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Samenvatting Pancreatitis

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Samenvatting van het hoofdstuk pancreatitis gezien in EBD2

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Pancreatitis




Wat weet je nog?


Wat is verschil tussen een acute en chronische pancreatitis?
zie les Pathologie

 Acuut > aandacht voor overmatig alcoholgebruik en evt. verhoogde TGL-
waarde
 Chronisch > impact op RCv, gezien vaak voorkomen van steatorroe

, Kan je aan de hand van onderstaande tekening uitleggen hoe onze
spijsvertering werkt en welke enzymen hierbij betrokken zijn?




Grote moleculen worden afgebroken tot kleine bouwstenen
 KH > monosachariden
 E > AZ
 V > glycerol + VZ
Mondholte > slokdarm > maag (pepsinogeen – HCl zet pepsinogeen om in
pepsine) > alvleesklier > 12-vingerige darm (duodenum) > dunne darm
(jejenum) > dikke darm (darmen belangrijk voor verdere vertering + opname
VS, water en elektrolyten)
De pancreas produceert ... :
Amylolytische enzym = amylase
 splitst zetmeel tot disachariden/monosachariden (KH)
 ook in speeksel (ptyaline), maar door HCl onwerkzaam
geworden

Proteolytische enzymen = bv. trypsine, chymotrypsine
 E afbreken tot AZ
 deel E al splitsen in maag

Lipolytische enzymen = lipase, (fosfolipase en cholesterolesterase)
 + gal (emulgeren vet en galzouten)

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Uploaded on
May 30, 2024
Number of pages
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Written in
2023/2024
Type
Summary
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