What Are the Different Types of Pancreatic Disease?

Pancreatic disease is a collective term for all diseases of the pancreas, including congenital diseases of the pancreas, trauma to the pancreas, inflammatory diseases of the pancreas, cystic lesions of the pancreas, and secretory tumors of the pancreas.

Basic Information

Visiting department
Gastroenterology
Common causes
Infection, overeating, hyperlipidemia, bile duct stones, etc.
Common symptoms
There are many types of diseases and their symptoms vary.
Contagious
no

Causes of pancreatic disease

Infection, overeating, hyperlipidemia, biliary stones, biliary maggots, duodenal diverticulum, trauma, surgery, drugs, etc. can cause acute and chronic pancreatitis; accidents, violence, and fall from heights may cause pancreatic damage ; Genetic, stimulation, genetic, environmental and other factors can induce tumors. In short, there are many types of pancreatic diseases, and their causes are complex and diverse.

Clinical manifestations of pancreatic disease

1. Congenital diseases of the pancreas include circular pancreas, ectopic pancreas, and pancreas separation. The circular pancreas is a congenital anatomic abnormality caused by the embryonic development period. Pancreatic tissue surrounds the descending portion of the duodenum and can cause congenital duodenal obstruction. Ectopic pancreas is pancreatic tissue that exists outside normal pancreatic tissue. Mostly located in the upper gastrointestinal tract, mainly the site of the stomach and duodenum, mainly manifested as bleeding, obstruction, diverticulum, mass, etc .; Pancreatic separation refers to the inability of the pancreatic and dorsal pancreatic ducts of the pancreas to converge. Entering the duodenum, the parapancreatic duct becomes the main excretion channel, which is mainly manifested as upper abdominal pain, which radiates to the back, and becomes worse after eating.
2. Pancreatic injuries include pancreatic contusions, lacerations, and pancreatic ruptures. Depending on the degree of injury, abdominal pain can radiate to the shoulders and backs. It can be accompanied by nausea and vomiting. It also manifests as abdominal tenderness, rebound pain and muscles. Nervous and so on.
3. Pancreatic inflammatory disease Acute pancreatitis manifests as abdominal pain, bloating, fever, indigestion, organ dysfunction, etc., when the Cullen sign and Grey-Tuner sign appear, the condition is serious, and Water, electrolyte, acid-base balance disorder, hematuria amylase increased significantly. Chronic pancreatitis often manifests as abdominal pain, bloating, diarrhea, upper gastrointestinal discomfort, weight loss, increased blood sugar, jaundice, and abdominal masses.
4. Pancreatic cystic lesions include pancreatic true cysts, pancreatic pseudocysts, and pancreatic cystic tumors.
(1) Congenital true cyst: It is a congenital lesion of the pancreas, including cystic fibrosis, multiple cysts, intestinal cysts, and isolated cysts.
(2) Acquired true cysts: Retained cysts caused by pancreatic duct obstruction that result in distal pancreatic ducts, cystic expansion of acinar cysts, and retention of pancreatic juice.
(3) Pancreatic pseudocyst: It is a complication secondary to acute pancreatitis, chronic pancreatitis, and pancreatic injury.
(4) Pancreatic cystic tumors: including serous cystadenoma, mucinous cystadenoma, and mucinous cystadenocarcinoma.
5. Pancreatic secretory tumors (1) Pancreatic exocrine tumors: mainly pancreatic cancer, manifested as abdominal pain (mostly latent pain), abdominal distension, loss of appetite, progressive weight loss, jaundice, etc.
(2) Pancreatic endocrine tumors: tumors that are mainly formed by one type of cell in the islet, such as insulinoma, gastrinoma, somatostatinoma, pancreatic polypeptide tumor, and glucagon tumor.

Pancreatic disease test

Pancreatic blood urinary amylase measurement, blood gas and oxygen measurement, electrolyte measurement, X-ray examination, pancreaticoduodenography, and CT examination can assist diagnosis.

Pancreatic disease diagnosis

The diagnostic principle is to inquire about medical history and clinical manifestations, and optionally perform laboratory tests, imaging studies, and pathological biopsies to confirm the diagnosis.

Pancreatic disease treatment

The principle of treatment is to remove the cause and inducement, anti-infection, supportive treatment, symptomatic treatment, and choose surgical treatment and radiotherapy and chemotherapy according to the condition.

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