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Smoking

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Smoking increases the risk of AP. A Swedish population‐based study showed that the risk of non‐gallstone‐related pancreatitis was more than double in current smokers with more than 20 pack‐years than lifelong nonsmokers [relative risk 2.29, 95% confidence interval (CI) 1.63–3.22]. Among alcoholics consuming more than 400 g/month of alcohol, the risk of developing pancreatitis was fourfold higher in smokers than in lifelong nonsmokers [48]. Former smokers were also at increased risk of AP as shown in a meta‐analysis [49]. The risk of AP decreased to normal (similar to the nonsmoking population) after at least two decades of smoking cessation [48].

Clinical Pancreatology for Practising Gastroenterologists and Surgeons

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