Guda Nalini M, Romagnuolo Joseph, Freeman Martin L
University of Wisconsin School of Medicine and Public Health, St. Luke's Medical Center, Milwaukee, WI 53215, USA.
Curr Gastroenterol Rep. 2011 Apr;13(2):140-9. doi: 10.1007/s11894-011-0176-x.
Recurrent acute pancreatitis is a common clinical problem. Most cases of pancreatitis are identified by a careful history and physical examination. Despite advanced evaluation, the cause is not apparent in about 10% of cases. The etiology of recurrent acute pancreatitis appears to be multifactorial, with genetic and environmental influences playing a significant role. The strength of evidence for certain etiologies is highly variable, and natural history data are limited. Controversy exists regarding the most appropriate diagnostic and therapeutic approach. Recurrent acute pancreatitis often represents a continuum with chronic pancreatitis.
复发性急性胰腺炎是一个常见的临床问题。大多数胰腺炎病例通过详细的病史和体格检查得以确诊。尽管进行了先进的评估，但仍有大约10%的病例病因不明。复发性急性胰腺炎的病因似乎是多因素的，遗传和环境因素起着重要作用。某些病因的证据强度差异很大，且自然史数据有限。关于最合适的诊断和治疗方法存在争议。复发性急性胰腺炎常与慢性胰腺炎呈连续状态。
