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


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Pancreatitis

Definition of the topic

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

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

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

The acute from of ***** disease manifests quickly and then resolves itself. The***** from is similar, but does not resolve ***** and slowly destroys the ***** the longer the condition persists. In either case, there can be serious complications, iincluding bleeding, tissue damage ***** infection. Fluid and tissue debris can accumulate and form ***** pseudocysts within the organ. It is possible for the enzymes and digestive fluids to enter the bloodstream and ***** ***** damage o*****r *****s, such as the heart, lungs and kidneys.

*****cidence/epidemiology

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

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

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

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

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

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

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