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

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Definition of the topic

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

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

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


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

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

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

The ***** obvious symptom ***** ***** in the abdomen. Cases ***** 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 areas (***** as the back). Chronic ***** do not always result in intense or constant pain, so the ***** form of


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