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Pancreatitis
Systemic complications in acute pancreatitis reflect the pancreatic gland's ability to produce
proteases, lipases and kinins liberated from the inflamed pancreas. Local complications can
be manifested by pancreatic autodigestion and in varied degrees necrosis. The development
of pancreatic pseudocysts can compress adjacent structures and obstruct their function, and
abscesses can cause infections and leucocytosis. Inflammation within acinar cells is frequently
initiated by gallstones or alcohol and may progress to systemic inflammation. Vasodilation
and increased blood vessel permeability result in blood pressure drop and tachycardia.
Coagulation abnormalities assumed to be initiated by cytokines and trypsin range from
microvascular thrombosis to disseminated intravascular coagulation. Myocardial depression,
haemorrhage and hypovolemic shock are thought to be secondary to the enzymatic
degradation of vessels. Pre-renal acute kidney injury has been explained on the basis of
decreased glomerular filtration rate.

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pancreatitis .docx

  • 1. Pancreatitis Systemic complications in acute pancreatitis reflect the pancreatic gland's ability to produce proteases, lipases and kinins liberated from the inflamed pancreas. Local complications can be manifested by pancreatic autodigestion and in varied degrees necrosis. The development of pancreatic pseudocysts can compress adjacent structures and obstruct their function, and abscesses can cause infections and leucocytosis. Inflammation within acinar cells is frequently initiated by gallstones or alcohol and may progress to systemic inflammation. Vasodilation and increased blood vessel permeability result in blood pressure drop and tachycardia. Coagulation abnormalities assumed to be initiated by cytokines and trypsin range from microvascular thrombosis to disseminated intravascular coagulation. Myocardial depression, haemorrhage and hypovolemic shock are thought to be secondary to the enzymatic degradation of vessels. Pre-renal acute kidney injury has been explained on the basis of decreased glomerular filtration rate.