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Chronic pancreatitis is a prolonged inflammation of the pancreas which leads to fibrosis, atrophy and ultimately functional loss.
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ChronicPancreatitis • Chronicpancreatitisis aprolongedinflammationofthepancreaswhichleadsto fibrosis, atrophy and ultimately functional loss of the pancreas. This happens due to depletingcellsofpancreas.Alsoduetochronicinflammationthereisformationof stonesin thepancreaticduct,thereforealsoknownas pancreaticstonedisease. • Riskfactors • Alcoholintake • Smoking • Recurrentpancreatitis • Hypercalcemia • Hypertriglyceridemia • Genetic • Apatientofchronicpancreatitiscanhave • Digestionproblems: • fatindigestion—>foulsmelling,bulky,oilystoolsknownasSteatorrhea. Proteinindigestion:bloating • Diabetes:wheninsulincellsdepleteinnumber.Usuallyalate phenomenon. • Painintheupperabdomenusually afterfood.Itradiatestothe backandmay be associated withvomiting • Sometimes vomitingifthereisgastricoutletobstruction • Bleeding • Unwantedweightloss • The disease is usually diagnosed on an imaging modality like CT Scan, an UltrasoundoranMRIwhichwouldshowatrophyofpancreaswithdilatedpancreatic duct withcalculi init. • The othertestslikefecalfatcontent.Certaininvasivetests,arealsotherebut they arenotusuallyrequired.
Thetreatmentinvolves • MedicalManagement:withpancreaticenzymessupplementation,PPIs,andinsulin for diabetes andpain killersforpain • SURGERYFOR CHRONICPANCREATITIS • The main aim of the surgery is to relieve the pain. It is important to understand that it does notalterthediseasecoursebut onlyrelieves pain. • The surgery can be in form of opening the duct and removing it the stones and joiningsmall intestine to the ductfordrainage. • Orit canberemovalofapart of thepancreaticparenchyma. • Complicationsof ChronicPancreatitis: • Jaundice • Gastricoutletobstruction • Portalhypertensionwithhematemesis • Rarelycancerformation • Please visityourbestGIsurgeoninDelhiforthetreatmentattheearliest. Contact usonlineorgiveusacallat+91-9667365169/9811392062today!