Topic 8: Chronic Pancreatitis

Question 1

chronic pancreatitis

Answer 1

Continuous, prolonged, inflammatory and fibrosing process of the pancreas. Can be due to chronic alcohol use, obstruction by gallstones, tumor, pseudocysts, trauma, systemic diseases and cystic fibrosis.

Question 2

Obstructive pancreatitis

Answer 2

inflammation of sphincter of Oddi associated with gallstones

Question 3

Clinical Manifestations

Answer 3

· Abdominal pain (heavy, gnawing feeling or sometimes burning and cramp like) food or antacids do not relieve pain
· Pancreatic insufficiency
· Malabsorption with weight loss
· Constipation
· Mild jaundice with dark urine
· Steatorrhea
Diabetes

Question 4

pain management for chronic panceratitis

Answer 4

Analgesics (morphine, fentanyl patch)

Question 5

nutritional therapy for chronic pancreatitis

Answer 5

· Small, bland, frequent meals that are low in fat
· No smoking, alcohol, caffeinated beverages

Question 6

enzymes and pancreatitis

Answer 6

· Pancreatic enzyme products such as pancrelipase contain amylase like pace and trypsin (replace deficient pancreatic enzymes) usually taken with meals or snacks

Question 7

what determines the effectiveness of enzymes

Answer 7

Monitor for steatorrhea to help determine effectiveness of enzymes