The assortment of tablets I was asked to take, interfered with the pleasant effects of alcohol, Hence I thought it best to stop taking them in the interests of my health”
Prognosis
Acute Pancreattis ; spontaneously in 80-90% of cases, and the mortality is 3-5%. Poor prognosis is indicated, on admission, by age >55, TC > 16000, blood glucose >200 mg, LDH >2 times normal value, and SGOT >6 times the normal value.Chronic Pancreatitis ; may have recurrent episodes of acute pancreatitis , or may “burn off” with resolution of symptoms. Narcotic addiction is a real threat. 80% of alcoholics with pancreatitis survive 10 years if drinking stops but succumb earlier, if dependence persists. Prognosis is best if the causal condition is remediable like biliarystones, stenosis of the sphincter of Oddi or hyperparathyroidism. Death occurs die to complications of acute attacks, cardiovascular complications of diabetes, associated cirrhosis, drug dependence of sucide.
General Measures
Ensuring fat restriction in diet.Alcohol is forbidden.
Follow Up
Persistent rise in amylase weeks after subsidence of acute attack calls for imaging studies to look for pseudocytes.
Inadequate Response
Rule out complications like pseudocysts, abscess, obstruction, portal/splenic vein thrombosis.
Prevention
Abstinence from alcohol .Correct underlying like pseudocyst. hyperlipidaemia. Hyperparathyroidism etc..
