In patients with severe pancreatitis who sequester large volumes of fluid in their abdomen as pancreatic ascites, generally prodigious quantities of parenteral fluid substitute are necessary to take care of intra- vascular volume. They account for 20-30% of all cardiac anomalies and are the leading explanation for symptomatic cyanotic heart illness in the first 12 months of life. They may face fnancial and other obstacles to obtaining help with life-style adjustments, corresponding to smoking cessation or help with alcohol and drug dependence
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