Home | What's New | Our Services | Events & Activities | Career Opportunities | 4all.my | About Us | Contact Us
Encyclopaedia ->
Health Topics
Herbs
Nutrition
Drug
therapies
Tests
Symptoms
First letter
Body System
Dictionary The Digestive System

Chronic pancreatitis

Synonyms :  

Clinical features, Diagnosis, Management, Prognosis, Nutrition, Herbs,

    Chronic pancreatitis is defined as a continuing inflammatory disease of the pancreas, characterised by irreversible morphological/histological change and typically causing pain and/or permanent impairment of function. The majority of cases of chronic pancreatitis in the Western world occur as a result of persistent high alcohol consumption (70-80%). On the other hand only 5-10% of alcoholics develop chronic pancreatitis suggesting that other factors may be important in the pathogenesis of the disease. Biliary tract disease plays a less important role in chronic pancreatitis than in the acute form of the disease, but hypercalcaemia and hyperlipoproteinaemia (increased VLDL ? triglycerides) predispose to chronic pancreatitis. However 20% of patients have no apparent predisposing influences (idiopathic). The disease is most common in males between the ages of 35 and 45 years. Most experts believe that acute pancreatitis does not lead to chronic pancreatitis unless complications, such as persistent pseudocysts or ductal strictures are present. 

    Pathogenesis is obscure but chronic pancreatitis may result from hypersecretion of protein which is not compensated for by an increase in ductal bicarbonate secretions. As a result of this protein plugs form within pancreatic ducts. Such plugs are observed in all forms of chronic pancreatitis, but in alcoholics these plugs may enlarge to form stones containing calcium carbonate precipitates. These stones then cause small duct obstruction and atrophy of the draining pancreatic lobules. Pancreas shows fibrosis and atrophy of glandular tissue, dilated duct system and calcification, but usually with preservation of the islets of Langerhans (insulin producing cells).  

    Mechanisms of pain in chronic pancreatitis are unknown but may relate to pancreatic secretion rather than to intraductal obstructions because not all patients have ductal lesions. It has been suggested that alcohol can increase pancreatic secretion and consequently cause pain in this condition; total abstinence often provides pain relief.  

Clinical features:  < BACK TO TOP >

           Clinical presentation is very variable; the condition may present as repeated attacks of mild or moderately severe abdominal pain, or as persistent abdominal and back pain (many patients with unexplained abdominal pain may have undiagnosed chronic pancreatitis).

           On the other hand, the patient may be asymptomatic until pancreatic insufficiency and impaired digestion develop.

           However, most patients present with abdominal pain that occurs often within a few hours of an alcoholic bout/large fatty meal.

           The pain is usually steady, lasting more than 24 hours, sometimes few days or even weeks.

           It is located in the epigastrium or around the umbilicus, radiating to the back, usually accompanied by nausea and sometimes vomiting.

           Relief may be obtained by crouching forward or leaning forward over a chair.

           Weight loss is common due to malnutrition and malabsorption.

           Diarrhoea and steatorrhoea are frequent due to impaired digestion of lipids, deficiency of lipid soluble vitamins is often found.

           Diabetes mellitus eventually develops in about one fifth of patients due to destruction of insulin secreting cells.

Diagnosis:  < BACK TO TOP >

           Diffuse tenderness in the upper abdomen may be noted, with or without rigidity (guarding).

           Plain X-ray of the abdomen may show characteristic calcifications in the pancreas (sometimes no calcifications are found).

           Ultrasonography and CT scan can also be used to detect structural changes in the pancreas (calcifications, duct dilation, pancreatic atrophy and fibrosis).

           Endoscopic retrograde pancreatography can visualise the pancreatic duct system and reveal sites of obstruction.

           Testing of pancreatic function is done to assess pancreatic insufficiency. In the secretin-cholecystokinin test these two hormones are given intravenously after naso-duodenal intubation has been done, pancreatic secretions are collected and tested for the amount of bicarbonates, amylase and lipase.

           Cleavage tests are non-invasive and they are based on the cleavage of an orally given marker (e.g., N-benzoyl-tyrosil-p-aminobenzoic acid) by pancreatic enzymes, after what split segments (in the abovementioned example p-aminobenzoic acid) are absorbed and excreted in the urine where they can be measured.

