Chronic Pancreatitis Flashcards
1
Q
pathophysiology?
A
pancreatic fibrosis + calcification
2
Q
aetiology?
A
majority due to chronic alcohol use
3
Q
symptoms?
A
- chronic epigastric abdo pain relieved by opiates
- fat malabsorption –> steatorrhoea
4
Q
signs?
A
wt loss
5
Q
Ix?
A
- blood glucose
- may be elevated due to insulin resistance
- CT
- Abdo US
- Abdo XR
to consider: pancreatic function tests
6
Q
Mx?
A
- stop alcohol
- pancreatic enzyme supplementation
- analgesia: may require coeliac plexus block
7
Q
complications?
A
- narcotic addiction
- pancreatic pseudocysts
- pancreatic calcification
- DM
- malabsorption
