Acute Pancreatitis is inflammation of the pancreas
with a sudden onset.
Briefly, Describe The Normal Pancreas And How
The Pancreas Is
Different In A Case Of Pancreatitis.
The normal pancreas lies alongside the first part
of the small intestine near the stomach. The two main duties of the pancreas
are (1) to produce insulin and glucagon (two hormones) which control blood
sugar and (2) to produce enzymes that help digest food. In a case of pancreatitis
the tissues are inflamed with damage to (and sometimes even the death of)
these cells.
What Are The Clinical Signs In A Case Of Pancreatitis?
Classic signs of pancreatitis include vomiting,
lethargy, diarrhea, lack of appetite, depression, restlessness, tenderness
of the abdomen, and fever. Most pancreatitis patients will show some or
all of these signs. Complications with pancreatitis include septicemia
(bacteria in the bloodstream) and shock, sometimes leading to death.
How Is Pancreatitis Diagnosed?
Pancreatitis is diagnosed on the basis of physical
exam findings and appropriate blood tests. Radiographs (x-rays) are also
helpful in many cases.
What Causes Pancreatitis?
In many cases the exact cause of pancreatitis
is unknown. Any condition of inflammation of an organ near the pancreas
has been known to sometimes lead to pancreatitis. This includes inflammation
of the stomach, intestines, liver, and other regional organs. On occasion
certain drugs have been shown to spark pancreatitis. Also, a high fat and/or
rich meal can trigger it.
What Factors Predispose A Patient To Develop Pancreatitis?
Risk factors include obesity and being fed a high
fat diet. Although any breed can be affected at any age, the most commonly
affected group is middle aged female dogs. Cats can sometimes develop pancreatitis
but not often.
How Is Pancreatitis Treated?
The choice of treatment often depends on the severity
of the disease. In most cases pancreatitis is quite severe and the patient
must be treated promptly with intravenous fluids and antibiotics to prevent
septicemia (bacteria in the bloodstream), cardiovascular shock, and death.
Most cases of pancreatitis must be treated promptly and aggressively in
order to insure the survival of the patient. This usually involves several
days stay in the hospital.
What Is The Prognosis For Pancreatitis?
With proper treatment many patients make a complete
recovery from pancreatitis. Pancreatitis can be a fatal disease in some
cases, however. The main factors that affect the outcome of treatment are
the length of time the disease is allowed to progress before treatment
is begun, the aggressiveness of treatment, the degree of obesity if any,
the patient's age, and other factors. In some cases the patient can experience
diabetes after recovering from pancreatitis (due to damage to the cells
that secrete insulin) but this is uncommon.
What Is The Best Way To Help Prevent Pancreatitis
In The
Future?
For patients who are susceptible to pancreatitis it is advisable to stay on a bland, low fat diet. Also, obesity should be corrected and avoided. Sometimes patients develop chronic pancreatitis and must stay on medications to quiet the GI tract but this is uncommon.