           Stool collection for 5 days for measurement of fat can demonstrate the extent of steatorrhoea; trypsin level in faeces is also low.

Management  < BACK TO TOP >

           There is no specific treatment; abstinence from alcohol is absolutely essential.

           The diet should be normal and nutritious but low in fat, supplements of fat-soluble vitamins are often required.

           Preparations of pancreatic enzymes as capsules [Cotazym-S Forte, Viokase, Pancrease, Panazyme, Creon] are given during meals to help digestion; various natural alternatives such as papaya extract can be also tried. Such treatment is claimed to be able to reduce pain as well.

           Treatment of pain (analgesics) especially before meals to counteract the postprandial increase in pain may be tried.

           In case of diabetes, the patient is managed with diet and insulin.

           Surgery is attempted only in selected cases where there is confirmed pancreatic pseudocyst or dilation of the main pancreatic duct; the procedures are stones removal during ERP (“basketing?, drainage and partial resection (major surgery).

           Patients with chronic pancreatitis are at increased risk for pancreatic cancer; cancer occurs is approximately 4% of patients within 20 years after diagnosis of chronic pancreatitis.

Prognosis  < BACK TO TOP >

    -

Nutrition < BACK TO TOP >

Nutrition that alleviate or prevent Chronic pancreatitis :-
C

Herbs < BACK TO TOP >

Herbs that alleviate or prevent Chronic pancreatitis :-
-

(source : -)

search this site the web

search engine by freefind

Disclaimer

Powered by visit montaine home page

Thank You visiting MONTAINE

Welcome To Montaine
action activity adventure aerobic aerobics after age air alternative medicine amateur areas arthritis athletes backpack backpacking backpacks bad bag barbeque basecamp based bay before beginners being benefit best bike biking blonde bmi body bodybuilder bodybuilding brand building BUY calculate calculated calculation calculator calculators calories camp camping camps cardiorespiratory cardiovascular center centers centre centres certification chat chi circuit climb climbing club clubs college competition competitor components conservation consumed consumption count courses day http://www.montaine.com.my/dictionary.htm definition download education environmental equipment erotica excercise exercise exercises exercising explore euro 2004 event famous fat female figure find fires fit fitness fittness for force franchise free gallery gay get getfit given glutes green greatest group groups guide guides gym gyms health height hikers hiking home homepage how human ideal idealweight in increasing index injures injuries instructions intermediates iron is kl knowing layout link locations loosing male man map maps mass massage masseur maximuscle me measure metabolism miss model models morning mount mountain mountaineering mountains mt multiple multistage muscle muscular music naked natural therapy national near new night noon nutrition occupational of online olympics or out outdoor outdoors page pages Pain park parks people per personal phisical photo photos physical picture pictures pilates porn program programs rafting rainbows reaction real recommendations recreation recreational rehab rehabilitation rentals requirements results rock rooms running school schools sclerosis scoliosis sex sexy should site sites source spinal sport sports stars state statistics studio studios student swedish swim swimsuit team techniques test testing tests the therapeutic therapist therapy time tips to top trail trails trainer trainers training trip trips ultimate university visitor watching water web weekend weekends weigh weight what white whitewater women womens workout world your yout
Tsunami online Donations and Information Tsumani online Donations and Infomation We are closed from Feb 9 to Feb 13, 2005 and will resume business on Feb 14, 2005

Donation Drive:The New Straits Times, Berita Harian, TV3, 8TV Malaysian Tsunami Disaster Fund The Star Earthquake/Tsunami Relief Fund Subang/USJ Disaster Fund theSun Tsunami Emergency Supplies Fund Asian Tsunami Disaster Fund - by the Foreign Ministry Yayasan Sultanah Bahiyah Buddhist Maha Vihara - 123 Jalan Berhala, Brickfields 50470 KL -Tel: 03 2274 1141, Fax: 03 2273 2570
¡¡

Montaine
Chinese New Year 2005
3 days post Chinese New Year detox programme
Local News & Info: Missing Persons E-mail Appeals Tsunami Penang Blog iPenang Screenshots The Star Bernama Project Petaling Street TV Smith's Tsunami InTech: Bloggers fill the void

3 5 June 20096December 2005


10 December 2004 Human Rights DayInternational Day of Disabled Persons
World Environment Day

 sWorkshop探 访 各 类 癌 症 的 真 相10 June 2004 7:30am-8:30pmCall (603) 2713 9288 to reserve a seat
 
