What are the Treatment Options for Pancreatitis QA
MUSIC I am Vikesh Singh, I am a gastroenterologist at Johns Hopkins. I am the director of the Pancreatitis Center. And I am the Medical Director of the Islet AutoTransplantation program. I specialize in inflammatory dis, disorders of the pancreas, as well as interventional endoscopy. MUSIC There are many options for the treatment of chronic pancreatitis. These include medical, endoscopic, and surgical options. All patients are offered medical options for treatment. These treatments focus on the pain of chronic pancreatitis. These typically include adherence to a low fat diet, avoidance of alcohol.
And tobacco, the use of pancreatic enzyme supplements, as well as pain medication. Unfortunately, most patients will not respond to medical treatments for chronic pancreatitis. The other options include endoscopic and surgical treatment of chronic pancreatitis. Endoscopic therapy is most commonly offered to those patients who have a dilated pancreatic duct. These patients can undergo an endoscopic procedure known as an endoscopic retrograde cholangiopancreatography, and the goal of this procedure is to dilate strictures, to remove pancreatic duct stones and to place pancreatic ducts stents. MUSIC For those patients with small duct disease they can.
Be offered procedures such as the Whipple, and total pancreatectomy. And for patients with large duct disease, they can be offered procedures such as the Frey and Puestow. MUSIC At Johns Hopkins, we have a teambased approach to evaluating and managing patients with chronic pancreatitis. We are constantly looking for new medical, endoscopic and surgical therapies for treating the very difficult patients. There have been some developments in the field of endoscopic ultrasound with celiac plexus blockade. This procedure can be used to help alleviate the pain associated with chronic pancreatitis.
At least in the short term as more long term options are pursued. The the greatest option that has emerged over the years for the surgical treatment of chronic pancreatitis is total pancreatectomy with or without islet cell autotransplantation. MUSIC The selection of the optimal candidate with chronic pancreatitis for a total pancreatectomy with or without islet cell autotransplantation is a complex and difficult process. This typically involves the coordinated evaluation of the patient by a team of specialists including a gastroenterologist, a surgeon, a pain management specialist, and an endocrinologist.
Gtgt Chronic pancreatitis. Chronic pancreatitis is caused by longterm inflammation of the pancreas. which eventually leads to the irreversible destruction of pancreatic tissue. Chronic pancreatitis develops slowly over time and is predominantly triggered by lifestyle factors in predisposed patients, such as longstanding, heavy alcohol or tobacco use, although this is not always the case. Other less common causes are medications that puts stress on the pancreas, elevated triglycerides, some autoimmune conditions, and some inherited or genetic conditions, notably cystic fibrosis and hereditary pancreatitis. In some people, the cause of chronic pancreatitis.
Is never discovered and remains a mystery. The pancreas is a digestive system organ that has two important functions. It produces hormones that regulate blood sugar as well as enzymes to break down food in the digestive tract. When the pancreas doesn't work properly, it affects the body's ability to properly digest food. This means that some people with chronic pancreatitis are unable to get the nutrients they need from the food they eat. They can have trouble digesting food properly or maintaining their blood sugar in a healthy range. This can lead to nutritionrelated disease,.
Such as weak bones and vision loss. Some people may also have difficulty gaining or maintaining their weight, and persistent pain. The hallmark symptom of chronic pancreatitis is abdominal pain. The pain may be intermittent or chronic, and is frequently very severe with stabbing pains localized in the upper part of the abdomen between the belly button and the chest. The pain may radiate to the back and may be triggered by eating, especially highfat foods. As the disease progresses, the pain may become more severe and debilitating, and often it becomes constant.
In some cases, surgery or endoscopic treatment may be required. Oily, foulsmelling bowel movements and weight loss may be seen in the advanced stages of the disease and usually signals exocrine pancreatic insufficiency. As well, depending on the severity and extent of the damage to the pancreas, some people develop diabetes. A combination of tests are used to diagnose chronic pancreatitis. In some people, diagnosis is challenging due to the course of the disease. However, in others, it is relatively straightforward. A CT scan of the abdomen is the most commonly used test.
An MRI or endoscopic ultrasound may also be used to confirm the diagnosis. In some difficulttodiagnose cases, pancreatic stimulation testing can be useful. This test artificially stimulates the pancreas using secretin. This test is expensive and invasive, so it is not frequently performed. Blood tests are not useful for diagnosing chronic pancreatitis. Although there is no cure for chronic pancreatitis, early diagnosis and treatment can help slow the progression of the disease. Treatment involves avoiding triggers, such as heavy alcohol use, smoking, and highfat foods. Other treatment interventions involve pain management,.
