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== Chronic Pancreatitis in Cats<br> ==
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[http://w3.vet.cornell.edu/nst/nst.asp?Fun=Image&imgID=6937 Image of chronic pancreatitis and fibrosis in a cat from Cornell Veterinary Medicine]
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This chronic, relapsing condition is more common than the acute condition in cats. Fibrosis, ductular ectasia with cyst formation and inflammation will be present on the pancreas. The condition has been associated with hepatic lipidosis, cholangiohepatitis and inflammatory bowel disease. <br>
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==== Clinical Signs<br> ====
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Clinical signs are vague and may include vomiting, diarrhoea, anorexia, lethargy and icterus.<br>
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==== Diagnosis<br> ====
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Blood tests for lipase may be normal or elevated in cats and therfore may or may not be any use. Amylase and Serum trypsin-like immunoreactivity (TLI) are not useful in cats. Serum pancreatic lipase immunoreactivity (PLI) will be raised and cPLI &amp; fPLI look promising as sensitive and specific markers for pancreatic inflammation.<br>
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==== Treatment<br> ====
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Treat the underlying cause if there is one. Treatment may include placing the animal on a low fat diet and giving supportive care such as fluids and analgesia. If the cat is not eating, place a feeding tube as starvation may cause hepatic lipidosis in cats.<br>
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== References<br>  ==
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Blood, D.C. and Studdert, V. P. (1999) Saunders Comprehensive Veterinary Dictionary (2nd Edition) Elsevier Science<br>Cowart, R.P. and Casteel, S.W. (2001) An Outline of Swine diseases: a handbook Wiley-Blackwell<br>Ettinger, S.J. and Feldman, E. C. (2000) Textbook of Veterinary Internal Medicine Diseases of the Dog and Cat Volume 2 (Fifth Edition) W.B. Saunders Company<br>Ettinger, S.J, Feldman, E.C. (2005) Textbook of Veterinary Internal Medicine (6th edition, volume 2)W.B. Saunders Company<br>Fossum, T. W. et. al. (2007) Small Animal Surgery (Third Edition) Mosby Elsevier<br>Jackson, G.G. and Cockcroft, P.D. (2007) Handbook of Pig Medicine Saunders Elsevier<br>Knottenbelt, D.C. A Handbook of Equine Medicine for Final Year Students University of Liverpool<br>Merck &amp; Co (2008) The Merck Veterinary Manual (Eighth Edition) Merial<br>Nelson, R.W. and Couto, C.G. (2009) Small Animal Internal Medicine (Fourth Edition) Mosby Elsevier.<br>Sturgess, K. (2003) Notes on Feline Internal Medicine Blackwell Publishing. <br>
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