Etiological diagnosis of recurrent acute pancreatitis.
Alberto Gómez PérezAna Aparicio-SerranoFrancisco Javier Serrano RuizPublished in: Revista espanola de enfermedades digestivas (2024)
Acute pancreatitis is the leading cause of inpatient care among gastrointestinal conditions. Despite early intervention, one-third of patients experience recurrent acute pancreatitis (RAP). A comprehensive diagnostic approach is warranted to identify and treat underlying factors in order to prevent recurrence. RAP is most frequent among men aged 30-40, smokers, and in those with excessive alcohol consumption. To identify the etiology is paramount to stratify patients according to their individual risk of RAP and for predicting an eventual evolution to chronic pancreatitis. Although the initial management of acute pancreatitis is widely homogeneous according to established guidelines, there are no defined protocols to investigate RAP. In the present editorial article we propose a structured algorithm with precise recommendations to investigate the etiology RAP as part of routine clinical practice. Although there are relevant knowledge gaps in this disease, we believe that our guidance would contribute for a more homogenous diagnostic approach of RAP in clinical practice.
Keyphrases
- clinical practice
- end stage renal disease
- ejection fraction
- newly diagnosed
- alcohol consumption
- chronic kidney disease
- palliative care
- mental health
- machine learning
- peritoneal dialysis
- body mass index
- physical activity
- middle aged
- weight loss
- smoking cessation
- patient reported
- pain management
- health insurance
- affordable care act