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Encyclopedia > Chronic pancreatitis
Chronic pancreatitis
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ICD-10 K860-K861
ICD-O: {{{ICDO}}}
ICD-9 577.1
OMIM {{{OMIM}}}
MedlinePlus {{{MedlinePlus}}}
eMedicine {{{eMedicineSubj}}}/{{{eMedicineTopic}}}
DiseasesDB {{{DiseasesDB}}}

Chronic pancreatitis can present as episodes of acute inflammation in a previously injured pancreas, or as chronic damage with persistent pain or malabsorption. The following codes are used with International Statistical Classification of Diseases and Related Health Problems. ... // K00-K93 - Diseases of the digestive system (K00-K14) Diseases of oral cavity, salivary glands and jaws (K00) Disorders of tooth development and eruption (K01) Embedded and impacted teeth (K02) Dental caries (K03) Other diseases of hard tissues of teeth (K04) Diseases of pulp and periapical tissues (K040) Pulpitis (K05... // K00-K93 - Diseases of the digestive system (K00-K14) Diseases of oral cavity, salivary glands and jaws (K00) Disorders of tooth development and eruption (K01) Embedded and impacted teeth (K02) Dental caries (K03) Other diseases of hard tissues of teeth (K04) Diseases of pulp and periapical tissues (K040) Pulpitis (K05... The International Classification of Diseases for Oncology (ICD-O) is a domain specific extension of the International Statistical Classification of Diseases and Related Health Problems for tumor diseases. ... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ... The Mendelian Inheritance in Man project is a database that catalogues all the known diseases with a genetic component, and - when possible - links them to the relevant genes in the human genome. ... MedlinePlus (medlineplus. ... eMedicine is an online clinical medical knowledge base that was founded in 1996. ... The Diseases Database is a free website that provides information about the relationships between medical conditions, symptoms, and medications. ... Pancreatitis describes the condition of inflammation of the pancreas that causes mild to severe pain in the abdomen. ... Inflammation is the first response of the immune system to infection or irritation and may be referred to as the innate cascade. ... The pancreas is an organ that serves two functions: exocrine - it produces pancreatic juice containing digestive enzymes. ...

Contents


Symptoms

Patients with chronic pancreatitis can present with persistent abdominal pain or steatorrhea (diarrhea resulting from malabsorption of the fats in food, typically very bad-smelling and equally hard on the patient), as well as severe nausea. Some patients with chronic pancreatitis often look very sick, while others don't appear to be unhealthy at all. Abdominal pain can be one of the symptoms associated with transient disorders or serious disease. ... Steatorrhea (or steatorrhoea) is the formation of bulky, grey or light colored stools. ... Diarrhea (American English) or diarrhoea (Commonwealth English) is a condition in which the sufferer has frequent and watery, chunky, or loose bowel movements (from the ancient Greek word διαρροή = leakage; lit. ... Nausea (Greek Ναυτεία) is the sensation of unease and discomfort in the stomach with an urge to vomit. ...


Considerable weight loss, due to malabsorption, is evident in a high percentage of patients, and can continue to be a health problem as the condition progresses. The patient may also complain about pain related to their food intake, especially those meals containing a high percentage of fats and protein. In the context of physical health, weight loss is the process of losing body weight, typically by losing fat. ...


Causes

The causes of relapsing chronic pancreatitis are similar to those of acute pancreatitis, though gallstone-associated pancreatitis is predominantly acute or relapsing-acute in nature, and more cases of chronic pancreatitis are of undetermined or idiopathic origin. Idiopathic is a medical adjective that indicates that a recognized cause has not yet been established. ...


Among American adults, chronic pancreatitis most often occurs from the cumulative pancreatic destruction caused by repeated alcohol-induced episodes of acute pancreatitis. Cystic fibrosis is the most common cause of chronic pancreatitis in children. In up to one quarter of cases, no cause can be found. In other parts of the world, severe protein-energy malnutrition is a common cause. Bottles of cachaça, a Brazilian alcoholic beverage. ... Protein-energy malnutrition (PEM), or also known as protein-calorie malnutrition is a malnutrition and deficiency syndrome in organisms, especially humans caused by the inadequate intake of macronutrients through food in their diet. ...


