כירורגיה של הלבלב

edematous and necrotizing

types of acute pancreatitis

edematous pancreatitis

type of pancreatitis that causes inflammation. It can be treated conservatively, and there is usually a full recovery.

necrotizing pancreatitis

type of pancreatitis that causes necrosis, is a life a threatening disease, and has a 30% mortality rate.

causes of acute pancreatitis

choledocholithiasis, medications (fosid, tetracyclines, estrogen), trauma to the pancreas, infectious diseases, CF, hypertriglyceridemia

signs of acute pancreatitis

epigastric pain that radiates to the back, sweating, tachycardia, tachypnea, hypotension, peritonitis, increased amylase and diastase levels, Gray Turner’s sign

increased amylase and diastase levels

this is a sign that means there for sure is acute pancreatitis and it also provides information on how bad the disease is

CT

method of diagnosis of acute pancreatitis

treatment of acute pancreatitis

fast, fluids, analgesics, low fat diet, ERCP if stones need to be removed

high liver protein levels and shock

signs of acute pancreatitis that are reasons for ICU admission

complications of acute pancreatitis

SIRS, sepsis, abscess, diabetes, kidney failure, pancreas failure, pseudocyst in the pancreas

Systemic Inflammatory Response Syndrome

a disease that acts exactly like sepsis but there is no bacterial cause

chronic pancreatitis

a continuing and irreversible damage to the pancreas

causes of chronic pancreatitis

alcoholism, hyperthyroidism, biliary tract diseases

signs of chronic pancreatitis

continuous pain, epigastric pain that radiates to the back, unexplained weight loss, diabetes, fatty stool

endocrinic tumors

pancreatic tumors that are usually very small and hard to diagnose. It is usually a growth on a nerve that causes excessive secretion of a hormone

nuctal adenocarcinoma

an exocrinic tumor and the most common pancreatic malignant tumor. It isn’t very common and has a high mortality rate

risk factors for pancreatic cancer

age above 60, genetics, HNPCC history, BRCA 2

signs of an exocrine pancreatic tumor

obstructive jaundice, irritation, acute pancreatitis, CA19, CA9

ultrasound, CT, EUS

methods of diagnosis of pancreatic cancer

removal of pancreas

treatment of pancreatic cancer

complications of pancreas surgery

bile leakage, pancreatic failure, diabetes