title: [Chronic pancreatitis diagnosed after the first attack of acute pancreatitis].
abstract: BACKGROUND
  One of the diseases involving a potential risk of developing chronic pancreatitis is acute pancreatitis.
  
  
  METHODS
  Of the overall number of 231 individuals followed with a diagnosis of chronic pancreatitis, 56 patients were initially treated for acute pancreatitis (24.2 %). Within an interval of 12- 24 months from the first attack of acute pancreatitis, their condition gradually progressed to reached the picture of chronic pancreatitis. The individuals included in the study abstained (from alcohol) following the first attack of acute pancreatitis and no relapse of acute pancreatitis was proven during the period of their monitoring.
  
  
  RESULTS
  The etiology of acute pancreatitis identified alcohol as the predominant cause (55.3 %), biliary etiology was proven in 35.7 %. According to the revised Atlanta classification, severe pancreatitis was established in 69.6 % of the patients, the others met the criterion for intermediate form, those with the light form were not included.
  
  
  CONCLUSIONS
  Significant risk factors present among the patients were smoking, obesity and 18 %, resp. 25.8 % had pancreatogenous diabetes mellitus identified. 88.1 % of the patients with acute pancreatitis were smokers. The majority of individuals with chronic pancreatitis following an attack of acute pancreatitis were of a productive age from 25 to 50 years. It is not only acute alcoholic pancreatitis which evolves into chronic pancreatitis, we have also identified this transition for pancreatitis of biliary etiology.
authors.forename: Martina
authors.initials: M
authors.lastname: Bojková
authors.forename: Petr
authors.initials: P
authors.lastname: Dítě
authors.forename: Magdalena
authors.initials: M
authors.lastname: Uvírová
authors.forename: Nina
authors.initials: N
authors.lastname: Dvořáčková
authors.forename: Bohuslav
authors.initials: B
authors.lastname: Kianička
authors.forename: Tomáš
authors.initials: T
authors.lastname: Kupka
authors.forename: Pavel
authors.initials: P
authors.lastname: Svoboda
authors.forename: Pavel
authors.initials: P
authors.lastname: Klvaňa
authors.forename: Arnošt
authors.initials: A
authors.lastname: Martínek
mesh_terms: D000208:Acute Disease; D048909:Diabetes Complications; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D010195:Pancreatitis / Q000209:etiology*; D050500:Pancreatitis, Chronic / Q000209:etiology*; D012307:Risk Factors; D012907:Smoking / Q000009:adverse effects