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Chronic pacreatitis (pathophysiology (atrophy of epithelium of ducts…
Chronic pacreatitis
pathophysiology
atrophy of epithelium of ducts occurs
inflammation of secreting cells in pancreas occurs
leading to obstruction of pacreas
excessive alcohol causes chronic pacreatitis
pressure on pancreas increase
hypersecretion of protein in pancreatic ducts
cells are replaced by fibrous tissue
protein and calculi form in the ducts
anatomical and functional destruction of pacreas
nursing management
discourage alcohol consuption.
exclude caffeine from diet.
anti-acids for example ranitine for reducing acid.
give analgesics (pethidine) for pain.
give low-fat diet in small frequent servings.
administer pracreatin for enzyme replacement.
prevent and management acute attacks.
clinical manifestations
foul smelling and frothy stool
back pain
vomiting and weight loss
reccurring attacks in upper abdomen
diagnostic procedures
ct scan
ultrasound
magnetic resonace imaging
surgical management
auto-transplant of islets
endoscopy for removal of pancreatic stones
bilateral thoracoscopic splanchnicectomy
definition
inflammation of the pancreas