Chronic Pancreatitis


Pathophysiology

Diagnosis

Treatment

  1. If signs of maldigestion (wt loss & steatorrhea); pancreatic enzyme replacement
  2. Pain control
  3. Antispasmodics, Anticholinergics, and H2 blockers are of little benefit
  4. Pseudocyst may require drainage (interventional radiology or surgery)
  5. Narrowing or fibrosis at the ampulla may require ERCP dilatation or stent placement

Disposition

  1. Admit for pain control or serious complications (i.e., check Ranson's Criteria)
  2. Ranson's Criteria: Greater than 3 positives indicate severe disease