A anm ihtw a Hx of HEOt deencdnepe nda cniocrh adb aipn as llwe as ayX-r ngidnfsi of ica"itscfilonac in hte -rpiumpde n"dombea is tsom kyleli grrirnfee ot a iccrhno i.cnarispeatt
shTi lsead to a kcla of pseail ensoceirt nc,ehe ,pela mosll-eigfnul ssolot hitw iol lrspdeto rep tp x.H siTh tps' epcrnasa asol dseo'nt serecte threo ,eszynme chus as syalea,ms eopse,tsra nro iysnptgrneo ot( vieaattc toreh zne,m)sye os eth rwnaes is rzieegadle"n rpam"iooalst.bn
(D) Portal hypertension: Portal hypertension is a complication of longstanding alcoholism, but it is not the cause of acute or chronic pancreatitis.
In acute pancreatitis, alcohol transiently increases pancreatic exocrine secretion and contraction of the sphincter of Oddi (the muscle regulating the flow of pancreatic juice through papilla of Vater).
This leads to activation of pancreatic enzymes and acute pancreatitis follows soon after.
In chronic pancreatitis (as in this patient), alcohol increases the protein concentration of pancreatic secretions, and this protein-rich pancreatic fluid can form ductal plugs.
Made this explanation in case any of you were dumb enough to think "pancreatitis → alcohol → portal hypertension" like me.