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Acute Pancreatitis (Aetiology (Risk Factors (Smoking, Body wt, EtOH,…
Acute Pancreatitis
What is it?
Inflammation of the pancreas
Severe
Effects endocrine and exocrine functions
Auto-digestion
Necrotic pancreatic tissue
Mild
Inflammation
Oedema
Effects endocrine and exocrine functions
Aetiology
Malignancy
Biliary tract disease
Trauma/major abdo surgery
Idiopathic
EtOh abuse
Risk Factors
Smoking
Body wt
EtOH
Genetics
Meds
Diet
Symptoms
N & V
Diarrhoe
Sensation of pain
Intermittent or constant
Steatorrhea
Sudden abdo pain
Mild - severe
Diagnosis
Clinical picture - GI symptoms
Blood tests - elevated serum lipase levels
Medical MGT
NBM
ERCP = endoscopic retrograde cholangio pancreatography
Meds
Antibiotics
Analgesia
Nutritional Consequences
Nutritional depletion (resulting in malnutrition)
Malabsorption (through steatorrhea/diarrhoea)
Hypermetabolic/catabolic
Poor glycemic control
MNT
Route
Mild = oral
Severe consider EN/TPN
Enteral
NG vs NJ
Elemental vs Polymeric
Closely observe tolerance
PN when abdo
pain is refractory
Additional considerations
PERT
Insulin
E & Pro requirements
1.2-1.5g/kg
E = 125-145kJ/kg