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         Pancreatitis:     more books (100)
  1. Association of pancreatitis with administration of contrast medium and intravenous lipid emulsion in a patient with the acquired immunodeficiency syndrome. ... An article from: Southern Medical Journal by Vijaykumar S. Kasi, Carlos A. Estrada, et all 2003-01-01
  2. Quick diagnosis crucial in gallstone pancreatitis: gallstones should be suspected in every patient with acute pancreatitis who is also at risk for stones.(Clinical ... An article from: Family Practice News by Betsy Bates, 2005-03-15
  3. Pancreatitis. Everything you need to know. / Pankreatit.Vse,chto vy dolzhny znat. by Ilin V.F., 2005
  4. Mesenteric venous thrombosis in a patient with pancreatitis and protein C deficiency.(Case Report): An article from: Southern Medical Journal by Andrew Rackoff, Nathan Shores, et all 2005-02-01
  5. Deaths From Pancreatitis: Ray Hnatyshyn, Paul Hindemith, Phil Katz, Franz Bardon, Paul Pena, Christopher Soames, Baron Soames, Raul Seixas
  6. STUDY SHOWS SECRETIN REDUCES POST-ERCP PANCREATITIS.: An article from: Biotech Business
  7. Surgical Treatment of Chronic Pancreatitis - New Standards (Journal - Digestive Surgery , Vol 13, No 2)
  8. Protecting yourself from pancreatitis: what starts as inflammation can cause life-threatening complications, but healthier habits may protect you.(PREVENTION): An article from: Healthy Years by Unavailable, 2009-06-01
  9. Acute Pancreatitis: A Consideration Of Pancreatic Hemorrhage, Hemorrhagic, Suppurative, And Gangrenous Pancreatitis, And Of Disseminated Fat-Necrosis (1889) by Reginald Heber Fitz, 2010-09-10
  10. Pancreatitis : A Clinical - Pathologic Correlation by Herman T.; Probstein, J.G. Blumenthal, 1959
  11. Acute pancreatitis as a manifestation of HIV seroconversion.(Section on Gastroenterology)(Brief Article): An article from: Southern Medical Journal by Sarah Jorgensen, Michael Herman, 2004-10-01
  12. Chronic pancreatitis pain relieved by surgery: complete pancreatectomy was followed by the autotransplantation of islet cells in 136 patients.(Gastroenterology): ... An article from: Internal Medicine News by Betsy Bates, 2006-04-15
  13. Pancreatitis: Concepts & Classification (International Congress Series) by H. Sarles, M. V. Singer, et all 1985-02
  14. Therapeutic diets for pancreatitis and other pancreatic diseases / Lechebnye diety pri pankreatite i drugikh zabolevaniyakh podzheludochnoy zhelezy by Ilin V. F., 2010

81. Pancreatitis
Overview of pancreatitis and related lab tests amylase, lipase, sweatchloride, trypsin, trypsinogen. TESTS
http://www.labtestsonline.org/understanding/conditions/pancreatitis.html
TESTS Test not listed? A/G Ratio ACE ACT ACTH AFB Culture AFP Maternal AFP Tumor Marker Albumin Aldosterone Allergies ALP Alpha-1 Antitrypsin ALT Amylase ANA Antibody Tests Apo A Apo B ApoE Genotyping aPTT AST Autoantibodies Bilirubin Blood Culture Blood Gases Blood Smear BMP BNP Bone Markers BRCA BUN C-peptide CA-125 CA 15-3 CA 19-9 Calcium Cardiac Risk CBC CEA Celiac Disease Tests CF Gene Mutation Chlamydia Chloride Cholesterol CK CK-MB CMP CMV Coagulation Factors Complement Levels Cortisol Creatinine Creatinine Clearance CRP CRP, high-sensitivity Cystatin C D-dimer DHEAS Differential DLDL EGFR Electrolytes Electrophoresis ESR Estrogen Estrogen Receptors Factor V Leiden Fecal Occult Blood Ferritin fFN Fibrinogen Flu Tests Folate Fructosamine FSH Genotypic Resistance GFR GGT Glucose Gonorrhea Gram Stain Growth Hormone H-pylori hCG HDL Hematocrit Hemoglobin Hemoglobin Variants Hepatitis A Hepatitis B Hepatitis C Her-2/neu Herpes HIV Antibody HLA-B27 Home Tests Homocysteine HPV hs-CRP IGF-1

