The pancreas is a long, flat, pear-shaped organ located behind the stomach. It makes digestive enzymes and hormones, including insulin. Chronic pancreatitis is a progressive inflammation of the pancreas marked by frequent acute attacks and risk of permanent organ damage.
The goals of treatment for chronic pancreatitis are to relieve pain, and manage nutritional and metabolic problems.
Treatment may be started in a hospital until you are stabilized. Stabilization can be done with:
Nasogastric tube—A long, thin tube is threaded through your nose and into your stomach for feeding
Your doctor may recommend:
Prescription pain relievers
Medications to control diabetes if it develops
You will be advised to stop drinking alcohol. This may require counseling or a rehabilitation program. Stopping your alcohol intake is the most important intervention in your treatment.
If you smoke, talk to your doctor about how you can successfully
You may be advised to restrict the amount of fat in your diet. Pancreatic damage interferes with the body's ability to process fats. A registered dietitian can work with you and create a healthy meal plan.
Surgery may be needed in severe cases:
Necrosectomy—Removal of dying or dead (necrotic) pancreatic tissue. Pancreatic necrosis is more serious if an infection is present. This procedure can also be done with endoscopy.
Chronic pancreatitis. Tulane University School of Medicine website. Available at: https://medicine.tulane.edu/find-doctor/surgical-care/liver-pancreas-center/liver-pancreas-conditions-symptoms/chronic. Accessed December 21, 2017.
Pancreatitis. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: https://www.niddk.nih.gov/health-information/digestive-diseases/pancreatitis/all-content. Accessed December 21, 2017.
Rasmussen HH, Irtun O, Olesen SS, Drewes AM, Holst M. Nutrition in chronic pancreatitis. World J Gastroenterol. 2013;19(42):7267-7275.
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