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


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Pancreatitis

Definition of the topic

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

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

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

The acute from of ***** ***** manifests quickly and then resolves itself. Thechronic 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 and infection. Fluid and tissue debris ***** accumulate and form ***** pseudocysts within the organ. It is possible for the enzymes and *****ive fluids to enter the bloodstream and ***** to damage o*****r *****gans, such as the heart, lungs ***** kidneys.

Incidence/epidemiology

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

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

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

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

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

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

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