Download Pancreatitis

Pancreatitis
Eric DeOliveira, David
Milstone, Jessica Nolasco,
Allen On, Leutrim Rexhaj
WHAT IS IT!!!!
• Pancreatitis is the
inflammation of the
pancreas
• It comes in two forms,
acute or chronic
pancreatitis
• Acute pancreatitis is
sudden and often nonreoccurring and
depending on severity
can be treated by IV or
by surgery
• Chronic Pancreatitis is
the ongoing occurrence
of inflammation marked
by on and off abdominal
pain
ACUTE!!! What do I DOOO!
• About 20% of are severe cases and of these
there is a 20% mortality rate, while the other
80% have insignificant repercussions and are
not dangerous
• Serious cases often require endoscopic
retrograde cholangiopancreatography or surgery
to solve the problem and often must be done
within 24-72 hours
• In lesser cases anti-biotics, nutritional support or
bowel rest were sufficient remedies
CHRONIC!! OH THE PAIN!
• It can present with constant abdominal pain or
as often occurring cases of acute pancreatitis
• Replacement pancreatic enzymes are often
effective in reversing the symptoms, but less
likely to aid pain
• Surgery has been the staple procedure and is
done by transplanting the patients own beta
cells in to prevent diabetes after a removal of
the inflamed and damaged pancreas
Chronic Pancreatitis
• Significant majority are Binge Drinkers
• 150 grams of alcohol daily for a period of
more than 6 years.
• Another factor that is associated with
binge drinking is cigarette smoking
• In up to 25% of all chronic pancreatitis
cases, no cause can be identified.
I GET SMASHED
•
I - idiopathici. Thought to be hypertensive sphincter or microlithiasis.
•
G - gallstone. Gallstones that travel down the common bile duct and
which subsequently get stuck in the Ampulla of Vater can cause
obstruction in the outflow of pancreatic juices from the pancreas into
the duodenum. The backflow of these digestive juices
causes lysis(dissolving) of pancreatic cells and subsequent
pancreatitis.
•
E - ethanol (alcohol)
•
T - trauma
•
S - steroids
•
M - mumps (paramyxovirus) and other viruses (Epstein-Barrvirus,
Cytomegalovirus)
•
A - autoimmune disease (Polyarteritis, Systemic lupus erythematosus)
•
S - scorpion sting (e.g. Tityus trinitatis), and also snake bites
•
Hhypercalcemia, hyperlipidemia/hypertriglyceridemiaand hypotermia
•
E - ERCP (Endoscopic Retrograde Cholangio-Pancreatography - a
How to prevent pancreatitis
• The only way to prevent pancreatitis, like
many other diseases, is through a healthy
diet and exercise.
How to prevent pancreatitis
• Another way to prevent pancreatitis is to prevent
the use of excess alcohol. Alcohol may cause
gallstones which can lead to pancreatitis.