82. AllRefer Health - Pancreatitis
pancreatitis information center covers causes, prevention, symptoms, diagnosis, treatment,incidence, risk factors, signs, tests, support groups, complications
http://health.allrefer.com/health/pancreatitis-info.html
AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia
You are here : AllRefer.com Health Pancreatitis
Pancreatitis
Definition Prevention
Treatment

Expectations or Prognosis
...
Go To Main Page
Definition Pancreatitis is an inflammation or infection of the pancreas an elongated, tapered gland that is located behind the stomach. The pancreas secretes digestive enzymes and the hormones insulin and glucagon
Digestive System
Endocrine Glands
Pancreatitis, Acute - CT Scan
Pancreatitis, Chronic - CT Scan
Pancreatitis, CT Scan Series
Pancreas The various types of pancreatitis involve irritation, inflammation, and infection of the pancreas. The disorders differ according to whether symptoms develop suddenly or slowly. Specific types of pancreatitis are: Previous Top Next Jump to another section Definition Pancreatitis Prevention Pancreatitis Treatment Pancreatitis Prognosis ... Calling Your Health Care Provider Topics that might be of interest to you Acute Pancreatitis Chronic Pancreatitis Pancreatic Abscess Abdominal Film ... Glucagon Other Topics

83. PANCREATITIS - Patient Info - American College Of Gastroenterology
pancreatitis. Peter A. Banks, MD, FACG Saleem A. Desai, MD Brigham Women s Hospital. What is the Pancreas? What is pancreatitis?
http://www.acg.gi.org/patientinfo/gihealth/pancreas.html
Site Map Colon Cancer Resource Kit IBS Relief Digest This! ... GI Physician Locator PANCREATITIS
What is the Pancreas? The pancreas is an organ within the abdomen behind the stomach. Within the pancreas, there are specialized cells called acinar cells that synthesize, store, and secrete digestive enzymes into pancreatic ducts. Enzymes are transported via pancreatic ducts to the small intestine, where they help digest food. Within the pancreas, there are also specialized cells termed islet cells which manufacture insulin and other hormones as well. The release of insulin into the blood stream Is important for the control of blood sugar. What is Pancreatitis? Acute pancreatitis is an acute inflammation of the pancreas characterized by swelling and at times even destruction of pancreatic tissue. The most common causes of acute pancreatitis are gallstones and excessive alcohol consumption. Other causes include medications, abdominal trauma, infections, and genetic abnormalities of the pancreas. Chronic pancreatitis is a chronic inflammation of the pancreas characterized by scarring of tissue that at times is sufficient enough to impair digestion of food and to cause diabetes mellitus. The most common causes of chronic pancreatitis are excessive consumption of alcohol and genetic abnormalities of the pancreas. At times, the cause is unknown. Acute Pancreatitis The diagnosis of acute pancreatitis is made by a combination of clinical symptoms, physical examination, laboratory tests including amylase and lipase. An abdominal CT Scan may also be required.

84. Pancreatitis (Feline) - VeterinaryPartner.com - A VIN Company!
pancreatitis (Feline). Most of us have heard of the pancreas but aren’t reallysure what it is. pancreatitis is potentially a metabolic disaster.
http://www.veterinarypartner.com/Content.plx?P=A&A=577&S=1&SourceID=42

85. Acute Pancreatitis
Acute pancreatitis in Children pancreatitis is an infrequently recognizedcause of abdominal pain in children. CHRONIC pancreatitis.
http://home.coqui.net/myrna/pancr.htm
Acute Pancreatitis in Children
Pancreatitis is an infrequently recognized cause of abdominal pain in children. The diagnosis sometimes is difficult but the following clinical description may help.
ETIOLOGY Drugs/toxins: thiazides, steroids, azathioprine, alcohol, tetracycline, salicylazosulfapyridine, chlorthalidone, furosemide, L-asparaginase, oral contraceptives, organophosphates. Trauma/surgery/child abuse Biliary Tract Disease: choledochal cyst, stricture of the common bile duct, congenital stenosis of the ampulla of Vater, anomalous insertion of the common bile duct, cholelithiasis/cholecystitis. Infection: mumps (even in the absence of parotitis), hepatitis B, coxsackie B5, Epstein-Barr virus, mycoplasma, influenza B. Diabetes mellitus (ketoacidosis) Perforated duodenal ulcer Miscellaneous: hyperparathyroidism, septic shock, cystic fibrosis, pregnancy, acute porphyria, kwashiorkor, hyperproteinemia I and V, scorpion bites. Idiopathic Vasculitis: SLE, Henoch-Schönlein, Kawasaki. Nutritional: malnutrition, rapid feeding, bulimia.
SIGNS AND SYMPTOMS 1. Abdominal pain. Children may not localize the pain very well. It is usually noted to be in the upper quadrants or the periumbilical area. The pain is usually constant, but it may be intermittent, and it may be made worse by eating. The knee-chest position will usually relieve the pain.

