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EDITURA PIM - Cursuri Medicina

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PANCREATITA CRONICA<br />

Definitie: este o inflamatie cronica pancreasului asociata cu fibroza si care conduce<br />

treptat spre pierderea treptata a functiei exocrine si endocrine.<br />

Etiologie:<br />

- alcoolism<br />

- tumori, stenoze, calculi ale ductului pancreatic<br />

- hipercalcemia<br />

- traumatisme<br />

- tumori pancreatice<br />

Tabloul clinic:<br />

- durerea poate fi intermitenta, permanenta sau in pusee acute<br />

- malabsorbtia se manifesta prin scaune steatoreice<br />

- diabetul zaharat este prezent la majoritatea pacientilor<br />

Explorari paraclinice<br />

- amilaza si lipaza serica crescute<br />

- bilirubina crescuta<br />

- fosfataza alcalina crescuta<br />

- toleranta la glucoza scazuta<br />

Explorari imagistice<br />

- radiografia abdominala simpla<br />

- ecografia abdominala<br />

- tomografia computerizata<br />

- colangiopancreatografia retrograda endoscopica<br />

- biopsia pancreatica<br />

Tratamentul<br />

- terapia cu enzyme pancreatice<br />

- tratament chirurgical in caz de complicatii<br />

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