Essay - Pancreatitis Definition of the Topic Pancreatitis is an Inflammation of...


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Pancreatitis

***** of the topic

Pancreatitis is an inflammation of ***** p*****creas. There are two primary forms of the disease, acute and chronic. Acute pancreatitis is a sudden unflammation ***** the pancreas that is almost always accompanied by abdominal pain ***** discomfort. The chronic form of pancreatitis continues to recur, and is usually the result of poor diet and/or alcohol abuse.

***** Pancreas ***** a gland that produces digestive enzymes. It is positioned behind ***** stomach. The ***** functions by secreting digestive enzymes into the duodenum (upper part ***** the small intestine) through a sm*****ll tube called, apporpriately enough, the pancreatic duct. The enzymes of the pancreas aid in ***** digestion of fats, proteins and carbohydrates. In addition, the pancreas ***** responsible for releasing the hormones insulin and glucagon, both of which ***** the body in us*****g the glucose in foods.

In Pancreatitis, ***** ***** with***** the pancreas become active ***** begin to digest the pancreas itself. These enzymes normally do not become active until they reach the small intestine.

The acute from of the ***** manifests quickly and then resolves itself. The***** from is similar, but does ***** resolve ***** and slowly destroys the pancreas the longer the condition persists. In either case, there can be serious complications, iincluding bleeding, tissue damage ***** infection. Fluid and ***** debris ***** accumulate and form into pseudocysts ********** the organ. It is possible for the enzymes and ***** fluids to enter the bloodstream and begin to damage other organs, such as the heart, lungs and kidneys.

Incidence/epidemiology

***** following statistics have been provided by ***** National Institute of Healththrough the National Institute ***** National Institute of Diabetes and Digestive ***** Kidney Diseases (http:/*****ive.niddk.nih.gov/*****/statistics.htm).The incidence ***** ***** pancreatitis is 17 new cases per 100,000 people, according to figures ranging ***** 1976-1988.

As of 2002, there had been 3532 ********** deaths due to acute pancreatitis. Also in 2002, ***** was 333,000 hospitalizations due to the ***** *****m ***** the disease, as opposed to 86,000 for chronic pancreatitis. In 1987 alone, there ***** also more than a million physician office visits ascribed to pancreatitis, with roughly ninety *****cent of all visits being cases ***** acute pancreatitis.

Pancreatitis is considered severe if it is accompanied by organ failure in one or more areas, if pseudocysts appear, or in the case of pancreatic necrosis. One fifth of all ***** of ***** pancreatitis are necrotiz*****g, meaning that some *****as of nonviable parenchyma exist in the patient's *****, as well as ***** peripancreatic fat are***** (Aronson 1999). However most patients have interstitial pancreatitis as ***** to necrotizing, which is milder.

Pathophysiology/signs and symptoms ***** rationale for each

The most obvious symptom ***** pain in the abdomen. Cases ***** acute ***** usually begins with ***** in ***** upper abdomen which will persist for a few days.

The pa***** may remain centralized on the abdomen, or could spread to ***** areas (***** as the back). Chr*****ic ********** do not always result in intense or constant *****in, so the ***** form of

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