Tuesday, June 30, 2015

CHRONIC PANCREATITIS diagnosis & tratment


4.1 DIAGNOSIS

Diagnosis is difficult and is aided by :

*  Determination  of  serum or urinary amylase but  may  not  be
   fruitful.
*  X-ray may show pancreatic calcification
*  Ultrasound of upper abdomen

A side to side pancreatic jejunostony is also a procedure for chronic pancreatic with obstruction of flow of pancreatic juice.

4.2 TREATMENT
Non-operative  management  is  tried  with  insulin  therapy  and
pancreatic digestive enzymes for diabetes and enzyme

There are a variety of operative procedure :

*  The  lateral pancreaticojejnostomy provides for the  entry  of
   pancreatic juice into the intestine.

*  Sphincterotomy may provide relief in soce cases.

Any questions beset to drmmkapur@gmail.com
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