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


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Pancreatitis

***** of the topic

Pancreatitis is an inflammation of the pancreas. There are two primary forms of the disease, acute and chronic. Acute pancreatitis is a sudden unflammation of the pancreas that is almost always accompanied by abdominal pain and d*****comfort. 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 the stomach. The ***** functions by secreting digestive ***** 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 ***** responsible for releasing the hormones insulin and glucagon, both of which aid the body in us*****g the glucose in foods.

***** Pancreatitis, ***** ***** with***** the ***** 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 itself 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 can accumulate and form into pseudocysts within the organ. It is possible for the enzymes ***** ***** fluids to enter the bloodstream and ***** to damage o*****r *****s, such as the heart, lungs ***** kidneys.

Incidence/epidemiology

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

As of 2002, *****re had been 3532 *****tal deaths due to acute pancreatit*****. Also in 2002, there was 333,000 hospitalizations ***** to the acute *****m ***** the disease, as opposed to 86,000 for chronic pancreatitis. In 1987 alone, there ***** also more than a million physici*****n office visits ascribed to pancreatitis, with roughly ninety *****cent of all ***** being cases of 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 *****s of acute pancreatitis are necrotizing, meaning that some areas of nonviable parenchyma exist in the patient's *****, as well as ***** peri***** fat areas (Aronson 1999). However most patients have interstitial pancreatitis as ***** to necrotizing, ***** is milder.

Pathophysiology/signs and symptoms with rationale for each

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

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

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