Informasjon

Kronisk betennelse i bukspyttkjertelen

Diagnosen

Legen kartlegger sykehistorien, gjør en kroppsundersøkelse og vurderer aktuelle diagnoser. Det er viktig å kartlegge alkoholbruken nøye. Blodprøver tas for å måle enzymer fra bukspyttkjertelen og leveren, og for å måle blodsukker med tanke på diabetes. Ulike former for bildeundersøkelser er ofte påkrevd for å bedømme skadene på bukspyttkjertelen, f.eks. ultralyd, CT, MR og ERCP.

Hos unge pasienter med kronisk pankreatitt av ukjent årsak eller pasienter med en eller flere førstegradsslektninger med uforklarlig (idiopatisk) kronisk pankreatitt eller arvelig sykdom, bør genetisk utredning mtp. PRSS1-mutasjon tilbys.

Vil du vite mer?

Få tilgang på artikkelen om dette temaet fra Legehandboka.no

Artikkelen inneholder all informasjon norske allmennleger bruker i sitt daglige arbeid.

Jeg har lest og akseptert Brukervilkår ved kjøp av NEL-dokumenter

Dette dokumentet er basert på det profesjonelle dokumentet "Pankreatitt, kronisk". Referanselisten for dette dokumentet vises nedenfor.