86. Simple FactSheet: Pancreatitis
What is pancreatitis? HIV drugs that can cause pancreatitis, symptoms,risk of experiencing pancreatitis, diagnosis, treatment. logo
http://www.aegis.com/factshts/network/simple/panc.html
Pancreatitis
a Simple FactSheet from the A IDS T reatment D ata N etwork Pancreatitis:
The pancreas is a small organ located just behind the stomach. The pancreas produces insulin which helps the body process sugars in your body. Pancreatitis is when the pancreas becomes inflamed or damaged. Symptoms: Symptoms of pancreatitis include nausea, vomiting and a persistent (sometimes severe) pain in the stomach area that may go right through to your back. Drugs responsible: The most common cause of pancreatitis is the NRTI drug didanosine (ddI, Videx) . Less commonly, pancreatitis can also be a side effect of stavudine (d4T, Zerit) lamivudine (3TC, Epivir) has been associated with the development of pancreatitis in children. Risk of experiencing this side effect: intravenous pentamidine Diagnosis: Monitoring for pancreatitis involves blood tests to measure the levels of substances called amylase and lipase. Increased levels of amylase and lipase can warn of damage to the pancreas before symptoms appear. Your doctor can then confirm if there is damage by doing additional tests. Treatment: NRTI drugs should be stopped if pancreatitis is suspected. There is no specific treatment for pancreatitis, but hospitalization and supportive care may be needed in serious cases. If damage to the pancreas is permanent (a condition called chronic pancreatitis), changes in diet may be needed to prevent pancreatitis from happening again. Doctors recommend that Videx be permanently stopped if a diagnosis of pancreatitis is confirmed. Restarting Zerit after a case of pancreatitis should be done with caution.

87. Gallstone Pancreatitis
This month s topic Laparoscopic Managment of Gallstone pancreatitis.Gallstone pancreatitis in the era of laparoscopic cholecystectomy.
http://www.foxhall.com/gallpanc.htm
ADVANCES IN LAPAROSCOPIC SURGERY
This month's topic: Laparoscopic Managment of Gallstone Pancreatitis Gallstone pancreatitis in the era of laparoscopic cholecystectomy.
Am Surg 1997 Oct;63(10):900-903
Bulkin AJ, Tebyani N, Dorazio RA
Department of Surgery, Kaiser Permanente Medical Center, Los Angeles, California 90027, USA. Gallstone size and risk of pancreatitis.
Arch Intern Med 1997 Aug 11;157(15):1674-1678
Diehl AK, Holleman DR Jr, Chapman JB, Schwesinger WH, Kurtin WE Department of Medicine, University of Texas Health Science Center at San Antonio, USA.
Laparoscopic management of acute biliary pancreatitis.
Surg Endosc 1997 Jul;11(7):718-721
Ballestra-Lopez C, Bastida-Vila X, Bettonica-Larranaga C, Zaraca F, Catarci M Laparoscopic Surgery Unit, Department of General and Digestive Surgery, Hospital de Bellvitge "Princeps d'Espanya," Barcelona, Spain.
Cholecystectomy following the introduction of laparoscopy: more, but for the same indication.
Am Surg 1997 Jun;63(6):506-511 Safran DB, Sullivan BS, Leveque JE, Williams MD Department of Surgery, University of South Alabama Medical Center, Mobile, USA.

