Chronic Pancreatitis

Chronic Pancreatitis

  • Continuous, prolonged inflammatory, and fibrosing process of the pancreas
  • Etiology
    • Alcohol, gallstones, tumor, pseudocysts, trauma, systemic disease
    • Acute pancreatitis
    • Idiopathic
  • Classifications
    • Two major types
      • Chronic obstructive pancreatitis
        • Inflammation of sphincter of Oddi
        • Cancer of ampulla of Vater, duodenum, or pancreas
      • Chronic non-obstructive pancreatitis
        • Inflammation and sclerosis in head of pancreas and around duct
        • Most common cause is alcohol abuse
  • Clinical Manifestations
    • Abdominal pain
      • Located in same areas as in acute pancreatitis
      • Heavy, gnawing feeling; burning and cramp-like
    • Malabsorption with weight loss
    • Constipation
    • Mild jaundice with dark urine
    • Steatorrhea
    • Diabetes mellitus
  • Interprofessional Care
    • Pancreatic enzyme replacement
    • Bile salts
    • Insulin or oral hypoglycemic agents
    • Acid-neutralizing and acid-inhibiting drugs
    • Antidepressants
  • Nursing Management
    • Focus is on chronic care and health promotion
    • Patient and family teaching
      • Dietary control
      • Pancreatic enzyme with meals/snack
      • Observe for steatorrhea
      • Monitor glucose levels
      • Antacids after meals and at bedtime
      • No alcohol


More Posts

Heart Attack Symptoms

Español Not all heart attacks begin with the sudden and crushing chest pain that comes when the blood flow to heart gets blocked. Heart attack

Sun Safety

Skin cancer is the most common cancer in the U.S. Too much sun can cause skin cancer. Spending time outside is a great way to

Leave Fireworks to the Experts

Summer is synonymous with barbecues, parades and fireworks. The National Safety Council advises everyone to enjoy fireworks at public displays conducted by professionals, and not