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.