Diagnosis

Serum amylase and lipase may well not be elevated in cases of advanced chronic pancreatitis, but are often used as markers for detecting pancreatic inflamation in undiagnosed patients. Common tests used to determine chronic pancreatitis are serum amylase and serum lipase blood tests, triglyceride blood tests, X-rays, Ultrasounds, CT-scans, MRI's and MRCP's. A more invasive test called an ERCP, (Endoscopic Retrograde Cholangiopancreatography), is considered the gold standard procedure for diagnosing chronic pancreatitis. Pancreatic calcification can often be seen on X-rays, as well as CT-scans. α-Amylase Amylase (EC 3. ... A lipase is a water-soluble enzyme that catalyzes the hydrolysis of ester bonds in water–insoluble, lipid substrates. ... Triglycerides (also known as triacylglycerols or triacylglycerides) are glycerides in which the glycerol is esterified with three fatty acids. ... In the NATO phonetic alphabet, X-ray represents the letter X. An X-ray picture (radiograph) taken by Röntgen An X-ray is a form of electromagnetic radiation with a wavelength approximately in the range of 5 pm to 10 nanometers (corresponding to frequencies in the range 30 PHz... Ultrasound is sound with a frequency greater than the upper limit of human hearing, approximately 20 kilohertz. ... CAT apparatus in a hospital Computed axial tomography (CAT), computer-assisted tomography, computed tomography, CT, or body section roentgenography is the process of using digital processing to generate a three-dimensional image of the internals of an object from a large series of two-dimensional X-ray images taken around... Magnetic Resonance Image showing a vertical cross section through a human head. ... Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopy of the biliary tree and the pancreatic duct. ... Dystrophic calcification is the mineralization of soft tissue without a systemic mineral imbalance. ... In the NATO phonetic alphabet, X-ray represents the letter X. An X-ray picture (radiograph) taken by Röntgen An X-ray is a form of electromagnetic radiation with a wavelength approximately in the range of 5 pm to 10 nanometers (corresponding to frequencies in the range 30 PHz...


Treatment

The abdominal pain can be very severe and require high doses of analgesics. Disability and mood problems are common, although early diagnosis and support can make these problems manageable. An analgesic (colloquially known as painkiller) is any member of the diverse group of drugs used to relieve pain and to achieve analgesia. ...


Treatment is directed, when possible, to the underlying cause, and to relief of the pain and malabsorption. Replacement pancreatic enzymes have proven somewhat effective in treating the malabsorption and steatorrhea. Digestive enzymes are enzymes in the alimentary tract with a purpose of breaking down components of food so that they can be taken up by the organism. ...


External links



Health science - Medicine - Gastroenterology
Diseases of the esophagus - stomach
Halitosis - Nausea - Vomiting - GERD - Achalasia - Esophageal cancer - Esophageal varices - Peptic ulcer - Abdominal pain - Stomach cancer - Functional dyspepsia
Diseases of the liver - pancreas - gallbladder - biliary tree
Hepatitis - Cirrhosis - NASH - PBC - PSC - Budd-Chiari syndrome - Hepatocellular carcinoma - Acute pancreatitis - Chronic pancreatitis - Pancreatic cancer - Gallstones - Cholecystitis
Diseases of the small intestine
Peptic ulcer - Intussusception - Malabsorption (e.g. celiac disease, lactose intolerance, fructose malabsorption, Whipple's disease) - Lymphoma
Diseases of the colon
Diarrhea - Appendicitis - Diverticulitis - Diverticulosis - IBD (Crohn's disease and Ulcerative colitis) - Irritable bowel syndrome - Constipation - Colorectal cancer - Hirschsprung's disease - Pseudomembranous colitis

  Results from FactBites:
 
MUSC DDC - Surgeries (1171 words)
In general, pancreatitis is a disease in which the pancreas becomes swollen and inflamed, and does not work properly.
The diagnosis of chronic pancreatitis is obvious in an advanced case with typical features – upper abdominal pains with weight loss, steatorrhea and diabetes.
In the case of pancreatic fistulas, this happens when the pancreatic duct is blocked, particularly after an injury to the pancreas or surgery to it.
Chronic pancreatitis - Wikipedia, the free encyclopedia (507 words)
Chronic pancreatitis is a long-standing inflammation of the pancreas that alters its normal structure and functions.
Patients with chronic pancreatitis can present with persistent abdominal pain or steatorrhea (diarrhea resulting from malabsorption of the fats in food, typically very bad-smelling and equally hard on the patient), as well as severe nausea.
Gallstone-associated pancreatitis is predominantly acute or relapsing-acute in nature, and some cases of chronic pancreatitis are of undetermined or idiopathic origin.
  More results at FactBites »

 
 

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