chronic pancreatitis Flashcards
what are the different etiologies of chronic pancreatitis ?
chronic calcifying
chronic autoimmune
chronic obstructive
groove pancreatitis (paraduodenal )
what is the main cause of chronic pancreatitis ?
chronic alcohol abuse
what is the major symptom of chronic pancreatitis ?
chronic pain that may radiate to the back
usually heightened with alcohol
weight loss
steatorrhea
clay coloured stool
diabetes
what pathology is usually accompanying chronic pancreatitis ?
pancreatic pseudocysts
what are the investigations like in chronic pancreatitis ?
amylase and lipase are usually normal
what imaging modality is used to show calcifications of the pancreas ?
CT
what is the surgical role in cases of chronic pancreatitis that has failed endoscopic treatment ?
pancreaticojejunostomy
or frey
or beger
distal pancreatectomy for diseases limited to the tail
soometimes total pancreatectomy
anatomically where do pancreatic pseudocysts usually happen ?
in the lesser sac
usually located in the body or the tail
when do pseudocysts form ?
more than 4 weeks after an attack of acute pancreatitis
what type of pseudocyst is associated with chronic pancreatitis. ?
retention cyst
what sign is associated with pseudocyst of the pancreas ?
baid sign
if a ryle tube is passed , it is felt over a swelling
what is the most preferred management of pseudocyst ?
cystogastrostomy
sizee of the cyst must be at least 6 cm
what is the pseudocyst is confined to the tail of the pancreas ?
distal pancreatectomy
if drainage is to be done in a pseudocyst how is it done ?
endoscopic drainage
what can be done for large pseudocysts - decompression ?
roux en y cystojejunostomy
