Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 40: What Should Be The Sequence Of Investigations For A Patient With Recurrent, Unexplained Pancreatitis? (continued)

Stuart Sherman, MD

Determining the cause of acute pancreatitis is not usually difficult. Alcohol intake and gallstones are the 2 most common etiologies and account for 60% to 90% of cases. Alcoholism is diagnosed by history and gallstones by a combination of demographic characteristics, laboratory findings, and radiographic imaging studies. In patients in whom acute pancreatitis is due to hypertriglyceridemia, hypercalcemia, drug reactions, trauma, surgery, or endoscopic retrograde cholangiopancreatography (ERCP), the relationship of the episode of pancreatitis to the cause is usually clear…