Chronic pancreatitis

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Digestive system

Pancreatitis, chronic - CT scan

• Abdominal pain
  • Greatest in the upper abdomen
  • May last from hours to days
  • Eventually may be continuous
  • May be worsened by eating or drinking
  • May be worsened by alcohol consumption
  • May radiate to the back
• Nausea and vomiting
• Unintentional weight loss
• Fatty stools

Sitting up and leaning forward may sometimes relieve the abdominal pain associated with pancreatitis.

Pale or clay-colored stools may also be associated with this condition.

• Serum lipase may be higher than normal, but can return to normal as the disease gets worse.
• Serum amylase may be higher than normal, but can return to normal as the disease gets worse.
• Serum trypsinogen may be low.
• Fecal fat test shows fatty stools.

Inflammation or calcium deposits of the pancreas may be evident on:

• Abdominal CT scan
• Abdominal ultrasound
• ERCP

An exploratory laparotomy may be done to confirm the diagnosis of pancreatitis.

Review Date: 07/25/2006
Reviewed By: Jenifer K. Lehrer, MD, Department of Gastroenterology, Frankford-TorresdaleHospital, Jefferson Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network.