Chronic Pancreatitis Flashcards
1
Q
What is it?
A
is an inflammatory condition which can ultimately affect both the exocrine and endocrine functions of the pancreas.
2
Q
What causes 80% of cases?
A
alcohol excess
3
Q
other causes
A
genetic: cystic fibrosis, haemochromatosis
ductal obstruction: tumours, stones, structural
abnormalities including pancreas divisum and annular pancreas
4
Q
what are the features?
A
pain is typically worse 15 to 30 minutes following a meal
steatorrhoea
diabetes mellitus
5
Q
what are the features?
A
pain is typically worse 15 to 30 minutes following a meal
steatorrhoea
diabetes mellitus
6
Q
investigation
A
AXR - pancreatic calcification
CT - more sensitive in detecting pancreatic calcification
Functional tests - faecal elastase
7
Q
Management
A
- pancreatic enzyme supplements
- Analgesia
- Antioxidants. - limited evidence
