What Happens
Pancreatitis usually appears as a sudden (acute)
attack of pain in the
upper
area
of the belly (abdomen). The disease may be mild or severe.
Acute pancreatitis
Most people with pancreatitis have mild acute pancreatitis. The
disease does not affect their other organs, and they recover without problems.
In most cases, the disease goes away within a week after treatment begins.
Treatment occurs in the hospital with pain medicines and intravenous (IV)
fluids. After inflammation goes away, the pancreas usually returns to normal.
Complications that may occur in or near the pancreas include
tissue death, fluid buildup, and infection. Other complications in other parts
of the body can also happen, including
shock, respiratory failure, and kidney failure.
In some cases, pancreatic tissue is permanently damaged or even
dies (necrosis). These complications increase the risk of infection and organ
failure.
Chronic pancreatitis
Long-term pancreatitis (chronic pancreatitis) may develop after
one or more episodes of acute pancreatitis. It usually occurs after at least 10
years of heavy drinking. It occurs in up to 15 out of 100 people of people who
drink heavily.3, 1
What happens during the course of chronic pancreatitis varies.
Often, ongoing pain and complications develop. Complications may include
flare-ups of symptoms, fluid buildup, bleeding, and blockage of a blood vessel,
the bile duct, or the small intestine.
If much of your pancreatic tissue has died, you may become
malnourished because the pancreas no longer produces enzymes needed to digest
fat and protein. When this happens, fat is released into your stool. This
condition, called steatorrhea, causes loose, pale, unusually foul-smelling
stools that may float in the toilet bowl.
If the damaged pancreas stops making enough
insulin, you also may develop
diabetes.
Chronic pancreatitis increases the risk of pancreatic cancer.
About 4 out of 100 people with chronic pancreatitis develop this
cancer.4
In severe cases, pancreatitis can be fatal.