Recently, we often encounter some online inquiries: What is the cause of recurrent acute pancreatitis? First of all, I would like to draw your attention to the following question: Is “recurrent acute pancreatitis” the truth of the matter? In fact, some patients are diagnosed as having pancreatitis attacks when they only have mild abdominal pain and high blood amylase, but there are many causes of abdominal pain and elevated amylase can be seen in many disease states. Does the recurrence of abdominal pain and elevated amylase after having pancreatitis once necessarily mean an attack of acute pancreatitis? It should be noted that CT imaging of the abdomen is very important in the diagnosis of pancreatitis, and a specialist is needed to make the diagnosis of acute pancreatitis. In patients with recurrent episodes of pancreatitis, it is sometimes difficult to determine the cause of the disease, so several directions are provided for reference: 1. Pay attention to the presence of hyperlipidemia, especially the level of lipids at the onset of the disease. The proportion of hyperlipidemic pancreatitis is increasing; 2. Are there small stones in the biliary system that are not easily detected? This is difficult to identify, and we need to rely on careful screening by the doctor – biliary factors are still the first cause of pancreatitis; 3, IgG4 test to further clarify whether there is autoimmune pancreatitis? Patients can consider requesting their own laboratory tests – do not ignore the autoimmune factor; 4, pregnancy pancreatitis – seems to be related to blood lipids and genetic background; 5, individual patients suffering from pancreatitis are particularly sensitive to dietary adjustments, eating a little more veggie oil may be re-emerging, dietary management has a great impact on some patients with pancreatitis – the proportion of this part has a tendency to increase, please pay attention to the majority of patients. Dietary management can be found in my website article “Dietary Guidelines for Patients with Pancreatitis”. The treatment of pancreatitis and the daily dietary control of pancreatitis patients need careful, patient and scientific management. It is better to keep in touch with the hospital doctor during the management of the recovery period and complete the treatment and later management of pancreatitis under the full supervision of the doctor. The net is a very good platform, and the Pancreatitis Treatment Center of the Nanjing General Hospital, Nanjing Military Region, All Army Institute of General Surgery is also very happy to take advantage of this platform to provide services for the majority of patients, and I wish all patients get rid of pancreatitis as soon as possible and recover from it!