A prospective study of diagnosis and management options of chronic pancreatitis in a tertiary care hospital
Keywords:
abdominal pain, anorexia, chronic pancreatitis, ERCP, maldigestion, vomitingAbstract
Introduction: Chronic pancreatitis is an inflammatory condition that results permanent structural changes in the pancreas which leads to impairment of exocrine and endocrine function. This is fundamental basis why patients with this disorder commonly present with abdominal pain or maldigestion, or both. Pain is the cardinal feature of chronic pancreatitis, its presentation varies significantly among patients. The classic pain is located in epigastrium, It radiates to the back, and is associated with oral intake, nausea, vomiting, and is relieved by sitting forward. Materials and Methods: A prospective study was conducted at Department of General Surgery, Tertiary care hospitals in North India from February 2021 to January 2022 (1 year). Patients with malignant lesions of pancreas with chronic pancreatitis were included in the study. 100 cases of chronic pancreatitis, prospectively with an average follow up of 1 year from February 2021 to January 2022 (1 year). Data collection was done by collecting chronic pancreatitis cases from hospital database. The case files of all these patients were studied in detail regarding the onset and duration of the disease, pain status at time of acute onset, alcohol history, analgesic requirements, exocrine and endocrine dysfunction and number of hospital admissions.
Downloads
References
V Gupta, P P Toskes. Diagnosis and management of chronic pancreatitis. Postgrad Med J 2005;81:491–497.
Zinner MJ, Schwartz SI, Ellis H, Maingot’s abdominal operations. 10th edn. WB Saunders 2000:1899-1914.
Beauchamp T, Mattox E. Sabiston textbook of surgery. 19th edn. Philadelphia: Elsevier-Saunders 2014:1648-1664.
Cuschieri SA, Steele RJ, Mousa AR. Essential Surgical Practice. 4th edn. London: Arnold Publishing 2003:492-500.
Yeo CJ, Dempsey DT, Klein AS, et al. Shackelford’s surgery of alimentary tract. 6th edn. Philadelphia, PA:Saunders Elsevier 2007:1296-1308.
Tenner S, Baillie J, Witt JD, et al. Management of acute pancreatitis. Am J Gastroenterol 2013;108:1400–1415.
Bechien U Wu, Banks PA. Clinical management of patients with acute pancreatitis. Gastroenterology 2013;144(6):1272-1281.
Nesvaderani M, Esclick GD, Cox MR. Acute pancreatitis– update of management. Med J
;202(8):420-423.
Dulce M Cruz-Santamaria DM, Taxonera C, et al.Update on pathogenesis and clinical management of acute pancreatitis. World J Gastrointest Pathophysiol 2012;3(3):60-70.
Balakrishnan V. Chronic calcific pancreatitis in the Tropics. Indian J Gastroenterol. 1984;3:65-7.
Published
How to Cite
Issue
Section
Copyright (c) 2022 International journal of health sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Articles published in the International Journal of Health Sciences (IJHS) are available under Creative Commons Attribution Non-Commercial No Derivatives Licence (CC BY-NC-ND 4.0). Authors retain copyright in their work and grant IJHS right of first publication under CC BY-NC-ND 4.0. Users have the right to read, download, copy, distribute, print, search, or link to the full texts of articles in this journal, and to use them for any other lawful purpose.
Articles published in IJHS can be copied, communicated and shared in their published form for non-commercial purposes provided full attribution is given to the author and the journal. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
This copyright notice applies to articles published in IJHS volumes 4 onwards. Please read about the copyright notices for previous volumes under Journal History.
