chronic alcohol related pancreatitis

Last reviewed 03/2022

NICE suggest that for diagnosis of chronic alcohol-related pancreatitis use all of the following:
  • the person's symptoms
  • imaging to determine pancreatic structure and
  • tests of pancreatic exocrine and endocrine function
    • computed tomography is the first-line imaging modality for people with a history and symptoms suggestive of chronic alcohol-related pancreatitis

Management

  • for people with steatorrhoea or poor nutritional status, offer pancreatic enzyme supplements
  • if pain is the only symptom, do not give enzyme supplements.
    • for people with pain:
      • refer to a specialist centre for multidisciplinary assessment
      • offer surgery (in preference to endoscopic therapy) to people with large-duct (obstructive) chronic pancreatitis
      • offer coeliac axis block, splanchnicectomy or surgery to people with small-duct (non-obstructive) chronic pancreatitis if their pain is poorly controlled.

Reference: