1. Pancreatitis Eric DeOliveira, David Milstone, Jessica Nolasco, Allen On, Leutrim Rexhaj

2. WHAT IS IT!!!! Pancreatitis is the inflammation of the pancreas It comes in two forms, acute or chronic pancreatitis Acute pancreatitis is sudden and often non- reoccurring and depending on severity can be treated by IV or by surgery Chronic Pancreatitis is the ongoing occurrence of inflammation marked by on and off abdominal pain

3. ACUTE!!! What do I DOOO! About 20% of are severe cases and of these there is a 20% mortality rate, while the other 80% have insignificant repercussions and are not dangerous Serious cases often require endoscopic retrograde cholangiopancreatography or surgery to solve the problem and often must be done within 24-72 hours In lesser cases anti-biotics, nutritional support or bowel rest were sufficient remedies

4. CHRONIC!! OH THE PAIN! It can present with constant abdominal pain or as often occurring cases of acute pancreatitis Replacement pancreatic enzymes are often effective in reversing the symptoms, but less likely to aid pain Surgery has been the staple procedure and is done by transplanting the patients own beta cells in to prevent diabetes after a removal of the inflamed and damaged pancreas

5. Chronic Pancreatitis Significant majority are Binge Drinkers 150 grams of alcohol daily for a period of more than 6 years. Another factor that is associated with binge drinking is cigarette smoking In up to 25% of all chronic pancreatitis cases, no cause can be identified.

6. I GET SMASHED I - idiopathici. Thought to be hypertensive sphincter or microlithiasis. G - gallstone. Gallstones that travel down the common bile duct and which subsequently get stuck in the Ampulla of Vater can cause obstruction in the outflow of pancreatic juices from the pancreas into the duodenum. The backflow of these digestive juices causes lysis(dissolving) of pancreatic cells and subsequent pancreatitis. E - ethanol (alcohol) T - trauma S - steroids M - mumps (paramyxovirus) and other viruses (Epstein-Barrvirus, Cytomegalovirus) A - autoimmune disease (Polyarteritis, Systemic lupus erythematosus) S - scorpion sting (e.g. Tityus trinitatis), and also snake bites H - hypercalcemia, hyperlipidemia/hypertriglyceridemiaand hypotermia E - ERCP (Endoscopic Retrograde Cholangio-Pancreatography - a procedure that combines endoscopy and fluoroscopy) D - drugs (SAND - steroids & sulfonamides, azathioprine, NSAIDS, diuretics such as furosemide and thiazides, & didanosine) and duodenal ulcers

7. How to prevent pancreatitis The only way to prevent pancreatitis, like many other diseases, is through a healthy diet and exercise.

8. How to prevent pancreatitis Another way to prevent pancreatitis is to prevent the use of excess alcohol. Alcohol may cause gallstones which can lead to pancreatitis.