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 ***** the disease, acute and chronic. Acute pancreatitis is a sudden unflammation of the pancreas that is almost always accompanied by abdominal pain ***** d*****comfort. 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 ***** stomach. The ***** functions by 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 ***** 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 us*****g ***** glucose in foods.

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

The acute from of ***** disease 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 can accumulate and form into pseudocysts ***** the organ. It is possible for the enzymes ***** ***** 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 ***** National Institute of Healththrough the ***** Institute of National ***** of Diabetes and Digestive ***** Kidney Diseases (http:/digestive.niddk.nih.gov/statistics/statistics.htm).The incidence ***** acute pancreatitis is 17 new cases per 100,000 people, according to figures ranging from 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 ***** 86,000 for chronic pancreatitis. In 1987 alone, there ***** also more than a million physici*****n office visits ascribed to pancreatitis, with roughly ninety percent of all ***** being cases of ***** pancreatitis.

***** is considered severe if it is accompanied ***** organ failure in one or ***** *****as, if pseudocysts appear, or in the case of pancreatic necros*****. One f*****th of all cases of acute pancreatitis are necrotizing, meaning that some *****as of nonviable parenchyma exist in the patient's *****, as well ***** ***** peri***** 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 ***** pain in the abdomen. Cases of ***** pancreatitis usually begins with ***** in the upper abdomen which will persist for a few d*****ys.

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

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