Pancreatitis

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Medical Author:

Jerry R. Balentine, DO, FACEP

Jerry R. Balentine, DO, FACEP

Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.

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Medical Editor:

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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• Pancreatitis Overview
• Pancreatitis Causes
• Pancreatitis Symptoms
• When to Seek Medical Care
• Pancreatitis Diagnosis
• Pancreatitis Treatment
• Self-Care at Home
• Pancreatitis Medical Treatment
• Surgery
• Follow-up
• Pancreatitis Prevention
• Pancreatitis Prognosis
• Support Groups and Counseling
• Synonyms and Keywords
• Authors and Editors
• Read more on Pancreatitis from Healthwise
• Viewer Comments: Pancreatitis - Diet
• Viewer Comments: Pancreatitis - Symptoms
• Viewer Comments: Pancreatitis - Describe Your Experience

Pancreatitis Overview

Pancreatitis simply means inflammation of the pancreas. Located in the upper part of the abdomen, behind the stomach, the pancreas plays an important role in digestion. The pancreas is a gland, producing two main types of substances: digestive juices and digestive hormones.

• Digestive juices include enzymes and bicarbonate. They travel through a small tube called the pancreatic duct that connects the pancreas to the small intestine to the small intestine (duodenum).
  
  
  • There, the enzymes help in the break down of proteins and fats in the foods that you eat to permit the nutrients to be absorbed.
    
    
  • The bicarbonate neutralizes stomach acid.


• Digestive hormones, mainly insulin and glucagon, are released into the bloodstream. They control the body's blood sugar level, a major source of energy, and are an important role in the cause of diabetes.

Inflammation of the pancreas has various causes. Once the gland becomes inflamed, the condition can progress to swelling of the gland and surrounding blood vessels, bleeding, infection, and damage to the gland. There, digestive juices become trapped and start "digesting" the pancreas itself. If this damage persists, the gland may not be able to carry out normal functions.

Pancreatitis may be acute (new, short-term) or chronic (ongoing, long-term). Either type can be very severe, even life-threatening. Either type can have serious complications.

• Acute pancreatitis usually begins soon after the damage to the pancreas begins. Attacks are typically very mild, but about 20% of them are very severe. An attack lasts for a short time and usually resolves completely as the pancreas returns to its normal state. Some people have only one attack, whereas other people have more than one attack, but the pancreas always returns to its normal state.
  
  
• Chronic pancreatitis begins as acute pancreatitis. If the pancreas becomes scarred during the attack of acute pancreatitis, it cannot return to its normal state. The damage to the gland continues, worsening over time.

About 80,000 cases of acute pancreatitis occur in the United States each year. Pancreatitis can occur in people of all ages, although it is very rare in children. Pancreatitis occurs in men and women, although chronic pancreatitis is more common in men than in women.