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Kronisk betennelse i bukspyttkjertelen

Kronisk betennelse i bukspyttkjertelen, kronisk pankreatitt, skyldes i de fleste tilfeller alkoholmisbruk. Etter gjentatte episoder med akutte betennelser går tilstanden over i en kronisk fase.

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https://nhi.no/sykdommer/magetarm/bukspyttkjertel/bukspyttkjertelbetennelse-kronisk/ 

Hva er kronisk pankreatitt?

Årsak

Diagnosen

Behandling

Ernæring

Smertebehandling

Pankreasenzymer

Ved diabetes

Oppfølging

Prognose

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Referanser

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

  1. Nair RJ, Lawler L. Chronic pancreatitis. Am Fam Physician 2007; 76: 1679-88. PubMed 
  2. 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 
  3. Mitchell RMS, Byrne MF, Baillie J. Pancreatitis. Lancet 2003; 361: 1447-55. PubMed 
  4. Dufour MC, Adamson MD. The epidemiology of alcohol-induced pancreatitis. Pancreas 2003; 27: 286-290. PubMed 
  5. DiMagno MJ, Wamsteker E-J, Lee A. Chronic pancreatitis. BMJ Best Practice, last updated October 2018.
  6. 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 
  7. 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 
  8. Finkelberg DL, Sahani D, Deshpande V, Brugge WR. Autoimmune pancreatitis. N Engl J Med 2006; 355: 2670-6. New England Journal of Medicine 
  9. Keiles S, Kammesheidt A. Identification of CFTR, PRSS1, and SPINK1 mutations in 381 patients with pancreatitis. Pancreas 2006; 33: 221-7. PubMed 
  10. Etemad B, Whitcomb DC. Chronic pancreatitis: diagnosis, classification, and new genetic developments. Gastroenterology 2001; 120: 682-707. Gastroenterology 
  11. Schneider A, Whitcomb DC. Hereditary pancreatitis: a model for inflammatory diseases of the pancreas. Best Pract Res Clin Gastroenterol 2002; 16: 347-63. PubMed 
  12. 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 
  13. 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 
  14. Kempeneers MA, Issa Y, Verdonk RC, et al . Pain patterns in chronic pancreatitis: A nationwide longitudinal cohort study. Gut 2021. pmid:33158979 PubMed 
  15. 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 
  16. Munoz A, Katerndahl DA. Diagnosis and management of acute pancreatitis. Am Fam Physician 2000; 62: 164-74. American Family Physician 
  17. Engjom T, Hoem D, Kvamme JM, et al. Norsk veileder for diagnostikk og behandling av kronisk pankreatitt. Gastroenterologen, 02.01.2017. gastroenterologen.no 
  18. Remer EM, Baker ME. Imaging of chronic pancreatitis. Radiol Clin North Am 2002; 40: 1229-42. PubMed 
  19. 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 
  20. 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 
  21. 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 
  22. 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 
  23. Hvass Hansen ML, Rumessen JJ. Virker enzymsubstitutionsbehandling analgetisk ved kronisk pancreatitis?. Ugeskr Læger 2005; 167: 1841-4. PubMed 
  24. 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 
  25. 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 
  26. 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 
  27. 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 
  28. 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 
  29. Sharma SS, Bhargawa N, Govil A. Endoscopic management of pancreatic pseudocyst: a long-term follow-up. Endoscopy 2002; 34: 203-7. PubMed 
  30. 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 
  31. 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 
  32. 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 
  33. Nealon WH, Matin S. Analysis of surgical success in preventing recurrent acute exacerbations in chronic pancreatitis. Ann Surg 2001; 233: 793-800. PubMed 
  34. 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 
  35. 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 
  36. 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.