ep140: Acute Recurrent & Chronic Pancreatitis - When Belly Pain Persists
Apr 30, 2025
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Second Episode Workup Advice
- After a second pancreatitis episode, order MRCP and genetic testing promptly.
- Use imaging to classify pancreatitis and guide workup for underlying causes.
Treat Underlying Causes
- Remove offending medications if discovered to be a pancreatitis cause.
- Target and treat any ductal abnormalities like strictures or stones endoscopically.
Pancreatectomy with Islet Transplant
- Consider total pancreatectomy with islet auto transplant for debilitating chronic pancreatitis pain.
- Patients must accept lifelong diabetes risk, but islet transplant may reduce insulin dependence.