What department should I go to for pancreatitis?

Written by Yang Chun Guang
Gastroenterology
Updated on May 08, 2025
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Pancreatitis is a disease where the digestive enzymes in the pancreas are activated internally, causing the pancreas to digest itself. Clinically, it presents with upper abdominal pain, nausea, and vomiting. If severe, the abdominal pain can be intense. In such cases, one should register with the department of gastroenterology, as the pancreas is also an organ of the digestive system. If the hospital does not have a gastroenterology department, one could consider registering with the department of internal medicine. If the pancreatitis is severe and requires surgical or other treatments after examination by the gastroenterology department, further referral to another specialty for treatment may be necessary.

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Written by Wei Shi Liang
Intensive Care Unit
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Severe pancreatitis is what disease

Acute severe pancreatitis is a disease caused by various etiologies, characterized by local necrosis, inflammation, and infection of the pancreas, accompanied by systemic inflammatory response and persistent organ failure. The current mortality rate is still as high as 17%. The course of acute severe pancreatitis can generally be divided into three periods. First, the acute response period, occurring up to about two weeks after onset, is characterized by a systemic inflammatory response. Second, the systemic infection period, from two weeks to about two months, is characterized by infection of pancreatic or peripancreatic necrosis. Third, the residual infection period, occurring two to three months later, where the main clinical manifestation is systemic malnutrition.

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Written by Wei Shi Liang
Intensive Care Unit
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Symptoms of severe pancreatitis

The main symptom of severe pancreatitis is abdominal pain. This type of abdominal pain manifests as intense pain in the upper-middle abdomen, which radiates to the back and both sides of the body. The pain is widespread and severe, with about 95% of patients experiencing abdominal pain. Onset often occurs following binge eating or excessive drinking, and the pain worsens after eating. Another symptom is abdominal distension, which is also a common symptom. It is caused by extensive effusion in the abdominal cavity and retroperitoneum, as well as intestinal paralysis. Fever in the early stage of the disease is also a common symptom, resulting from the absorption of a large amount of necrotic tissue. Fever occurring in the later stages is often caused by infections triggered within the abdominal cavity.

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Written by Chen Rong
Gastroenterology
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How to check for pancreatitis?

The examination of pancreatitis requires laboratory tests and imaging examinations to assess the severity of the condition and to identify the cause. Elevated amylase and lipase levels more than three times the normal values, increased white blood cells, elevated C-reactive protein, increased blood sugar, elevated transaminases and bilirubin, decreased albumin, increased urea nitrogen and creatinine, decreased blood oxygen partial pressure, decreased blood calcium, elevated triglycerides, and abnormalities in blood sodium, potassium, and pH values all reflect the severity of pancreatitis. Abdominal ultrasound is a routine initial screening imaging examination for acute pancreatitis, and abdominal CT is helpful in confirming the presence of pancreatitis, peripancreatic inflammatory changes, and pleural effusion. Enhanced CT is beneficial in determining the extent of pancreatic necrosis and is generally performed about a week after the onset of the condition. However, when searching for the cause of pancreatitis, the sensitivity and accuracy of CT are not as good as MRI, therefore further MRI should be conducted to investigate causes related to the bile duct and to determine the cause of the pancreatitis.

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Written by Wu Hai Wu
Gastroenterology
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How to take care of acute pancreatitis

Patients with pancreatitis should pay attention to their diet during the recovery period. The basic dietary principle for pancreatitis patients is to consume small amounts of easily digestible foods, with low protein and fat content, primarily carbohydrates. During acute episodes, it's crucial to strictly control the intake of fatty foods. Once the condition has improved, patients may gradually consume protein-rich, high-vitamin, high-carbohydrate foods, along with non-irritating, easily digestible foods. Patients should avoid consuming large amounts of meat and alcohol, and can eat rice soup, lotus root starch, noodles, etc.

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Written by Yang Chun Guang
Gastroenterology
46sec home-news-image

What department should I go to for pancreatitis?

Pancreatitis is a disease where the digestive enzymes in the pancreas are activated internally, causing the pancreas to digest itself. Clinically, it presents with upper abdominal pain, nausea, and vomiting. If severe, the abdominal pain can be intense. In such cases, one should register with the department of gastroenterology, as the pancreas is also an organ of the digestive system. If the hospital does not have a gastroenterology department, one could consider registering with the department of internal medicine. If the pancreatitis is severe and requires surgical or other treatments after examination by the gastroenterology department, further referral to another specialty for treatment may be necessary.