Acute recurrent pancreatitis：an analysis of 76 cases        DING Guo-qian*,QIN Ming-fang, WANG Qing ,et al. *Graduate School of Tianjin Medical University, Tianjin 300070, China
Corresponding  author ：QIN Ming-fang, E-mail:qins88@sina.com
Abstract    Objective    To explore the clinical features and the causes of acute recurrent pancreatitis (ARP) and the value of endoscopy in treatment of recurrent cholangitis-originated ARP．Methods    The clinical data of 76 cases of ARP admitted between December 2004 and January 2010 at Nankai Hospital of Tianjin City were analyzed retrospectively. Results    The mean recurrence rate of 76 cases of ARP was at 1.8 times. The time is 1-42 months after the first attack with the average of 5.9 months. Sixty-six cases （86.8%） recurred within 1 year. The main etiological factor of ARP was cholangitis-originated pancreatitis （50 cases）. Fifty-two cases （88.1%）were treated with endoscopy successfully and followed up 6 to 72 months without recurrence. Conclusion    Finding the causes, removing incentives and targeted therapy in time are very important to avoid the ARP. Cholangitis-originated pancreatitis is the leading cause of ARP recurrence, and endoscopic treatment in time can reduce the recurrence of ARP．