RT Book, Section A1 Conwell, Darwin L. A1 Banks, Peter A. A2 Greenberger, Norton J. A2 Blumberg, Richard S. A2 Burakoff, Robert SR Print(0) ID 1119988431 T1 Acute Pancreatitis T2 CURRENT Diagnosis & Treatment: Gastroenterology, Hepatology, & Endoscopy, 3e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780071837729 LK accessmedicine.mhmedical.com/content.aspx?aid=1119988431 RD 2024/04/19 AB ESSENTIALS OF DIAGNOSISGallstone disease and alcohol are the most common causes of acute pancreatitis; other causes include hypertriglyceridemia, drugs, and specific disorders of the biliary tree and pancreas.Diagnosis is usually made based on a history of acute abdominal pain; a threefold elevation in serum amylase or lipase, or both; or an abnormal abdominal computed tomography (CT) scan showing changes of acute pancreatitis.Severe acute pancreatitis is characterized by persistent (>48 hours) organ failure (systemic blood pressure 2.0 mg/dL) or pancreatic necrosis.Diagnosis of necrotizing pancreatitis is confirmed by contrast-enhanced abdominal CT scan or MRI scan.