Chronic Pancreatitis: A Comprehensive Look at Complications
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Structural Changes
? Pseudocyst formation: Risk of rupture or fistula development? Pancreatic duct obstruction: Often due to stones, leading to exocrine insufficiency? Biliary duct dilation: Potential for cholestasis and infection
Vascular Complications
? Splenic vein thrombosis: Can cause left-sided portal hypertension, splenomegaly, and gastric varices? Portal vein thrombosis: Impairs liver blood flow? Pseudoaneurysm: Typically involving the splenic artery
Functional Impairments
? Exocrine insufficiency: Results in maldigestion and malnutrition? Endocrine dysfunction: Leads to type 3c diabetes mellitus? Pancreatic atrophy: Progressive loss of functional tissue
Associated Conditions
? Metabolic bone disease: Due to malabsorption and chronic inflammation? Increased cancer risk: Higher likelihood of pancreatic adenocarcinoma
Inflammatory Sequelae
? Intense inflammation: Particularly affecting the head of the pancreas? Pancreatic ascites: Accumulation of pancreatic fluid in the abdominal cavity? Pancreaticopleural fistula: Rare but serious complicationEarly diagnosis and multidisciplinary management are crucial for preventing and addressing these complications. Regular monitoring and lifestyle modifications can significantly improve quality of life for patients with chronic pancreatitis.