88. Pancreatitis
MAIN SEARCH INDEX. pancreatitis. Definition. pancreatitis is an inflammationof the pancreas, an organ that is important in digestion.
http://www.ehendrick.org/healthy/001016.htm
MAIN SEARCH INDEX
Pancreatitis
Definition
Pancreatitis is an inflammation of the pancreas, an organ that is important in digestion. Pancreatitis can be acute (beginning suddenly, usually with the patient recovering fully) or chronic (progressing slowly with continued, permanent injury to the pancreas).
Description
Acute pancreatitis occurs when the pancreas suddenly becomes inflamed but improves. Patients recover fully from the disease, and in almost 90% of cases the symptoms disappear within about a week after treatment. The pancreas returns to its normal architecture and functioning after healing from the illness. After an attack of acute pancreatitis, tissue and cells of the pancreas return to normal. With chronic pancreatitis, damage to the pancreas occurs slowly over time. Symptoms may be persistent or sporadic, but the condition does not disappear and the pancreas is permanently impaired. Pancreatic tissue is damaged, and the tissue and cells function poorly.
Causes and symptoms
There are a number of causes of acute pancreatitis. The most common, however, are gallbladder disease and

89. Adult Health Advisor 2003.2: Chronic Pancreatitis
Chronic pancreatitis. What is chronic pancreatitis? How can I help preventchronic pancreatitis? If you drink heavily, get help for stopping.
http://www.med.umich.edu/1libr/aha/aha_chpan_crs.htm
Adult Health Topics All Health Topics
Find a UMHS Doctor
T his information is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. Search Adult Topics Search All Topics
T his information is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. Index Illustration
Chronic Pancreatitis
What is chronic pancreatitis?
Chronic pancreatitis is an ongoing or repeated inflammation of the pancreas. The pancreas is an organ located behind the stomach. It produces digestive enzymes to break down food. It also makes insulin, which controls the level of sugar (glucose) in the blood. The digestive enzymes flow into the small intestine. Insulin is released into the blood. Pancreatitis can be acute or chronic. Acute pancreatitis occurs as one sudden episode. After acute pancreatitis the pancreas usually returns to its normal condition. Chronic pancreatitis means ongoing pancreatitis in which there is permanent damage to the pancreas. The damaged pancreas gradually becomes unable to produce normal digestive enzymes and insulin.

90. Pancreatitis: From HealthSquare.com
A complete explanation of pancreatitis including risks, what to expectand when to call the doctor. Causes. pancreatitis runs in families.
http://www.healthsquare.com/mc/fgmc0510.htm
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WHAT YOU SHOULD KNOW
Pancreatitis (pan-cree-uh-TIE-tis) is an irritation of the pancreas that may begin quickly, then disappear after treatment. It may come and go repeatedly. This disease can make you very sick.
Causes
Pancreatitis runs in families. You can trigger it by drinking too much alcohol or eating foods high in fat. It can also be a result of gallbladder disease or injury to your abdomen (the area around your stomach). Other causes are heavy smoking, surgery, infection, and some medicines.
Signs/Symptoms
Typical symptoms include fever, nausea, vomiting, severe abdominal pain, gas, and muscle aches. You also may lose weight, get dizzy, and have jaundice (a yellow tint to your skin or eyes).
Care
Your doctor may have you rest at home until you feel better. If the attacks are serious, you may need to check into the hospital for more tests and treatment.

91. BioMed Central | Full Text | Pancreatitis In Childhood
To obtain access to Current Gastroenterology Reports through your institutionuse the options below. If you would like information
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92. BioMed Central | Full Text | Acute Pancreatitis Following Medical Abortion: Case
Acute pancreatitis following medical abortion Case report Pär Hallberg 1 , EbbaHallberg 1 and Hashem Amini 2 1 Department of Clinical Pharmacology, Uppsala
http://www.biomedcentral.com/1472-6874/4/1
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PubMed record ... Related articles in PubMed Search PubMed For Hallberg P Hallberg E Amini H Key E-mail Corresponding author Case report Acute pancreatitis following medical abortion: Case report Ebba Hallberg and Hashem Amini Department of Clinical Pharmacology, Uppsala University Hospital, Uppsala, Sweden Department of Women's and Children's Health; Section for Obstetrics and Gynecology, Uppsala University Hospital, Uppsala, Sweden BMC Women's Health The electronic version of this article is the complete one and can be found online at: http://www.biomedcentral.com/1472-6874/4/1 Received Accepted Published Abstract Background Acute pancreatitis rarely complicates pregnancy. Although most pregnant women with acute pancreatitis have associated gallstones, less common causes such as drugs have been reported. Case presentation We report the case of a 34-year-old woman who underwent medical abortion with mifepristone and gemeprost and received codeine as pain-relief during the induction of abortion. She developed a severe acute necrotizing pancreatitis which required 14 days of intensive care. Other possible etiological factors, i.e. gallstone, alcohol intake and hyperlipidemia, were excluded. Conclusions The reported case of acute pancreatitis was most likely drug-induced.