Charting Your Way to Success workshop Organised by JCI

Venue : Montaine Menara Weld Level 4 |

 Date  : 30th July 2004 Friday (6:30pm -8:00pm)

Organizer : JCI Kuala Lumpur |

 Contact    : Kelly 012-320 3350 & Ang 012-296 5138

 speaker Mr NgThian Watt the Principal Trainer from Napoleon Hill Associates MalaysiaDetails www.kljuniorchamber.org
Montaine's Health and Weight Management Programme
Call 012 201 8020 or 03 5636 6788 NOW
 

January, February, March, April, May, June, July, August, September, October, November, December
April Promotion
(Gift Voucher Available)
 - Spa Gateway - Beauty Gateway
Usual RM293 Now RM138

Queen of The Day  RM138 (2 hours)

          Full Body Exfoliation worth RM68 (30 minutes)

          Full Aromatherapy Massage worth RM128 (60 minutes)

          Full Body Detox Treatment worth RM128 (30 minutes)

   All For RM138Additional RM68 – Make Over (Evening Make Up)ecretary's Day Gift, Secretarie

Call 012 201 8020 or +603 5636 6788

 

Massage or Reflexology Package Buy 7 get 3 Free  (First 50 Customers or till 31 October 2004 Only, Hurry call 03 7710 5593 now!!)

Jobs vacancy
Customer Service Exec at Montaine centre

Salary RM1000 - RM4000 Female is preferable call KC at 012 201 8020

You can save the life of 3 people with your 1 donation!
For further information please phone; 13 14 95 or visit www.arcbs.redcross.org.au

