Cause
Normally, the structure of the
pancreas and the pancreatic duct prevent digestive
enzymes from damaging the pancreas. But certain conditions can develop that
cause damage and
pancreatitis.
Acute pancreatitis
Most attacks of pancreatitis are caused by
gallstones
that block the flow of pancreatic enzymes
or by excessive amounts of alcohol.2 Sudden (acute)
pancreatitis may happen after a drinking binge or after many episodes of heavy
drinking.
Other causes of acute pancreatitis are:
Sometimes the cause is not known.
Chronic pancreatitis
Excessive alcohol use is the major cause of ongoing pancreatitis
(chronic pancreatitis). Up to 15 out of 100 people who drink heavily develop
chronic pancreatitis. Many experts believe that other factors—such as a
high-fat diet or smoking—play a role in the disease.1
Experts do not know how alcohol irritates the pancreas. Most
believe that alcohol either causes enzymes to back up into the pancreas or
changes the chemistry of the enzymes, causing them to inflame the
pancreas.