Q.1)Why does paralytic ileus occur in pancreatitis?
Q.2)How sensitive is the increase in serum lipase levels in the case of acute
pancreatitis?
Q.3)What is the association between chronic pancreatitis and peripheral
vascular disease (PVD)?
Answers
Explanation:
Answer 1:-
Paralytic ileus is a more common and less severe complication of acute pancreatitis than true mechanical obstruction. The etiology of ileus is not entirely understood but may arise from a viscerally mediated reflex within the superior mesenteric plexus secondary to retroperitoneal inflammation or transient ischemia.
Answer 2:-
After an attack of acute pancreatitis, serum lipase activity increases within 4–8 h, peaks at about 24 h, and decreases within 8–14 days [2]. Some studies mentioned sensitivity for serum amylase was 63.6 % and for serum lipase it was 99.5 %, whereas, specificity for serum amylase 99.4 % and for lipase 99.2 % [3].
Answer 3:-
Organs supplied by these vessels, such as the brain, and legs, may not get enough blood flow for proper function. However, the legs and feet are most commonly affected. Peripheral vascular disease is also called peripheral arterial disease.
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Answer:
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Explanation:
Why does paralytic ileus occur in pancreatitis?
Colonic paralytic ileus is a relatively common, but less severe, complication of acute pancreatitis. The mechanism is not clearly understood, and it may be attributed to a viscerally mediated reflex within the superior mesenteric plexus secondary to retroperitoneal inflammation or colonic ischemia.
How sensitive is the increase in serum lipase levels in the case of acute pancreatitis?
After an attack of acute pancreatitis, serum lipase activity increases within 4–8 h, peaks at about 24 h, and decreases within 8–14 days [2]. Some studies mentioned sensitivity for serum amylase was 63.6 % and for serum lipase it was 99.5 %, whereas, specificity for serum amylase 99.4 % and for lipase 99.2 % [3].
What is the association between chronic pancreatitis and peripheral vascular disease (PVD)?
Organs supplied by these vessels, such as the brain, and legs, may not get enough blood flow for proper function. However, the legs and feet are most commonly affected. Peripheral vascular disease is also called peripheral arterial disease.