ASGE Annual GI Advanced Practice Provider Course (On-Demand) - Clinical Case-based Learning (Day Two) | March 2025-Pancreatitis (Acute and Chronic) and Management of Complications

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Video Summary

The presentation provides a comprehensive overview of acute and chronic pancreatitis, focusing on their causes, diagnostic criteria, and management strategies. Acute pancreatitis is highlighted as a common gastrointestinal cause of hospitalization in the U.S., with gallstones and alcohol identified as primary causes. Key symptoms include sudden epigastric pain that worsens with oral intake. Diagnosis typically involves detecting elevated lipase levels, imaging, and other lab tests for assessing severity.<br /><br />Management of acute pancreatitis emphasizes hospitalization, fluid resuscitation, controlling pain, and possibly nutritional support if oral intake is insufficient. Chronic pancreatitis is characterized by fibroinflammatory damage due to genetic, environmental, or repeated acute episodes, leading to pancreatic insufficiency. Imaging plays a crucial role in diagnosis, and treatment includes addressing pain, nutritional management, and potentially endoscopic or surgical interventions.<br /><br />The discussion covers complications for both conditions and stresses the importance of multidisciplinary care for chronic cases. The risk for pancreatic cancer, especially in hereditary cases, is noted, although routine screening remains unsupported without specific risk factors. Treatment approaches should be individualized, particularly when dealing with concurrent issues such as alcohol and opioid dependence.

Asset Subtitle

Sarah Enslin, PA-C

Keywords

acute pancreatitis

chronic pancreatitis

diagnostic criteria

management strategies

gallstones

elevated lipase levels

hospitalization

pancreatic insufficiency

multidisciplinary care