Acute pancreatitis secondary prevention
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The secondary prevention of acute pancreatitis primarily focuses on prevention of recurrence. The secondary prevention of acute pancreatitis varies according to the underlying etiology of the primary event. Cholecystectomy, alcohol abstinence, withdrawal of aggravating medications, weight control, and control of hyperlipidemia are among the most common methods of preventing recurrence of acute pancreatitis.
The secondary prevention of acute pancreatitis varies according to the underlying etiology of the primary event.
A delay of cholecystectomy for more than a few weeks after acute pancreatitis puts the patient at a high risk for relapse. There is a correlation between delay of cholecystectomy and rate of recurrence. For patients in which cholecystectomy cannot be safely performed. Endoscopic biliary sphincterotomy may prevent recurrence of pancreatitis.
Patients who developed acute pancreatitis secondary to alcohol abuse are at high risk of recurrent pancreatitis or even chronic pancreatitis. ~50% of patients with alcoholic pancreatitis suffer from recurrence if they continue abusing alcohol. The risk is significantly reduced after abstaining from alcohol. A focused approach directed at alcohol and smoking cessation should be taken with the patient.
Withdrawal of Medication
Identifying the offending medication is a challenging task and is often not achieved. In the absence of any aggrevating conditions, a trial of changing drug regimens or cessation of an implicated drug may be reasonable after discussion with the prescribing physician.
Control of Hyperlipidemia
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