Acute Pancreatitis is a Chronic Disease
|Professor of Surgery, School of Medicine, University of Tasmania, Australia|
|Corresponding Author :||Richard Turner
Professor of Surgery, School of Medicine
University of Tasmania, Private Bag 96
Hobart TAS 7001, Australia
E-mail: [email protected]
|Received April 04, 2013; Accepted July 29, 2013; Published July 31, 2013|
|Citation: Turner R (2013) Acute Pancreatitis is a Chronic Disease. Pancreatic Dis Ther 3:118. doi:10.4172/2165-7092.1000118|
|Copyright: © 2013 Turner R. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Based on the example of a cohort of patients treated at a regional Australian hospital, it is evident that many incident acute pancreatitis cases merit consideration as a chronic disease process, for a number of reasons:
• A considerable proportion of acute cases harbour underlying pancreatitis.
• An attack of severe acute pancreatitis may lead to long-term structural or functional impairment.
• Following an attack of acute pancreatitis, risk factors or precursors of chronic pancreatitis or recurrent acute pancreatitis may persist. As such, it is argued that cases of acute pancreatitis should by default be managed from the perspective of a chronic disease paradigm. A management strategy based on a prevention hierarchy is proposed.