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GASTROENTEROLOGIA > Pancreatite Crônica > Flashcards

Pancreatite Crônica Flashcards

1
Q

Tríade Pancreatite Crônica

A

Esteatorreia
Calcificação na TC
Diabetes mellitus (Tardio)

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2
Q

Quadro clínico

A

Tríade clássica+ dor abdominal+ emagrecimento

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3
Q

Diagnóstico laboratorial

A

Elastase fecal <200

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4
Q

Diagnóstico de Imagem

A

US-EDA (melhor para fase inicial)
TC
CPRE (obrigatório antes da cirurgia)

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5
Q

Tratamento de primeira linha

A

Tratamento clínico

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6
Q

Tratamento clínico

A 
Cessar tabagismo/ etilismo
Dieta pobre em gordura
Analgesia (AINE> +Amitriptilina> opioide)
Enzimas pancreáticas+Prazol
Insulina
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7
Q

Tratamento cirúrgico- Indicações

A

Dor clinicamente intratável

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8
Q

Doença de grade ducto

A

> 7mm

Puestow-partington-Rochelle (pancreatoduodenostomia latero-lateral em Y de Roux)

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9
Q

Doença de pequenos Ductos

A

Calcificação na cabeça- Whipple modificada (duodenopancretectomia)
Calcificação corpo/cauda- Child (Pancreatectomia subtotal distal)

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10
Q

Complicação da pancreatite crônica e conduta

A

Trombose de varizes esplênicas (esplenomegalia+Varizes de fundo gástrico)
Esplenectomia

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GASTROENTEROLOGIA (3 decks)

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