93. BFCA - Pancreatitis Or Liver Disease?
Member of the American Kennel Club. pancreatitis or Liver Disease? The diagnosismay turn out to be pancreatitis or it may be an acute liver condition.
http://www.bichon.org/liver.htm
Official Website for
The Bichon Frise Club
of America, Inc.
Member of the American Kennel Club
Pancreatitis or Liver Disease?
Your Bichon is obviously very ill, with vomiting, perhaps diarrhea, and signs of severe abdominal pain, depression and dehydration. It is time to get to the veterinarian and quickly. The diagnosis may turn out to be pancreatitis or it may be an acute liver condition. The condition may come on as mild or severe. Both occur in Bichons often enough that Bichon owners need to be aware of what is involved and to be alert to the signs, enabling us to have the dog under veterinary care sooner rather than later. While it may go into remission, there can be repeated flare-ups, often with increasing severity in succeeding attacks. Statistics show both to occur in our breed and both can be fatal.
The pancreas serves to provide digestive enzymes and also make insulin for sugar metabolism. Failure to make insulin results in diabetes. In mild pancreatitis, there may be occasional vomiting and diarrhea and there may be loss of appetite and/or weight loss. In the acute form, there is leakage of enzymes into the abdominal cavity, causing digestion of surrounding tissue, including the pancreas itself! There may be a severe derangement of electrolytes, low or high glucose, and/or dehydration. Occasionally a severe drop of serum calcium can cause tremors or seizures. He may recover if treated promptly but the dog may develop diabetes or a condition called exocrine deficiency syndrome, where the dog cannot digest or absorb food properly.

94. Pancreatitis
pancreatitis. Updated Dec 08, 2003. The pancreas fibrosis). This longtermproblem is called chronic pancreatitis. ddI and pancreatitis. One
http://www.aidsmap.com/treatments/treatmentslinks.asp?link=Pancreatitis

95. ACR Appropriateness Criteria™ For Acute Pancreatitis.
GUIDELINE TITLE. ACR Appropriateness Criteria™ for acute pancreatitis. ACRAppropriateness Criteriaâ?¢. Clinical Condition Acute pancreatitis.
http://www.guideline.gov/summary/summary.aspx?doc_id=3257

96. Genetic Testing For Hereditary Pancreatitis: Guidelines For Indications, Counsel
Genetic testing for hereditary pancreatitis guidelines for indications, counselling,consent and privacy issues. Prenatal Testing for Hereditary pancreatitis.
http://www.guideline.gov/summary/summary.aspx?doc_id=3374&nbr=2600

97. Acute Pancreatitis - Medical Dictionary Definitions Of Popular Medical Terms
MedicineNet Home MedTerms medical dictionary AZ List Acute pancreatitis.Advanced Search. Acute pancreatitis Sudden inflammation of the pancreas.
http://www.medterms.com/script/main/art.asp?articlekey=16730

98. Acute Pancreatitis
Acute pancreatitis. Aetiology. Idiopathic; Preferable to oral or nasogastricfeeding. Complications of acute pancreatitis. Local. Necrosis
http://www.surgical-tutor.org.uk/system/abdomen/pancreatitis.htm
Up Abdominal incisions Groin hernias Other hernias ... Mesenteric ischaemia [ Acute pancreatitis ] Pyogenic liver abscess Amoebic liver abscess Hydatid disease Gynecological pain ... Abdominal masses
Acute pancreatitis
Aetiology
  • Idiopathic Obstruction
    • Choledocolithiasis Ampullary or pancreatic tumours
    Pancreatic structural anomalies Toxins
    • Alcohol Drugs - salicylates, azathioprine, cimetidine
    Trauma
    • Accidental Iatrogenic
    Metabolic abnormalities Infection Vascular anomalies
Diagnosis
  • Serum amylase has low sensitivity and specificity 20% cases of pancreatitis have normal serum amylase (particularly alcoholic aetiology) Serum lipase more sensitive
Pictures provided by Vikram Kate, Jawaharial Institute of Postgraduate Medical Education and Research, Pondicherry, India
Causes of hyperamylasaemia
  • Perforated peptic ulcer Cholecystitis Generalised peritonitis Intestinal obstruction Mesenteric infarction Ruptured AAA Ruptured ectopic pregnancy
Prognostic factors
  • 80% of patients have mild pancreatitis with good recovery Mild disease accounts for less than 5% of the mortality form pancreatitis Mortality from pancreatitis due to:
    • Early multiple organ failure Late infected pancreatic necrosis Haemorrhage Associated co-morbidity
    Aim of prognostic scores is to identify patients with severe pancreatitis Need to have high sensitivity and specificity Ideally should be applicable on admission
Ranson's criteria
  • On admission Within 48 hours
    • pO
    Can not be applied fully for 48 hours Also poor predictor later in the disease 'Single snapshot in a whole feature length film'

