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Pancreatic abscess is a late complication of acute necrotizing pancreatitis, occurring more than 4 weeks after the initial attack. A pancreatic abscess is a collection of pus resulting from tissue necrosis, liquefaction, and infection. It is estimated that approximately 3% of the patients with acute pancreatitis will develop an abscess. [1]
This resulted in 132,700 deaths, up from 83,000 deaths in 1990. [7] [9] Acute pancreatitis occurs in about 30 per 100,000 people a year. [3] New cases of chronic pancreatitis develop in about 8 per 100,000 people a year and currently affect about 50 per 100,000 people in the United States. [10] It is more common in men than women. [1]
The different treatment options for the management of chronic pancreatitis are medical measures, therapeutic endoscopy, and surgery. [13] Treatment is directed, when possible, to the underlying cause, and to relieve pain and malabsorption. Insulin dependent diabetes mellitus may occur and need long-term insulin therapy. [14]
In the final step of this pathway cell nuclei are dissolved into the cytoplasm, which is referred to as karyolysis. [21] The second pathway is a secondary form of necrosis that is shown to occur after apoptosis and budding. [21] In these cellular changes of necrosis, the nucleus breaks into fragments (known as karyorrhexis). [21]
The Puestow procedure (also known as a Puestow-Gillesby procedure, or a lateral pancreaticojejunostomy) is a surgical technique used in the treatment of chronic pancreatitis. It involves a side-to-side anastomosis of the pancreatic duct and the jejunum .
Pancreas. Frey's procedure is a surgical technique used in the treatment of chronic pancreatitis in which the diseased portions of the pancreas head are cored out. A lateral pancreaticojejunostomy (LRLPJ) is then performed in which a loop of the jejunum is then mobilized and attached over the exposed pancreatic duct to allow better drainage of the pancreas, including its head.
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Pancreatitis is inflammation of the pancreas. There are two forms of pancreatitis, which are different in causes and symptoms, and require different treatment: Acute pancreatitis is a rapid-onset inflammation of the pancreas, most frequently caused by alcoholism or gallstones. Less frequent but important causes are hypertriglyceridemia, drugs ...