By Prof. Dr. med. P. G. Lankisch, Prof. Dr. med. M. Büchler, Prof. Dr. med. J. Mössner, Prof. Dr. S. Müller-Lissner (auth.)
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Additional resources for A Primer of Pancreatitis
B vitamins in the case of nutritional deficiency due to chronic alcoholism Endocrine insufficiency • Oral antidiabetics effective only transiently • Insulin 57 Chronic pancreatitis Operative endoscopy Drainage Prior to long term drainage a pseudocyst should be emptied once without insertion of a drain because not all cysts do recur. This may be done percutaneously under ultrasound guidance. If the cyst recurs drainage can be attempted by endoscopic stent placement after previous localisation with endoscopic ultrasound and/or CT.
Ph. units per dayl. Depending on the preparation in question, this corresponds to 2-4 capsules with each main meal and 1-2 capsules with each snack. g. other causes of steatorrhoea). e. before or after instead of with the meals) or underdosage may be responsible. g. continued alcohol abuse). ) unit = 1 FIP (Federation Internationale Pharmaceutique) unit. ) • B vitamins in the case of nutritional deficiency due to chronic alcoholism Endocrine insufficiency • Oral antidiabetics effective only transiently • Insulin 57 Chronic pancreatitis Operative endoscopy Drainage Prior to long term drainage a pseudocyst should be emptied once without insertion of a drain because not all cysts do recur.
If the course is uncomplicated, oral feeding can be resumed from the 3rd-5th day irrespective of normalization of serum enzymes. The diet is initially poor in fats and protein. ) is undertaken before discharge, together with ERCP if the aetiology of the pancreatitis is still unknown (chronic pancreatitis? ) and perhaps other examinations to exclude rare causes (see page 7). Follow-up As a rule, exocrine and endocrine functions are normalized within 3 months after pancreatitis, otherwise chronic pancreatitis may be suspected.
A Primer of Pancreatitis by Prof. Dr. med. P. G. Lankisch, Prof. Dr. med. M. Büchler, Prof. Dr. med. J. Mössner, Prof. Dr. S. Müller-Lissner (auth.)
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