MONTAINE Centre of Health and Wellness
kl, jb, jp, au, Africa Antarctica Arctic Asia Caribbean Europe North America Oceania South America Afghanistan Kabul Albania Tirana Algeria Algiers Andorra Andorra la Vella Angola Luanda Antigua and Barbuda St. John's Argentina Buenos Aires Armenia Yerevan Australia Canberra Austria Vienna Azerbaijan Baku a port on the Caspian Sea Bahamas Nassau Bahrain Al-Manámah Bangladesh Dhaka Barbados Bridgetown Belarus Mensk (Minsk) Belgium Brussels Belize Belmopan Benin Porto-Novo Bhutan Thimphu Bolivia Sucre ; Administrative capital: La Paz Bosnia and Herzegovina Sarajevo(unofficial) Botswana Gaborone Brazil Brasília Brunei Darussalam Bandar Seri Begawan Bulgaria Sofia Burkina Faso Ouagadougou Burundi Bujumbura Cambodia Phnom Penh Cameroon Yaoundé Canada Ottawa Ontario Cape Verde Praia Central African Republic Bangui Chad N'Djamena Chile Santiago China Beijing Colombia Santafé de Bogotá Comoros Moroni Congo, Republic of Brazzaville Congo, Democratic Republic of the Kinshasa Costa Rica San José Côte d'Ivoire Yamoussoukro (official) Croatia Zagreb Cuba Havana Cyprus Lefkosia (Nicosia) (in government-controlled area) Czech Republic Prague Denmark Copenhagen Djibouti Djibouti Dominica Roseau Dominican Republic Santo Domingo East Timor Dili Ecuador Quito Egypt Cairo El Salvador San Salvador Equatorial Guinea Malabo Eritrea Asmara Estonia Tallinn Ethiopia Addis Ababa Fiji Suva (on Viti Levu) Finland Helsinki France Paris Gabon Libreville Gambia, The Banjul Georgia Tbilisi Germany Berlin (capital since Oct.) Ghana Accra Greece Athens Athens Grenada St. George's Guatemala Guatemala City Guinea Conakry Guinea-Bissau Bissau Guyana Georgetown Haiti Port-au-Prince Honduras Tegucigalpa Hungary Budapest Iceland Reykjavik India New Delhi Indonesia Jakarta Iran Teheran Iraq Baghdad Ireland Dublin Israel Jerusalem Italy Rome Jamaica Kingston Japan Tokyo Jordan Amman Kazakhstan Astana(formerly Aqmola; capital since ) Kenya Nairobi Kiribati Tarawa Korea, North Pyongyang Korea, South Seoul Kuwait Kuwait Kyrgyzstan Bishkek (formerly Frunze) Laos Vientiane Latvia Riga Lebanon Beirut Lesotho Maseru Liberia Monrovia Libya Tripoli Liechtenstein Vaduz Lithuania Vilnius Luxembourg Luxembourg Macedonia Skopje Madagascar Antananarivo Malawi Lilongwe Malaysia Kuala Lumpur Maldives Malé Mali Bamako Malta Valletta Marshall Islands Majuro Mauritania Nouakchott Mauritius Port Louis Mexico Mexico City Micronesia Palikir Moldova Chisinau Monaco Monaco Mongolia Ulaan Baatar Morocco Rabat Mozambique Maputo Myanmar Rangoon (Yangon) Namibia Windhoek Nauru Yaren Nepal Kathmandu The Netherlands Amsterdam (official) ; The Hague (administrative capital) New Zealand Wellington Nicaragua Managua Niger Niamey Nigeria Abuja Norway Oslo Oman Muscat Pakistan Islamabad Palau Koror Palestinian State (proposed) Undetermined Panama Panama City Papua New Guinea Port Moresby Paraguay Asunción Peru Lima The Philippines Manila Poland Warsaw Portugal Lisbon Qatar Doha Romania Bucharest Russia Moscow Rwanda Kigali St. Kitts and Nevis Basseterre (on St. Kitts) St. Lucia Castries St. Vincent and the Grenadines Kingstown Samoa Apia San Marino San Marino São Tomé and Príncipe São Tomé Saudi Arabia Riyadh Senegal Dakar Serbia and Montenegro Belgrade Seychelles Victoria Sierra Leone Freetown Singapore Singapore Slovakia Bratislava Slovenia Ljubljana Solomon Islands Honiara (on Guadalcanal) Somalia Mogadishu South Africa Pretoria; Legislative capital and largest city: Cape Town; Judicial capital: Bloemfontein . No decision has been made to relocate the seat of government. South Africa is demarcated into nine provinces consisting of the Gauteng Northern Province Mpumalanga North West KwaZulu/Natal Eastern Cape Western Cape Northern Cape and Free State. Each province has its own capital Spain Madrid Sri Lanka Colombo; Legislative and Judicial capital: Sri Jayawardenepura Kotte Sudan Khartoum Suriname Paramaribo Swaziland Mbabane Sweden Stockholm Switzerland Bern Syria Damascus Taiwan Taipei Tajikistan Dushanbe Tanzania Dar es Salaam ; Official capital: Dodoma Thailand Bangkok Togo Lomé Tonga Nuku'alofa Trinidad and Tobago Port-of-Spain Tunisia Tunis Turkey Ankara Turkmenistan Ashgabat Tuvalu Funafuti Uganda Kampala Ukraine Kyiv (Kiev) United Arab Emirates Abu Dhabi United Kingdom London United States Washington DC Uruguay Montevideo Uzbekistan Tashkent Vanuatu Port Vila Venezuela Caracas Vietnam Hanoi Western Sahara (proposed state) El Aaiun Yemen Sanaá Zambia Lusaka Zimbabwe Harare

Facilities

Services              

Location       

Health check and health consultation

Power health talks and seminars

Beauty and treatment sessions

Relaxation and sport massages

Weekly family bonding activities

Montaine outdoor activities

Fitness, self defence & leisure classes available

Fully equipped gym sets, steam, sauna, Jacuzzi

Personal trainers available.

Health drinks available.

At

Relaxation / Swedish Massage Remedial / Deep Tissue Massage Physiotherapy, Sport / Work-Related Injuries Stress / Anxiety Management Acupuncture, Shiatsu Aromatherapy / Essential Oils Reflexology Slimming and Weight loss Beauty and treatment sessions Ions Detox, Ozone Spa More....... Corporate Massage Mobile/home visit Hotels Montaine Center Massage Courses Montaine outdoor activities www.montaine.com.au

PLEASE CALL TO MAKE AN APPOINTMENT
 Tel :  (+603) 5636 6788 www.montaine.com.my
 No 16, 1st Floor, Jalan PJS 11/28, Bandar Sunway, 46150, Selangor, Malaysia
Tel : (612) 9264 4567 www.montaine.com.my 23/203 Castlereagh St, Sydney, NSW 2000, Australia