Complications of gallstones Inflammation of the gallbladder cholecystitis A

Complications of gallstones inflammation of the

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Complications of gallstones Inflammation of the gallbladder: cholecystitis. A gallstone that becomes lodged in the neck of the gallbladder can cause inflammation of the gallbladder. Can cause severe pain and fever. Blockage of the common bile duct: cholangitis. Gallstones can block the ducts through which bile flows from your gallbladder or liver to your small intestine. Jaundice and bile duct infection can result.
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Complications of gallstones Blockage of the pancreatic duct: Pancreatitis. A gallstone can cause a blockage in the pancreatic duct, which can lead to inflammation of the pancreas. Pancreatitis causes intense, constant abdominal pain and usually requires hospitalization. Gallbladder cancer. People with a history of gallstones have an increased risk of gallbladder cancer. But gallbladder cancer is very rare.
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Nutritional Implications of Cholelithiasis Indigestion, decreased ability to digest and absorb fat, increased abdominal gas Diarrhea post surgery
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Nutrition Therapy for Cholelithiasis Nutrition Intervention – Low fat, modest protein – Small frequent meals – During acute attacks- NPO for 12 hours; bowel rest as long as symptoms persist, parenteral nutrition therapy as needed – Post surgery – high fiber
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EXOCRINE PANCREAS
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Anatomy and Physiology of the Pancreas Has both endocrine and exocrine functions – Endocrine- regulation of glucose homeostastis Exocrine -secretion of enzymes and other substances directly into the intestinal lumen, for aid in digestion of protein, fats, CHO
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Acute Pancreatitis • Causes: 30-60% of cases are due to gallstones 15-30% of cases are due to excessive alcohol • Symptoms Upper abdominal pain radiating to the back worsening with ingestion of food, nausea, vomiting • Complications Autodigestion of pancreatic cells due to premature activation of trypsin Diagnosis based on clinical symptoms and elavated lipase and/or serum amylase
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Nutrition Therapy for Acute Pancreatitis Main goal: prevent pancreatic stimulation thus, NPO and
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  • Winter '10
  • AndrewClifford,PhD
  • Nutrition, Pancreatic Cancer, common bile duct, bile salts, chronic pancreatitis

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