99. Chronic Pancreatitis
Chronic pancreatitis. Bibliography. Apte MV, Keogh GW, Wilson J S. Chronic pancreatitiscomplications and management. J Clin Gastroenterol 1999; 29 225240.
http://www.surgical-tutor.org.uk/system/abdomen/chronic_pancreatitis.htm
Up Abdominal incisions Groin hernias Other hernias ... Pancreatic cancer [ Chronic pancreatitis ] Colonic polyps Colorectal carcinoma Liver metastases Anal carcinoma ... Abdominal masses
Chronic pancreatitis
  • Chronic inflammatory disease of the pancreas Results in irreversible destruction of both the endocrine and exocrine pancreatic tissue Early stages of the disease may be characterised by episodes of acute pancreatitis Pancreas may appear macroscopically normal Late stage of disease is characterised by pancreatic fibrosis and calcification Pancreatic duct dilatation and stricture formation occurs Cysts form within the pancreatic tissue Aetiological factors include
    • Alcohol Tobacco Pancreatic duct strictures Pancreatic trauma Hereditary pancreatitis Tropical pancreatitis
    Male to female ratio is approximately 4:1 Mean age of onset is approximately 40 years The incidence is increasing Chronic pancreatitis increases the risk of pancreatic carcinoma
Clinical features
  • Pain is the principal symptom in most patients Usually epigastric, sub-costal and radiating to the back Pain may be continuous or episodic Often interferes with life and may lead to opiate abuse Weight lost may occur Loss of exocrine function produces malabsorption and steatorrhoea Loss of endocrine function results in diabetes
Investigation
  • Serum amylase is often normal Plain abdominal x-ray may show pancreatic calcification CT or MRI is the most useful investigation for imaging the pancreas May confirm pancreatic enlargement, fibrosis and calcification

100. MEDSTUDENTS-GASTROENTEROLOGY
Mechanisms of Disease Etiology and Pathophysiology of Acute pancreatitis. Phatophisiology.The pathogenesis of acute pancreatitis remains poorly understood.
http://www.medstudents.com.br/gastro/gastro1.htm
GASTROENTEROLOGY
FERNANDO DE SOUZA AFONSO
Medstudents' Homepage
Mechanisms of Disease: Etiology and Pathophysiology of Acute Pancreatitis
The main goal of this article is to summarize the current concepts about the etiology of acute pancreatitis, and how these agressive factors lead to pancreatic tissue damage and systemic involvement that is typical of this disease.
Etiology
There are lots of causes known to produce acute pancretitis. Gallstones are the most common cause accounting for 45% of cases in Western Europe, Asia and United States. Other obstrutive causes of pancreatitis are uncommon like pancreas divisum, pancreatic carcinoma and metastatic cancer. Ascariasis is common cause of acute pancreatitis in children of developping countries, resulting from migration of worms into the biliary tree and pancreatic duct. Recently, hypertensive sphincter of oddi has been recognized as an important cause of the disease, and the search for this abnormality has reduced the number of cases previously taught to have idiophatic acute pancreatitis. Alcohol is the second leading cause of acute pancreatis, although some experts do not believe that alcohol induces the disease but simply an acute attack in a previous silent cronic pancreatitis, based on histopathology and other evidences. More than 85 drugs have been described to cause pancretitis, the most common being azathioprine, mercaptopurine, DDI, valproic acid, estrogens, thiazides, furosemide, metronidazole, pentamidine, sulfonamides and tetracyclines. Also scorpion venom and organophosphorous inseticides have been implicated.

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