Gastroenterology

Pancreatitis


Pancreatitis - causes, symptoms and treatment

In normal conditions, digestive enzymes are found in cells in inaktivirovannoj condition. However, under the influence of various factors can occur activating them, and they begin to digest the parenchyma of the pancreas and its own tissue as easily as exogenous food. Inflammation of the pancreas and the release of digestive enzymes into the blood causes the development of severe intoxication. Distinguish acute and chronic pancreatitis. The main difference is that in acute pancreatitis may restore normal function of the pancreas; the chronic form over time observed a steady decline in function.

Causes of pancreatitis

– intoxication by alcohol;
– cholelithiasis;
– inflammatory diseases of the duodenum;
– injuries;
– certain medications;
– hereditary metabolic disorders, diseases of the connective tissue.

Symptoms of pancreatitis

Symptoms of pancreatitis– strong acute abdominal pain radiating to the back (sometimes described as girdle pain);
– intoxication symptoms (fever, nausea, vomiting, weakness, loss of appetite);
– Pappy chair with undigested food particles.

Complications of pancreatitis

– pancreatic necrosis;
– false cyst of the pancreas;
– pancreatic ascites;
– abscess of the pancreas;
– pulmonary complications.
In chronic pancreatitis insufficiency endocrine function of the pancreas can lead to diabetes.

Treatment of pancreatic

The occurrence of acute pancreatitis or acute exacerbations of chronic requires urgent hospitalization in the surgical Department of a hospital: even a small delay can have serious consequences. Therefore, in the case of you or your family described symptoms, you should immediately call an ambulance.
In the period of remission of chronic pancreatitis, it is recommended to completely give up alcohol and to adhere to proper diet. Patients show a diet with reduced fat and increased protein content (the eating of meat, fish, cheese) are excluded spicy food and crude fiber (cabbage, raw apples, oranges).

Pancreatitis Treatment clinic

Treatment of pancreaticFor the diagnosis of examination, which includes General clinical analysis of blood, which is carried out with in order to detect signs of inflammation (increase in the number of leukocytes, increased erythrocyte sedimentation rate, etc.); biochemical blood test to detect elevated levels of pancreatic enzymes (amylase, lipase, trypsin); urinalysis detection of amylase in urine also indicates pancreatitis; ultrasound examination of abdominal cavity allows to detect changes in the pancreas and other organs (for example, gall bladder); gastroscopy (endoscopy); roentgenography of organs of an abdominal cavity; endoscopic retrograde cholangiopancreatography (ERCP); fecal; functional tests.

In acute pancreatitis appoint a starvation diet, analgesics for relief of pain, drip intravenous saline or colloid solutions, inhibitors of proteolytic enzymes (drugs that block the activity of enzymes and other drugs. In rare cases, you may need surgical treatment. Treatment of chronic pancreatitis includes: diet, analgesics, vitamins, substitution therapy enzymes, the treatment of diabetes and other endocrine disorders, early treatment of gallstone disease.

Prevention of pancreatitis

Prevention of the disease involves, first of all, complete abstinence from alcohol, timely treatment of diseases of the biliary tract, stomach and duodenum, proper diet (with the exception of coarse animal fats and hot spices). In chronic pancreatitis these activities will hinder the development of exacerbations.