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


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Pancreatitis

Definition of the topic

***** is an inflammation of ***** pancreas. There are two primary forms of the disease, acute and chronic. Acute pancreatitis is a sudden unflammation of the pancreas that ***** almost always accompanied by abdominal pain and 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 the stomach. The pancreas functions by secreting digestive ***** into the duodenum (upper part of the small intestine) through a sm*****ll 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 ***** the body in using the glucose in foods.

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

The acute from of the disease manifests quickly and then resolves itself. The***** 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 ***** accumulate and form ***** pseudocysts ********** the organ. It is possible for the enzymes and ***** fluids to enter the bloodstream and ***** to damage other *****s, such as the heart, lungs ***** kidneys.

*****cidence/epidemiology

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

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

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

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

The most obvious symptom ***** ***** 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 ***** (such as the back). Chr*****ic ********** do not ***** result in intense or constant pain, so the chronic form of

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