Pancreas
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Pancreas Dr Anil Sabharwal
Pancreas • Pancreas is a gland associated with GIT • 2 components1)Exocrine gland-amylase, lipase 2)Endocrine gland-Insulin, glucagon
Acute Pancreatitis • Escape of activated pancreatic enzymes into surrounding tissues→ pancreatitis • Causes-alcoholism, cholelithiasis, mumps, surgery • Clinical features: severe epigastric pain radiating to back • Tachycardia, tenderness, paralytic ileus • ↑ TLC, serum amylase, lipase, glucose,↓ calcium • USG,CT
Chronic Pancreatitis • Recurrent acute pancreatitis→ exocrine & endocrine tissue deficiency. • Clinical features: malnutrition, wt loss, steatorrhea • USG,CT,MRI • Treatment: low fat diet, no alcohol, Lipase, PPI, Associated diabetes is treated
Carcinoma of Pancreas • Obstructive jaundice-painless • Enlarge GB • Upper abdominal pain
Pancreas • Pancreas is a gland associated with GIT • 2 components1)Exocrine gland-amylase, lipase 2)Endocrine gland-Insulin, glucagon
Acute Pancreatitis • Escape of activated pancreatic enzymes into surrounding tissues→ pancreatitis • Causes-alcoholism, cholelithiasis, mumps, surgery • Clinical features: severe epigastric pain radiating to back • Tachycardia, tenderness, paralytic ileus • ↑ TLC, serum amylase, lipase, glucose,↓ calcium • USG,CT
Chronic Pancreatitis • Recurrent acute pancreatitis→ exocrine & endocrine tissue deficiency. • Clinical features: malnutrition, wt loss, steatorrhea • USG,CT,MRI • Treatment: low fat diet, no alcohol, Lipase, PPI, Associated diabetes is treated
Carcinoma of Pancreas • Obstructive jaundice-painless • Enlarge GB • Upper abdominal pain
