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関連する概念動画

Pancreatic Juice and Secretion01:26

Pancreatic Juice and Secretion

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Pancreatic juice is a clear fluid produced by the pancreas, containing water, salts, sodium bicarbonate, and enzymes vital for digestion in the small intestine. It helps break down large molecules, facilitating nutrient absorption.
When acidic chyme from the stomach enters the duodenum, it triggers the release of secretin, a hormone that prompts pancreatic juice secretion. After a fatty meal, cholecystokinin, another hormone, stimulates gallbladder contraction and enhances enzyme-rich...
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Acute Pancreatitis I: Introduction01:27

Acute Pancreatitis I: Introduction

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Pancreatitis is inflammation of the pancreas, an organ located behind the stomach. It can be either acute or chronic.
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
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Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

680
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
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Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

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The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
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Acute Pancreatitis II: Clinical Manifestations and Management01:30

Acute Pancreatitis II: Clinical Manifestations and Management

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Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
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Glucose Homeostasis: Pancreatic Islets and Insulin Secretion01:27

Glucose Homeostasis: Pancreatic Islets and Insulin Secretion

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The pancreatic islets comprising only 1%-2% of the volume are highly vascularized and innervated mini-organs. They contain five endocrine cell types, including β cells that secrete insulin, which is synthesized as a single polypeptide chain, preproinsulin, processed to proinsulin, and finally to insulin and C-peptide. This process is complex and regulated, involving the Golgi complex, the endoplasmic reticulum, and the secretory granules of the β cell.
Insulin and C-peptide are...
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Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis
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小児壊死性膵炎

Nelithma DeSilva1, Baci Alder2, Amit Saha2,3

  • 1Curtin Medical School, Perth, Western Australia, Bentley, Western Australia, Australia.

BMJ case reports
|January 19, 2026
PubMed
まとめ

壊死性膵炎は小児ではまれであるが重篤な疾患である。非特異的な腹部症状を持つ小児患者における急性膵炎の早期認識は、適時な診断と治療のために非常に重要である。

キーワード:
消化器系小児外科小児科学膵臓および胆道系膵炎

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科学分野:

  • 小児消化器病学
  • 膵臓病学

背景:

  • 壊死性膵炎は、小児における急性膵炎の重篤な合併症である。
  • 非特異的な症状で現れることがあり、診断が遅れる可能性がある。

研究 の 目的:

  • 幼児の特発性壊死性膵炎の症例を報告する。
  • 小児患者において、曖昧な腹部症状の急性膵炎を考慮することの重要性を強調する。

主な方法:

  • 嘔吐、顔面蒼白、易刺激性のある幼児の症例報告。
  • 診断ワークアップには、検査および造影CTスキャンが含まれた。
  • 管理には支持療法が含まれた。

主要な成果:

  • 壊死性膵炎の診断は、炎症マーカー、リパーゼの上昇、およびCT所見によって確認された。
  • 患者は9日間の支持療法後に回復した。
  • フォローアップ画像では、長期的な合併症なしに膵周囲液の消失が示された。

結論:

  • 特発性壊死性膵炎は、幼い子供に予期せず発生する可能性がある。
  • 非特異的な腹部症状を呈する小児患者における急性膵炎の迅速な評価が不可欠である。
  • 早期診断と支持療法は、良好な転帰につながる可能性がある。