Pancreatitis recurrente y crónica

Recurrent acute pancreatitis (RAP) and chronic pancreatitis (CP) are complex syndromes with converging pathologic pathways. Identifying the cause of RAP towards some procedures will avoid the development of CP. The conditions that can cause a PAR and CP are toxic-metabolic (mainly tobacco and alcohol), genetics, autoimmune and obstructive, with a percentage of cases in which is not possible to find anyone. Nowadays, CP is considered as an infra-diagnosed disease. Most common symptoms are abdominal pain, steatorrhea with malnutrition and the development of diabetes. Many procedures have been used for the diagnosis of CP. In the last years, the most important are Endoscopic Ultrasound (EUS) and Magnetic Resonance Cholangiopancreatography with Secretin infusion (S-MRCP), which are able to identify CP in early stages, playing the Endoscopic Retrograde Cholangiopancreatography (ERCP) a therapeutic role. Treatment goals are the management of pain (with drugs, endoscopic procedures and surgery) and enzymatic replacement therapy.