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

In Pancreatitis, the ***** 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 ***** 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 into pseudocysts within 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

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

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

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

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

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

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