Chronic and Autoimmune Pancreatitis

Question 1

What is Chronic Pancreatitis

Answer 1

> 3month Hx of Pancreatic deterioration causing irreversible inflammation and fibrosis

Question 2

What are the causes of Chronic Pancreatitis

Answer 2

alcohol
CKD and CF
Trauma
Recurrent Acute Pancreatitis

Question 3

What are the presentations of Chronic Pancreatitis

Answer 3

Epigastric pain to the back, worse w/ alcohol

Exocrine and Endocrine dysfunction

Question 4

How is Chronic Pancreatitis investigated

Answer 4

Normla Lipase and Amylase
Raised foecal elastase
Gold = Abdo USS and CCT

Question 5

What is the gold investigation of Chronic pancreatitis

Answer 5

Abdo USS and CCT

-Pancreatic calcification and dilated pancreatic duct

Question 6

How do the blood tests differ between chonic and acute pancreatits

Answer 6

Chronic = Normal lipase and amylase
Acute = Raised lipase and amylase

Question 7

How is chronic Pancreatitis treated

Answer 7

Alcohol cessation
NSAID for abdo pain
Pancreatic supplements
Insulin for Endocrine dysfunction

Question 8

How does Autoimmune pancreatitis present

Answer 8

Similar to Chronic

• Epigastric pain to the back
• Worse w/alcohol
• Endocrine and exocrine dysfunction

Question 9

How is Autoimmune Pancreatitis diagnosed

Answer 9

Raised IgG4

Question 10

How is Autoimmune Pancreatitis treated

Answer 10

Prednisolone (4-6 weeks)