Pancreatitis chronic Flashcards
1
Q
Reversible vs irreversible
A
Irreversible
2
Q
Most common cause
A
C2 (75%-90% of cases)
3
Q
Other causes
A
Hereditary
Metabolic
Infectious
Tropical diseases
4
Q
Typical signs
A
Weight loss Exocrine and endocrine insufficiency Obstruction: - duodenal stenosis - icterus
5
Q
Operation indications
A
Chronic pain
Stenosis (duodenum, choledechus)
Suspicion of malignoma
6
Q
Main types of operations
A
Draining
Resection
increase in endoscopic possibilities
7
Q
Puestow Partington
A
Pancreatic duct must be dilated enough
The duct is opened on 5-15 cm and side to side pancreatico-jejunostomy + Roux Y
8
Q
Duodenum sparing pancreas head resection
A
Head of pancreas removed
- choledochus and pancreas tail with a Y roux
9
Q
Duodenopankreatektomy
A
partiel duodenopankreaektomy (+/-pp) For suspicion of tumor
10
Q
Left partial pancreatectomy
A
Sparing of the splenic vessels
