Chronic Pancreatitis Flashcards
1
Q
how does chronic pancreatitis present? 5
A
- Epigastric pain through to the back relieved by sitting forward
- Bloating
- Steatorrhea
- Weight loss
- Brittle diabetes
2
Q
what relieves the pain of chronic pancreatitis ?
A
relieved by sitting forward
3
Q
what is the most common cause?
A
alcohol
4
Q
what are some rarer causes? 4
A
- familial,
- CF
- haemochromatsosis
- pancreatic duct obstruction (stones/tumour)
5
Q
how is chronic pancreatitis diagnosed?
A
- USS and CT
- MRCP and ERCP
6
Q
pancreatic ____ on USS and CT form the diagnosis
A
calcifications
7
Q
what is the treatment of chronic pancreatitis? 4
A
- Analgesia
- Lipase
- Diet - no alcohol
- Surgery
8
Q
who gets surgery ? and what is the surgery?
A
for unremitting pain, weight loss
get pancreatectomy
9
Q
what are the complications of chronic pancreatitis
A
- Diabetes
- Biliary obstruction
- Local arterial aneurysm
- Splenic vein thrombosis
- Pancreatic carcinoma
- Gastric varices
