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 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 is a gland that produces digestive enzymes. It is positioned behind ***** stomach. The ***** functions ***** secreting digestive enzymes into the duodenum (upper part of the small intestine) through a small tube called, apporpriately enough, ***** 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 aid the body in us*****g ***** glucose in foods.

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

The acute from of the disease manifests quickly and then resolves itself. Thechronic from is similar, but does not 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 can accumulate and form into pseudocysts *****in the organ. It is possible for the enzymes and ********** fluids to enter the bloodstream and ***** ***** damage other organs, such as the heart, lungs and kidneys.

*****cidence/epidemiology

***** following stat*****tics have been provided by the National Institute ***** Healththrough the ***** 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, according to figures ranging ***** 1976-1988.

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

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

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

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

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

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