Table 1

Aetiology and pathogenesis of acute pancreatitis

Pathogenesis of acute pancreatitisAetiology
Ductal obstructionGallstones
Alcohol*
Post endoscopic retrograde cholangiopancreatography
Malignancy
Mucinous tumours
Pancreas divisum
Sphincter of Oddi dysfunction
Acinar cell injuryAlcohol*
Trauma
Ischaemia
Drugs (eg, corticosteroids, azathioprine and thiazides)
Viruses
Defective intracellular transportAlcohol*
Hereditary
Hypercalcaemia
Hypertriglyceridaemia
Autoimmune
  • *Alcohol triggers acute pancreatitis via multiple mechanisms.