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| Topic: |
Digestive Diseases (DD) |
| Title: |
Pancreatitis in Inflammatory Bowel Disease. |
| Author: |
Friedman, S; Banks, P.A. |
| Source: |
In: Bayless, T.M. and Hanauer, S.B. Advanced Therapy of Inflammatory Bowel Disease. Hamilton, Ontario: B.C. Decker Inc. 2001. p. 329-332. |
| Availability: |
Available from B.C. Decker Inc. 20 Hughson Street South, P.O. Box 620, L.C.D. 1 Hamilton, Ontario L8N 3K7. (905) 522-7017 or (800) 568-7281. Fax (905) 522-7839. Email: info@bcdecker.com. Website: www.bcdecker.com. PRICE: $129.00 plus shipping and handling. ISBN: 1550091220. |
| Abstract: |
This chapter on pancreatitis is from the second edition of a book devoted to the details of medical, surgical, and supportive management of patients with Crohn's disease (CD) and Ulcerative Colitis (UC), together known as inflammatory bowel disease (IBD). There is a higher incidence and prevalence of pancreatitis in patients with inflammatory bowel disease (IBD) than in the general population. The pancreatitis can be acute or chronic, or subclinical or overt, and has many causes. The most common cause is medications used to treat IBD, especially azathioprine and 6 mercaptopurine. Other causes of pancreatitis include duodenal involvement from Crohn's disease (CD), gallstones (cholelithiasis), and primary sclerosing cholangitis (PSC). Pancreatitis also can be caused by high serum concentrations of triglycerides during total parenteral nutritional (TPN) therapy for CD, and may also be a primary extra-intestinal manifestation of IBD. Treatment is different for each cause. For drug-induced pancreatitis, discontinuation of the drug should improvethe pancreatitis. For TPN-induced pancreatitis, oral medium-chain triglycerides should be substituted for the lipid emulsion. For pancreatitis that has developed from gallstones, the usual treatment is laparoscopic cholecystectomy (removal of the gallbladder). Idiopathic (of unknown cause) pancreatitis is often successfully treated by treating the underlying IBD. 1 table. 10 references. |
| Format: |
Book Chapter |
| Language: |
English. |
| Major Keywords: |
Digestive System Diseases. Inflammatory Bowel Disease. Ulcerative Colitis. Crohns Disease. Patient Care Management. Complications. Pancreatitis. |
| Minor Keywords: |
Diagnosis. Acute Pancreatitis. Chronic Pancreatitits. Diagnostic Tests. Pathology. Symptoms. Risk Factors. Drug Effects. Parenteral Nutrition. Gallstones. Cholecystectomy. |
| Publication Number: |
DDBK08615 |
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