Nair RJ, Lawler L. Chronic pancreatitis. Am Fam Physician 2007; 76: 1679-88. PubMed
Ahmad SA, Wray C, Rilo HL, Choe KA, Gelrud A, Howington JA, et al. Chronic pancreatitis: recent advances and ongoing challenges. Curr Probl Surg 2006; 43: 127-238. PubMed
Mitchell RMS, Byrne MF, Baillie J. Pancreatitis. Lancet 2003; 361: 1447-55. PubMed
Dufour MC, Adamson MD. The epidemiology of alcohol-induced pancreatitis. Pancreas 2003; 27: 286-290. PubMed
DiMagno MJ, Wamsteker E-J, Lee A. Chronic pancreatitis. BMJ Best Practice, last updated October 2018.
Lin Y, Tamakoshi A, Matsuno S, Takeda K, Hayakawa T, Kitagawa M, et al. Nationwide epidemiological survey of chronic pancreatitis in Japan. J Gastroenterol 2000; 35: 136-41. PubMed
Chen WX, Zhang WF, Li B, Lin HJ, Zhang X, Chen HT, et al. Clinical manifestations of patients with chronic pancreatitis. Hepatobiliary Pancreat Dis Int 2006; 5: 133-7. PubMed
Finkelberg DL, Sahani D, Deshpande V, Brugge WR. Autoimmune pancreatitis. N Engl J Med 2006; 355: 2670-6. New England Journal of Medicine
Keiles S, Kammesheidt A. Identification of CFTR, PRSS1, and SPINK1 mutations in 381 patients with pancreatitis. Pancreas 2006; 33: 221-7. PubMed
Etemad B, Whitcomb DC. Chronic pancreatitis: diagnosis, classification, and new genetic developments. Gastroenterology 2001; 120: 682-707. Gastroenterology
Schneider A, Whitcomb DC. Hereditary pancreatitis: a model for inflammatory diseases of the pancreas. Best Pract Res Clin Gastroenterol 2002; 16: 347-63. PubMed
Stevens T, Conwell DL, Zuccaro G. Pathogenesis of chronic pancreatitis: an evidence-based review of past theories and recent developments. Am J Gastroenterol 2004; 99: 2256-70. PubMed
Conwell DL, Lee LS, Yadav D, et al. American Pancreatic Association Practice Guidelines in Chronic Pancreatitis: evidence-based report on diagnostic guidelines. Pancreas. 2014 Nov;43(8):1143-62. doi: 10.1097/MPA.0000000000000237. DOI
Kempeneers MA, Issa Y, Verdonk RC, et al . Pain patterns in chronic pancreatitis: A nationwide longitudinal cohort study. Gut 2021. pmid:33158979 PubMed
Malka D, Hammel P, Sauvanet A, Rufat P, O'Toole D, Bardet P, et al. Risk factors for diabetes mellitus in chronic pancreatitis. Gastroenterology 2000; 119: 1324-32. Gastroenterology
Munoz A, Katerndahl DA. Diagnosis and management of acute pancreatitis. Am Fam Physician 2000; 62: 164-74. American Family Physician
Engjom T, Hoem D, Kvamme JM, et al. Norsk veileder for diagnostikk og behandling av kronisk pankreatitt. Gastroenterologen, 02.01.2017. gastroenterologen.no
Remer EM, Baker ME. Imaging of chronic pancreatitis. Radiol Clin North Am 2002; 40: 1229-42. PubMed
Adler DG, Baron TH, Davila RE, Egan J, Hirota WK, Leighton JA, et al., for the Standards of Practice Committee of American Society for Gastrointestinal Endoscopy. ASGE guideline: the role of ERCP in diseases of the biliary tract and the pancreas. Gastrointest Endosc 2005; 62: 1-8. PubMed
Makary MA, Duncan MD, Harmon JW, Freeswick PD, Bender JS, Bohlman M, et al. The role of magnetic resonance cholangiography in the management of patients with gallstone pancreatitis. Ann Surg 2005; 241: 119-24. PubMed
Hollerbach S, Klamann A, Topalidis T, Schmiegel WH. Endoscopic ultrasonography (EUS) and fine-needle aspiration (FNA) cytology for diagnosis of chronic pancreatitis. Endoscopy 2001; 33: 824-31. PubMed
Olesen SS, Bouwense SA, Wilder-Smith OH, et al. Pregabalin reduces pain in patients with chronic pancreatitis in a randomized, controlled trial. Gastroenterology 2011; 141: 536-43. Gastroenterology
Hvass Hansen ML, Rumessen JJ. Virker enzymsubstitutionsbehandling analgetisk ved kronisk pancreatitis?. Ugeskr Læger 2005; 167: 1841-4. PubMed
Czako L, Takacs T, Hegyi P, Pronai L, Tulassay Z, Lakner L, et al. Quality of life assessment after pancreatic enzyme replacement therapy in chronic pancreatitis. Can J Gastroenterol 2003; 17: 597-603. PubMed
Dominguez-Munoz JE, Iglesias-Garcia J, Iglesias-Rey M, Figueiras A, Vilarino-Insua M. Effect of the administration schedule on the therapeutic efficacy of oral pancreatic enzyme supplements in patients with exocrine pancreatic insufficiency: a randomized, three-way crossover study. Aliment Pharmacol Ther 2005; 21: 993-1000. PubMed
Haaber AB, Rosenfalck AM, Hansen B, Hilsted J, Larsen S. Bone mineral metabolism, bone mineral density, and body composition in patients with chronic pancreatitis and pancreatic exocrine insufficiency. Int J Pancreatol 2000; 27: 21-7. PubMed
Jacobson BC, Baron TH, Adler DG, Davila RE, Egan J, Hirota WK, et al., for the American Society for Gastrointestinal Endoscopy. ASGE guideline: the role of endoscopy in the diagnosis and the management of cystic lesions and inflammatory fluid collections of the pancreas. Gastrointest Endosc 2005; 61: 363-70. PubMed
Rosch T, Daniel S, Scholz M, Huibregtse K, Smits M, Schneider T, et al., for the European Society of Gastrointestinal Endoscopy Research Group. Endoscopic treatment of chronic pancreatitis: a multicenter study of 1000 patients with long-term follow-up. Endoscopy 2002; 34: 765-71. PubMed
Sharma SS, Bhargawa N, Govil A. Endoscopic management of pancreatic pseudocyst: a long-term follow-up. Endoscopy 2002; 34: 203-7. PubMed
Guda NM, Partington S, Freeman ML. Extracorporeal shock wave lithotripsy in the management of chronic calcific pancreatitis: a meta-analysis. JOP 2005; 6: 6-12. PubMed
Dumonceau JM, Costamagna G, Tringali A, Vahedi K, Delhaye M, Hittelet A, et al. Treatment for painful calcified chronic pancreatitis: extracorporeal shock wave lithotripsy versus endoscopic treatment: a randomised controlled trial. Gut 2007; 56: 545-52. Gut
Kalady MF, Broome AH, Meyers WC, Pappas TN. Immediate and long-term outcomes after lateral pancreaticojejunostomy for chronic pancreatitis. Am Surg 2001; 67: 478-83. PubMed
Nealon WH, Matin S. Analysis of surgical success in preventing recurrent acute exacerbations in chronic pancreatitis. Ann Surg 2001; 233: 793-800. PubMed
Jimenez RE, Fernandez-del Castillo C, Rattner DW, Chang Y, Warshaw AL. Outcome of pancreaticoduodenectomy with pylorus preservation or with antrectomy in the treatment of chronic pancreatitis. Ann Surg 2000; 231: 293-300. PubMed
Keck T, Adam U, Makowiec F, et al. Short- and longterm results of duodenum preservation versus resection for the management of chronic pancreatitis: A prospective, randomized study. Surgery 2012;152: S95 Surgery
Raimondi S, Lowenfels AB, Morselli-Labate AM, Maisonneuve P, Pezzilli R. Pancreatic cancer in chronic pancreatitis; aetiology, incidence, and early detection. Best Pract Res Clin Gastroenterol 2010; 24(3):349-58.

Er du helsepersonell?

Ved å oppgi dette kan du få bedre tilpasset innhold om du har formell helsefaglig kompetanse

Mest lest i dag

Psykisk helse

Kronisk betennelse i bukspyttkjertelen

Hopp til innhold

Diagnosen

Er du helsepersonell?

Mest lest i dag

20 minutters pause i naturen er god medisin mot stress

Vitamin B12 og folat status blant norske veganere og vegetarianere

Utbrenthet

Informasjon

Hold deg oppdatert

Kronisk betennelse i bukspyttkjertelen

Hopp til innhold

Diagnosen

Er du helsepersonell?

Andre leste også dette

Akutt betennelse i bukspyttkjertelen

Pseudocyster i bukspyttkjertelen

Bukspyttkjertelen

Mest lest i dag

20 minutters pause i naturen er god medisin mot stress

Vitamin B12 og folat status blant norske veganere og vegetarianere

Utbrenthet