Surgery for Pancreatic Disorders Flashcards
1
Q
What are the common diseases that affect the pancreas?
A
- Pancreatic cancer
- Acute pancreatitis
- Chronic pancreatitis
2
Q
What are the medical and surgical treatments for pancreatic cancer?
A
Pancreatic cancer:
- Resection
3
Q
What is the management of acute pancreatitis?
A
Acute pancreatitis:
- Nutrition
Prevent future attacks:
- Management of Gallstones
- Investigate non-gallstone pancreatitis
- Alcohol abstinence
- Remove any necrotic tissue
4
Q
What is the management of chronic pancreatitis?
A
- Alcohol abstinence
- Avoid high fat, high protein diet
Surgery indications:
- Suspicion of malignancy
- Intractable pain
5
Q
What is the pathophsyiology of pancreatitis?
A
1) Premature intracellular trypsinogen activation
2) Proteases released which digest the pancreas and surrounding tissue
Triggers for pancreatitis:
- Alcohol
- Gallstones
- Obstruction of Pancreatic duct
6
Q
What are the causes of acute pancreatitis?
A
GET SMASHED:
G - Gallstones
E - Ethanol
T - Trauma
S - Steroids
M - Mumps
A - Autoimmune
S - Scorpion venom
H - Hyperlipidaemia
E - ERCP
D - Drugs
7
Q
What are the causes of pancreatic cancer?
A
- Smoking
- Chronic pancreatitis
- Onset of DM as an adult
