Pancreatitis

Pancreatitis info @healthybytes-drabhimanyukapoor
Definition - Acute pancreatitis is a sudden inflammation of the pancreas.

Causes in order of frequency include:
1)Gallstones are the commonest cause of pancreatitis. A stone impacted in the common bile duct beyond the point where the pancreatic duct joins it can cause pancreatitis
2) Heavy alcohol use
3) Systemic disease
4) Trauma

Acute pancreatitis may be a single event; it may be recurrent; or it may progress to chronic pancreatitis

Common Symptoms
Severe epigastric pain (upper abdominal pain) radiating to the back in 50% of cases
Nausea
Vomiting
Fever
Chills (shivering)
Hemodynamic instability, including shock
Tachycardia (rapid heartbeat)
Respiratory distress
Peritonitis

DIAGNOSIS
Acute pancreatitis is diagnosed using clinical history and physical examination, based on the presence of at least 2 of 3 criteria:
abdominal pain,
elevated serum lipase or amylase
abdominal imaging findings consistent with acute pancreatitis
Additional blood studies are used to identify organ failure, offer prognostic information, and determine if fluid resuscitation is adequate and whether ERCP is necessary.

Blood investigations
complete blood count
kidney function tests,
liver function,
serum calcium,
serum amylase and lipase
Imaging – A triple phase abdominal CT and abdominal ultrasound are together considered the gold standard for the evaluation of acute pancreatitis. An important caveat is that imaging during the first 12 hours may be falsely reassuring as the inflammatory and necrotic process usually requires 48 hours to fully manifest
Treatment
Treatment for acute pancreatitis depends on its severity. For people with mild cases, the risk of complications is low, and the symptoms may resolve after a few days. In severe cases, the risk is significant.


Treatment for severe acute pancreatitis
Severe cases often involve some tissue death, or necrosis. This increases the risk of sepsis, a severe bacterial infection that can affect the whole body. Sepsis can lead to multiorgan damage or failure.

Severe acute pancreatitis can also cause hypovolemic shock. This involves severe blood and fluid loss leaving the heart unable to pump enough blood to the body. If this happens, parts of the body can rapidly become deprived of oxygen.

Treating gallstones

If gallstones are responsible for acute pancreatitis, the doctor will recommend surgery for removal of gallstones.

[vinodtiwari]

Sir, we Kanpurites are privileged to have best GB surgeon like you. And the way you explain complicated medical terms in such a comprehensive manner is really appreciable.

[peacek]

Thanks for sharing valuable information 🙏

[hansraj]

Charan sparsh sir 🙏
It is our privilege to receive your invaluable knowledge from last six years.
Thank you so much for the invaluable knowledge that we got through your channel.

[adeebafatima]

This is very informative sir... God bless you sir

[adeebafatima]

Make please a video on cholangiocarcinoma and its types early diagnosis symptoms, treatment options

[jayagangwar]

Pitt kisi theali me ganth keanser h to uska ilaj h apke pass

[puneetkumar]

Please Tell us how to prevent nausea which is occurring in daily basis

[shalinisinghsengar]

Sir kya opration ke stitches spots ko remove kiya ja sakta h
Agar ha?
To please Sir ak video es pr bhi banaye 🙏🙏🙏

[sumera-_aamir]

Hi...sir plz peads nephrology pr bhi video banye..

[pragyaagnihotri]

You are bank of information ..thanks a lot for giving timely updates... God greeets you sir 💐💐💐💐please make video on side-effects of drinking tea 🙏🙏....in North India tea is not less than alcohol... Is any body part affected by this??

[theplaceibelong]

Hello sir my mom has diagnosed with gallstone and post that suddenly one day she got severe pain and diagnosed with pancreatisis..then her surgery was done after 5 weeks and she gallblader was removed. But after that she again got pancreatis 2 times back to back. Now it's been one month she got discharged but still she is having slight pain in back and sometimes in the uper stomach. Is anything we should be concerned about or it will take time and heal by itself.

[sharma]

Hlo sir actually maine apni mom ki ultrasound karwayi thi aur usme multiple calculi of variable sizes likha hai koi confirm size nhi hai to hum kya kare pls reply me it's urgent sir

[pushpasharma]

Sir Mera gallbladder surgery hui 1 August ko but ek side k cut m andr ghat pd gyi h ..wo normal h Kiya ..

[pushpasen]

Pitt ki thaili nikalne ke bad vajan badhta Hai Mera

[vinaykipathshala]

Very bad experience... after operation very bad behaviour form the doctor