Gtgt Acute pancreatitis. Acute pancreatitis is the sudden inflammation of the pancreas. It can be very painful and usually means a stay in the hospital. About 5 of cases are lifethreatening, usually when other organs are involved. The pancreas is a digestive system organ that has two important functions. It produces enzymes to break down food in the digestive tract, as well as hormones that regulate blood sugar. In acute pancreatitis, the enzymes used to break down food become activated before they leave the pancreas. These enzymes are so powerful that they start to attack.
And digest the pancreatic tissue. This process is called autodigestion. The most common causes of acute pancreatitis are heavy alcohol use and gallstones. Other less common causes include abdominal trauma, medications, infections, tumors, and genetic or anatomical variants. High triglycerides or high levels of calcium in the blood are also linked to acute pancreatitis. In some rare cases, the cause is never discovered. Attacks of acute pancreatitis are usually sudden and characterized by intense pain in the center of the upper abdomen between the belly button and the chest. The pain radiates to the back.
Sometimes, the pain can be on the left or right side or even lower down in the belly. Most people also have nausea and vomiting and, in some cases, fever. Blood tests for pancreatic enzymes can diagnose acute pancreatitis. The pancreatic enzymes that are typically elevated when patients have acute pancreatitis are called amylase and lipase. Diagnosis is usually confirmed by a CT scan. On occasion, MRI or ultrasound may be used. The radiologist will look to see if the pancreas is swollen or if there is abnormal fluid around it.
Most people who develop acute pancreatitis are out of the hospital in a few days. However, about 1 in 10 cases are serious enough to affect other organs like the kidneys and lungs, and may require a longer stay in the hospital. Sometimes, patients have to be treated in the intensive care unit. In very severe cases, surgery may be required to remove inflamed parts of the pancreas. If the cause of acute pancreatitis was related to gallstones, the gallbladder is removed surgically. As well, in some patients, the pancreas becomes so damaged.
A Triumph Over Pancreatitis Charlenes Story The Nebraska Medical Center
26 years ago I had a bleeding ulcer so I've always had stomach problems. I figured that was just part of it. The only way I could explain it is if you're a woman and had morning sickness, that's what I felt like. 247365. I thought it was normal. It progressively got worse and worse. My gastroenterologist he just didn't understand either. I didn't realize it and the doctor didn't either that it was constant pancreatitis. It was just not going away and I learned to live with it. Until about 3 years ago when there was no living with it anymore.
I was curled up in a ball and just couldn't function. When I have 5 grandchildren and couldn't play with them it bothered me. They decided I needed to see Dr. Botha here at the med center. He looked at all my tests and procedures I had done. He spoke to my gastroenteroloist. He said I think we can fix this. What we'll do is remove your pancreas, send it to a lab. They will isolate your islet cells which are the insulin producing cells in your body. And then we will transplant your islet cells back in,.
I was scared, but I was so miserable. If it would give me back my life that's what I wanted. That's why we opted for it. It was a great option. Wonderful. I'm pain free. Energy level. I'm doing everything I did before, but with no pain associated with it. Not even having to worry about getting up and saying I wonder how I'm going to feel this morning, should I have a cup of coffee or is that going to make me sick No. I don't have any of that.
Curing Five Years Of Pain Katies Story The Nebraska Medical Center
It started with horrible pain. Debilitating pain. Severe nausea. I mean just knock you on your knees pain. Horrible. I've been through labor this was far worse than that. It was constant all day long. Eating made it worse so that became a problem. I've always had GI trouble. I saw a surgeon at another hospital, they thought it was my gall bladder. So I had that removed. It didn't go away. I kept having problems so I went back to see him several times. He said if this doesn't clear up we need to.
See about sending you somewhere else. Because The Nebraska Medical Center is here, I'd been here before, my family had been here before, I knew this was the place for me. Other places I'd been, it wasn't that they were bad, they just didn't get to know me. It wasn't like a caring place per se. When I walked in here they got to know me as a person, not just me as a patient. They remembered the things they'd learned about me. They took me in with open arms. They took the time to explain things not only.
Me, but to my parents. My surgeon spent a good hour answering my questions and my parents questions. Once we got here we knew it was time for transplant surgery. And anytime you hear transplant, you freak out a little obviously. But as soon as I walked in and met my surgeon it all subsided. I felt very comforatable I was ready to get it done. I was tired of suffering. I was like, how fast can we do it I can't imagine a better experience. When you're in the hospital and you're sad to leave,.
You know you've had a good experience. It went very smoothly. The nurses were great, the whole team was just amazing. My husband has his wife back, my kids have their mom back and I have my life back, so I couldn't ask for anything more. I think it's amazing. When I had my surgery, I was only the 6th patient to have it done. That's a little intimidating. I think it's fabulous because there are a lot of people out there like me. I'd recommend this place to anyone. I wouldn't.
