Chronic alcohol abuse is a leading cause of chronic pancreatitis. Alcohol causes low-grade but ongoing inflammation (“irritation”) of the pancreas, which progresses and causes sclerosis of the pancreas, pancreatic duct abnormalities (abnormalities on the small tube that runs through the pancreas), and abnormal swelling of a part of the pancreas (resembling neoplasm). It also causes chronic pain in the upper and the middle part of the abdomen, diabetes mellitus that requires insulin, as well as inability to digest food correctly and fully. These symptoms lead to weight loss, increased feelings of weakness, and intake of multiple pain relievers that lead to addiction and dependence. 

The severity of chronic pancreatitis determines the treatment that shall be followed. The first step for patients with early-stage pancreatitis is to stop consuming alcohol, which is very difficult. Making such a lifestyle change requires not only determination on behalf of the patient but also support from their family or even additional psychological support from an expert. Unfortunately, cutting out alcohol does not improve the damage that has already occurred in the pancreas but it surely stops its further progression. Surgical treatment is required in severe cases of chronic pancreatitis associated with unbearable chronic pain, diabetes, pancreatic duct abnormalities, or pathological swelling of a part of the pancreas. The surgical treatment is tailored to each patient and their problems. A qualified pancreatic surgeon (not a general surgeon) must be responsible for choosing the right surgical treatment and move forward with it.

Idiopathic pancreatitis is a very rare form of chronic pancreatitis. Its exact cause (e.g., cholelithiasis, alcohol consumption, etc.) has not yet been determined. It is important to understand that idiopathic pancreatitis may be a fairly uncommon sign of a pancreatic tumor. Its diagnosis is particularly difficult and requires thorough knowledge that will allow the doctor to suspect it and identify it. Unfortunately, more often than not, doctors who are not sufficiently experienced attribute the episodes of such pancreatitis to other reasons. As a result, a considerable amount of time passes before the patient gets diagnosed. In the meantime, the tumor grows and spreads.