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CHRONIC PANCREATITIS-TREATMENT

Gastroenterology

CHRONIC PANCREATITIS-TREATMENT

1. Alcohol and tobacco cessation - smoking accelerates pancreatic calcification and makes pain management difficult.

2. Pancreatic enzymes (a minimum 60,000-80,000 units of lipase per meal and snacks) supplementation.

3. Decreasing dietary fat and increasing antioxidants.

4. Management of collections - surgical or radilogical drainage of infected collections.

5. Pancreatic sphincterotomy, pancreatic duct stenting, pancreatic duct stone extraction, surgical duct drainage.

6. Whipple procedure - for pancreatic CA, cysts, ampullary CA, bile duct CA, neuroendocrine tumors, small bowel CA, pacreatic/small bowel trauma.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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