Repeat acute pancreatitis after first attack of pancreatitis 90% are caused by alcoholism commonly seen at male who aged 30 to 40     Alcoholism Disease of biliary tract Injury to pancrease Medication Abnormal metabolism Viral infection Inherited Abnormal pancreatic duct Abdominal pain, malabsorption, loss in weight and diabetes Repeated pancreatitis (>3 times) Pancreatic insufficiency, calcification and cysts Should be confirmed with blood tests and radiological evidence To release symptoms To provide sufficiency nutrients through intravenous therapy Control blood glucose Surgery