End stage chronic pancreatitis is a severe and incurable form of pancreatitis that is characterized by irreversible damage to the pancreas. It is usually caused by a long-term history of alcohol abuse or gallstones, and can lead to a number of debilitating complications. Symptoms of end stage chronic pancreatitis include pain in the upper abdomen, nausea, and vomiting. Other symptoms such as weight loss, fatigue, jaundice, and diabetes can also occur. Treatment for end stage chronic pancreatitis is largely supportive and focuses on relieving symptoms and preventing complications.
Signs and Symptoms
The most common symptom of end stage chronic pancreatitis is abdominal pain, which is usually located in the upper abdomen near the sternum. This pain is often described as aching, burning, or cramping, and may be worse after eating or drinking. Other common symptoms include nausea, vomiting, weight loss, fatigue, and jaundice. In some cases, diabetes may develop due to damage to the pancreas.
Diagnosis
End stage chronic pancreatitis is typically diagnosed based on a physical examination and medical history. Imaging tests such as CT scans and MRI scans may be used to assess the extent of damage to the pancreas. Blood tests may also be ordered to check for the presence of pancreatic enzymes.
Treatment
Treatment for end stage chronic pancreatitis is largely supportive and focuses on relieving symptoms and preventing complications. Pain medications, antacids, and pancreatic enzyme supplements may be prescribed to help manage symptoms. Surgery may be recommended in some cases to remove the damaged portion of the pancreas. In some cases, lifestyle modifications such as quitting smoking and avoiding alcohol can help reduce symptoms.