What is Pancreatitis
What is pancreatitis First let's talk about what the pancreas is. It's a tadpole shaped organ in the left upper quadrant of the abdomen. The pancreas is actually located under the stomach. Which technically means it's closer to the back, just right underneath the spine. The pancreas is made up of, ass on her cells. Oh sorry, I got distracted. Acinar cells. Acinar cells secrete digestive enzymes called AMYLASE, that break down sugars. LIPASE, that break down fats. PROTEASE, which break down proteins. Think of the acinar cells like factories, and think of those enzymes produced, like match sticks..
A match stick has the potential to start a fire, but is stable until ignited. Once the right condition presents itself the match will become activated. Using this match stick analogy makes understanding pancreatitis much easier. Now right after the stomach is the beginning of the small intestine and it runs right next to the pancreas. If we cut intestine in half and cut the pancreas in half, we can see the pancreatic duct. Along the pancreatic duct are Acinar cells, which make those enzymes those match sticks. After the match sticks are made they're shipped out through the pancreatic duct.
The enzymes are shot out the sphincter of Odie. This is where the enzymes become activated and will start breaking down those carbohydrates, fats, and proteins. Oh, but wait. We're talking about pancreatitis. I just showed you the normal process of how the pancreas works. Okay Pancreatitis, it's when those match sticks or enzymes become activated before leaving the pancreas. And remember, those enzymes break down carbohydrates, fats, and proteins. What are all cells made of Carbohydrates, fats, and proteins. So the pancreas starts digesting itself, and that's a simple explanation of pancreatitis.
How to Get Rid of Back Pain Fast at HomeLower Back Pain Issues RemediesLower Back Pain Issues
Low back pain is a usual symptom amoung the present day civilised human beings.It impacts specially the center elderly and teenagers of both sexes.Those who work at the chair with out exercising and those who deliver heavy loads regularly are susceptible to get this complaint.We can hardly ever discover someone who has now not suffered from lower back pain atleast as soon as in existence.The causes of low backpain stages from easy reasons like muscular strain to cancer of spine and for this reason backache ought to no longer be disregarded.The ache is felt in lumbar and sacral place.
The following are a few causes for backache. 1 Backache because of sicknesses inside the returned. 2 Backache due to gynaecological issues. 3 Backache due to issues in different components of the body. 1 Backache because of illnesses inside the returned a accidents 1 Compression fracture of the vertebral column. 2 Rupture of intervertebral discs. 3 accidents to ligaments and muscle tissue of returned. 4 Lumbosacral stress. 5 Intervertebral joint injuries. 6 Fracture of approaches of vertebra. B functional backache due to imbalance 1 in the course of pregnancy. 2 Pot stomach.
3 diseases of the hip joint. 4 Curvature within the backbone because of congenital defect. 5 brief leg in a single facet. C Backache due to inflammatory conditions 1 infection of the bone because of bacteria. 2 Tuberculosis of the backbone. 3 Arthritis. 4 Brucellosis. 5 Lumbago or fibrositis. 6 Inflamation of the muscle tissues. 7 Anchylosing spondylitis. D Backache because of degenerative diseases inside the returned. 1 Osteoarthritis. 2 Osteoporosis in vintage humans. 3 Degenaration of the intervertebral disc. E Tumour in the backbone 1 Primory tumour of the bones inside the backbone.
2 Metastatic tumours from other web sites like prostate,lungs,kidneys,intestine. 2 Backache due to gynaecological problems a After childbirth. B After gynaecological operations. C Prolapse of the uterus. D Pelvic inflammatory sicknesses. E Cancerous lesions of the pelvic organs. F Endometriosis. 3 Backache due to troubles in other elements of the body. A Renal stones. B Ureteric stone. C most cancers of prostate. D Pancreatitis. E Biliary stones. F Peptic ulcer. G Inflammations of pelvic organs. H Occlusion of aorta and illiac arteries. Investigation of a case of backache 1 entire blood count number. 2 recurring urine exam.
3 Ultrasonography of the abdomen and pelvis. 4 Xray of the lumbar and sacral area. 5 MRI of the backbone. 5 CT scan of stomach and pelvic place. 6 exam of rectum,prostate,genito urinary organs. Remedy of lower back ache 1 casting off the purpose for backache. 2 Symptomatic treatement. 2 back physical activities. 3 Traction. 4 Yoga. 5 surgical procedure. 7 Homoeopathy. I hope you enjoyed watching the tutorial about Lower Back Pain Issues Remedies subscribe to our channel and learn more about new things.Thanks for watching tutorial subscribe,comments,likes and share thankyou.
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