Pancreatitis

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pancreatitis

[‚pan·krē·ə′tīd·əs]
(medicine)
Inflammation of the pancreas.

Pancreatitis

 

acute or chronic inflammation of the pancreas.

Acute pancreatitis may be edematous, hemorrhagic, necrotic, or purulent. It is caused by overeating; by diseases of the stomach, duodenum, biliary tract, or liver; or by stenosis of the gland’s ducts. In acute pancreatitis the pancreas is digested by its own enzymes—trypsin, chymotrypsin, and lipase. When the gland’s tissue decomposes, kinins are released. They decrease arterial pressure and are a factor in blood circulation disorder of both organic and reflex origin in the pancreas. The kinins also cause bile to flow into the gland’s ducts, which damages their walls.

Acute pancreatitis may be marked by very severe abdominal pains, persistent vomiting, and collapse. Complications are peritonitis, abscesses, cysts of the gland, and diabetes mellitus. The disease is treated by narcotics, antibiotics, vasoconstrictors, and such antienzyme preparations as trasilol and contrical and by A. V. Vishnevskii’s paranephric novocain blockade. Serious complications are treated surgically.

In chronic pancreatitis, the gland’s external and internal secretions gradually become insufficient. The disease is treated by diet, antispasmodics, substitutes, cholegogues, antibiotics, and antienzyme preparations. During periods of remission, the patient may receive treatment at a health resort.

REFERENCE

Shelagurov, A. A. Bolezni podzheludochnoi zhelezy. Moscow, 1970.

O. S. RADBIL’

References in periodicals archive ?
Moreau JA, Zinsmeister AR, Melton LJ, DiMagno EP Gallstone pancreatitis and the effect of cholecystectomy: a population-based cohort study.
Tenner S, Dubner H, Steinberg W Predicting gallstone pancreatitis with laboratory parameters: a meta-analysis.
Diagnosis of gallstone pancreatitis was established according to our hospital protocol.
Of the 80 patients who required a delayed cholecystectomy, only 1 developed mild gallstone pancreatitis and none developed choledocholithiasis.
That rule still holds for patients with mild or moderate gallstone pancreatitis.
Ultrasound helps to diagnose gallstone pancreatitis because it provides visualization of the biliary tree and gallstones, and/or dilatation or obstruction of the common bile duct.
A positive correlation for acute gallstone pancreatitis incidence with an increase in the incidence of gallstone disease in Sweden between 1985 and 1999 was reported with increase of 7.
LOS ANGELES -- Timely diagnosis and treatment are essential in cases of gallstone pancreatitis, a tricky ailment that assumes a severe, necrotizing form in up to 25% of patients.
There is also a finite risk of disease related complications such as acute cholecystitis, gallstone pancreatitis and choledocholithiasis.
Material and Methods: A total of 1020 patients who underwent laparoscopic cholecystectomy for acute or chronic cholecystitis and gallstone pancreatitis were included in our study while those who had previously undergone abdominal surgeries, those with high risk for general anesthesia, immunocompromised patients, with age greater than 70 years and having comorbidities like cardiac insufficiency, severe asthma, chronic liver disease with ascites and compromised renal functions were excluded from the study.
There were two cases with gallstone pancreatitis and one with mucocele gall bladder.
There has been a dramatic recent increase in obesity, but a decrease in alcohol consumption, suggesting that the observed increase in acute pancreatitis is related to gallstone pancreatitis rather than alcoholic or idiopathic pancreatitis," said Dr.