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


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Pancreatitis

***** of the topic

***** is an inflammation of ***** p*****creas. There are two primary forms of the disease, acute and chronic. Acute pancreatitis is a sudden unflammation ***** 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 ***** positioned behind the stomach. The ***** functions ***** secreting digestive ***** 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, ***** pancreas is responsible for releasing the hormones insulin and glucagon, both ***** which aid the body in us*****g the glucose in foods.

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

The acute from of ***** 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 tissue debris ***** accumulate and form ***** pseudocysts within the organ. It is possible for the enzymes and *****ive fluids to enter the bloodstream and ***** ***** damage other *****s, such as the heart, lungs and kidneys.

Incidence/epidemiology

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

As of 2002, there had been 3532 total deaths due to acute pancreatitis. Also in 2002, there was 333,000 hospitalizations ***** to the ***** *****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 visits being cases ***** acute pancreatitis.

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

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

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

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

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