Chronic Pancreatitis

Question 1

Who is typically affected in those with chronic pancreatitis

Answer 1

30-40 year old heavy drinkers

Question 2

Where does the pain start in chronic pancreatitis and where does it end?

Answer 2

starts in epigastric region ===> radiates to back

Question 3

What questions can you ask Px in regards to the pain (2)

**Chronic Pancreatitis

Answer 3

Does the pain get relieved when leaning forwards

Does the pain get worse when eating / drinking heavy

Question 4

What are the causes of chronic pancreatitis (….)

Answer 4

CAMP

C ystic fibrosis
A lcohol
M alnoruishment
P ancreatic Duct Obstruction (genetics in origin)

Question 5

What are the 3 investigations for chronic pancreatitis

Answer 5

Magnetic Resonance Cholangiopancreatography (MRCP)

Stool sample ==> Decreased Faecal Elastase

CT / Xray ==> Calcification

Question 6

What are the 2 therapies that can be given in chronic pancreatitis

Answer 6

Insulin therapy ==> If diabetes has formed

PERT ==> pancreatic enzyme replacement therapy

Question 7

What is the main treatment for chronic pancreatitis thats conservative

Answer 7

Alcohol cessation

Question 8

what are the complications for Chronic Pancreatitis (….)

Answer 8

PODS

P seudocysts ==> found within pancreas
O bstruction ==> pancreatic obstruction
D iabetes melllitus
S teatorrhea ==> fat in faeces due to no lipase