Chronic Pancreatitis
Chronic pancreatitis is a long-standing inflammation of the pancreas that progressively damages the organ, leading to permanent structural changes and impairing its ability to function properly. Over time, this condition can result in digestive issues, malnutrition, and diabetes due to the pancreas’s diminished capacity to produce enzymes and hormones.
In India, alcohol consumption is the most prevalent cause of chronic pancreatitis Other contributing factors include:
- Genetic mutations (hereditary pancreatitis)
- Autoimmune disorders – Blockages in the common bile duct or pancreatic duc
- Cystic fibrosis – Hyperparathyroidism
- Hypertriglyceridemia (elevated triglyceride levels – Certain medications (e.g., azathioprine, thiazides, sulfonamides – Smoking))
Symptoms of chronic pancreatitis can vary but often include
- Persistent upper abdominal pai
- Nausea and vomitin
- Unexplained weight los
- Fatty stools (steatorrhea) that are loose, pale, and difficult to flus
- Diabetes mellitus
- Episodes of pain that may last for hours or days, often worsening after eating or drinking
To diagnose chronic pancreatitis, healthcare providers may utiliz:
- Fecal fat test: Measures fat content in stool to assess digestive efficienc.
- Serum amylase and lipase tests: Evaluate enzyme levels in the bloo.
- Imaging studies: Such as CT scans, MRI, or endoscopic ultrasound to visualize pancreatic damage.
Management of chronic pancreatitis focuses on relieving symptoms and preventing further damage:
Lifestyle Modifications:
- Abstaining from alcohol and smokng
- Adopting a low-fat det
Medications:
- Pain relievrs
- Pancreatic enzyme supplements to aid digeston
- Insulin therapy if diabetes develps
Surgical Interventions:
- Decompressing the pancreatic duct to alleviate pin
- Resecting part of the pancreas, especially if the head is affeced
- Unblocking or widening the pancreatic duc
- Draining cysts that may have fored