Flashcard · Pancreatitis and Pancreatic Cancer
What is acute pancreatitis, and how are mild and severe disease defined?
Answer
Acute pancreatitis is glandular autodigestion producing an acute inflammatory response. Mild disease is interstitial oedema with minimal organ dysfunction and uneventful recovery; severe disease is associated with organ failure and/or local complications (necrosis, infection, pseudocyst, or abscess).
Clinical relevance. Distinguishing mild from severe pancreatitis determines the level of care and aggressiveness of treatment.
More Detail
Acute pancreatitis: definition and severity
Acute pancreatitis ranges from a mild self-limiting illness to a life-threatening one with organ failure.
Definition
- Acute inflammation of the pancreas from glandular autodigestion (premature activation of pancreatic enzymes).
Mild acute pancreatitis
- Interstitial oedema of the gland with minimal organ dysfunction and uneventful recovery.
Severe acute pancreatitis
- Associated with organ failure and/or local complications - necrosis (with infection), pseudocyst, or abscess formation.
Why the distinction matters
- Severe pancreatitis needs HDU/ICU care and carries high mortality.
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