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© Kirrawee Veterinary Hospital CANINE DISEASES
Pancreatitis
The pancreas is a gland which lies next to the first part of the
intestine. It s main roles are the production of insulin and digestive
enzymes (chemicals) which help with the breakdown of food. The
enzymes travel into the gut through one or two ducts which are
near or joined to the bile duct from the liver. Inflammation of the pancreas (pancreatitis) can produce signs
of depression, loss of appetite, and vomiting. In severe cases
pain in the abdomen and collapse with shock can occur.
A chronic condition with mild signs is also sometimes
seen which may last for many weeks. The specific cause of pancreatitis is unknown. Viruses and bacteria
have been isolated from the pancreas of effected animals however
these may be secondary to other more generalized infections. Diet
is thought to play a role as pancreatitis is often associated
with the feeding of a very fatty meal. The condition is more common
in middle aged, overweight animals. High blood fat (hyperlipoproteinaemia)
is also a common finding in animals with pancreatitis. A number
of drugs and other experimental causes have been suggested but
the evidence is inconclusive. Diagnosis is usually confirmed by blood tests which looks for
increases in levels of pancreatic enzymes amylase and lipase.
Although the level of these enzymes can be effected by other diseases
and some drugs, a two to three fold rise is considered strong
evidence of pancreatitis. Ultrasound is also proving useful to
identify a swollen pancreas. Treatment depends on the severity of signs. Acute cases require
intravenous fluids (drip) and all animals are fasted for several
days. There are no specific drugs for treating pancreatitis however
corticosteroids and antibiotics and often used to prevent infection
and reduce inflammation. Long term therapy and prevention of recurrences is based on feeding
low fat diets. |