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| Acute pancreatis |
Acute pancreatis
Causes1>alcohol-it stimulate pancreatic secretion rich in protein,form protein plug,result in obstruction 2 pancretic duct.It stimulates trypsiogen
2>biliary tract disease-stone in biliary tree
3>collagen vascular disorder-polyarteritis nodosa
4>drug-corticosteroid,estrogen,diuretics
5>endoscopic procedure-sphicterectomy,cannulation of CBD or pancreatic duct or basketing of stones from CBD
6>genetic
7>hyperparathyroidism
8>hyperlipidemia
9>hypothermia n hypotension
10>injury 2 pancreas
11>infection-mumps
PSEUOCYST of pancreas-
invertigation-
1>USG-can detect size,location of cyst
2>barium meal follow through
3>ERCP
Treatment-
1>coservative line of treatment
a>majority resolve by itself within 3-4 weeks
b>regular usg 2 observe pseudocyst
2>surgery
a>increase in size of cyst,severe pain,no response 2 conservative line of treatment r indication 4 surgery
A>cystogartrostomy-
indication-pseudocyst in relation 2 head n body of pancreas
timing-after 6 weeks
size-6 cm
procedure-ant gastrotomy is done n incision in post wall of stomach opens in2 cyst cauity.Content r drained.Opening is emlarged n cut end of stomach in post wall is sutured 2 cut edge of cyst wall.After 1 week cyst colapses
B>cyst confined 2 tail of pancreas-distal pancreatectomy wth removal of tail n cyst
C>large cyst:cystojejunostomy by roux-en-Y loop done,by suturing jejunal loop
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