Is a second recurrence of acute pancreatitis serious?

Written by Li Chang Yue
General Surgery
Updated on May 20, 2025
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Acute pancreatitis recurring for the second time is quite serious, as recurrent episodes of pancreatitis can lead to worsened conditions. Particularly after the second recurrence, there may be continuous damage to the pancreatic cells, leading to possible pancreatic fibrosis, and even severe complications such as pancreatogenic diabetes and pancreatic pseudocysts following substantial necrosis of the pancreas.

Therefore, for recurrent pancreatitis, it is essential to adopt an aggressive treatment approach, aiming for early diagnosis and timely control measures. This can allow for comprehensive and effective treatment of pancreatitis, salvaging some damaged pancreatic cells, which might be more meaningful for the patient's prognosis. Thus, in cases of a second recurrence of acute pancreatitis with severe complications, active interventions including surgical treatment and other emergency measures should be pursued.

Other Voices

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Written by He Zong Quan
General Surgery
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Does acute pancreatitis affect the rise in blood sugar?

After the onset of acute pancreatitis, pathological changes occur in the pancreas, affecting both its endocrine and exocrine functions. The endocrine function includes the secretion of insulin, which can lead to insulin resistance, impacting glucose metabolism and causing an increase in blood sugar levels. Therefore, after admission, it is routine to monitor the blood sugar levels of patients with acute pancreatitis and manage insulin resistance. Additionally, due to the increased blood sugar levels, there is a higher risk of infection in these patients. Depending on the cause of the condition, targeted treatment is necessary along with the early use of antibiotics to control the progression of pancreatitis, reduce the rate of infections, and promote recovery of the body.

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Written by Wu Hai Wu
Gastroenterology
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Can you drink water with acute pancreatitis?

During the acute attack of acute pancreatitis, it is essential to immediately prohibit eating and drinking, as it may exacerbate the condition. Once the abdominal pain disappears and the body temperature normalizes, one can gradually resume eating and drinking, starting with small amounts of water and liquid food. However, it is also necessary to avoid consumption of meats and protein-rich foods. Additionally, if eating prompts a relapse of the condition, it indicates that the prohibition of eating and drinking should continue. If patients with pancreatitis resume eating and drinking too soon, it can lead to a worsening of the condition.

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Written by Li Qiang
Intensive Care Unit
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How long does it take to cure acute severe pancreatitis?

Acute severe pancreatitis is a disease with a long treatment period and high treatment costs. Acute severe pancreatitis is pathologically staged, generally divided into the organ failure phase, also known as the inflammatory response phase. Typically, this occurs within 7 days after the onset of severe pancreatitis, during which there is a massive release of inflammatory factors, causing multiple organ failures. This stage is perilous and often requires the support of multiple organ functions, such as ventilators and hemofiltration treatments. After this inflammatory response phase, it transitions into a chronic phase of abdominal infection, which occurs approximately one week to one or two months after the onset. At this time, there is a large amount of effusion in the abdominal cavity, and some of the effusion may develop secondary infections. The main treatment at this stage involves puncture drainage of the effusion. Once an infection is detected, puncture drainage is performed on the infected site to manage the infection. Therefore, the treatment period for severe pancreatitis primarily depends on the duration of organ function support, recovery time of organ functions, and the severity of the infection. Some organ function support may be prolonged, requiring several months, and sometimes irreversible conditions occur, such as acute renal failure transitioning into chronic renal failure. Abdominal infections are more complex. If the infection is severe and recurrent, long-term puncture drainage or surgical removal of the infection may be necessary, often requiring several months of treatment.

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Written by Zhu Dan Hua
Gastroenterology
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What department should I go to for acute pancreatitis?

Acute pancreatitis can be treated at the Department of Gastroenterology in local hospitals. It commonly begins with abdominal pain clinically, so it is recommended that patients first visit the Department of Gastroenterology. The pain from acute pancreatitis is primarily in the upper abdomen, persistent, and may radiate to the back. Of course, some patients may experience nausea, vomiting, cessation of gas and bowel movements, fever, etc. For such patients, it is recommended to complete examinations such as blood amylase, urine amylase, and lipase. When necessary, an abdominal ultrasound and CT scan should be conducted to assess the condition of the pancreatitis. Diagnosing pancreatitis is generally straightforward. As for treatment, it mainly involves internal medicine pharmacotherapy, fasting, fluid replacement, gastrointestinal decompression, and suppressing pancreatic secretion, among others. Of course, if complications arise, surgical intervention by the Department of Hepatobiliary Surgery may be required. (The use of medication should be under the guidance of a doctor.)

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Dietary care for acute pancreatitis

Symptoms of acute pancreatitis include severe upper abdominal pain. During the treatment, it is essential to fast and decompress the stomach and intestines initially during the abdominal pain period. Once the pain subsides, the patient can begin a liquid diet, followed by a gradual transition to a semi-liquid diet under the guidance of a doctor. Since the causes of acute pancreatitis include binge eating or excessive alcohol consumption, patients with acute pancreatitis should abstain from alcohol and maintain a balanced diet to prevent binge eating. A light diet is preferable, avoiding fatty, greasy, fried, and barbecued foods. Additionally, it is important to maintain regular rest patterns and avoid excessive fatigue or staying up late.