Biliary pancreatitis: treatment of chronic biliary-dependent parenchymal pancreatitis

Biliary Pancreatitis - one of the diseases of the pancreas that occurs onBackground disturbance of the biliary tract. He most often affects the adult category of patients. The disease is considered curable, provided that a timely call to a specialist and compliance with all prescriptions.

The productive treatment of the pancreas with biliary pancreatitis allows the patient to return to a habitual way of life rather soon.

Symptoms of biliary pancreatitis are very similar to those of acute pancreatitis.
most common biliary pancreatitis develops for the following reasons:

1. acute or chronic cholecystitis( gallbladder inflammation, significantly impede the flow of bile);
2. Gallstone disease( in this case, the ducts become clogged gallbladder gallstones and bile do not allow to make a natural outflow The result is a cast of bile into the pancreas.);
3. Cholangitis( an inflammatory process in the bile ducts, as a result of which their permeability is disturbed).

The diseases listed above( in the complex or each separately) require increased attention of the patient. Since the neglected form of these diseases can lead to biliary pancreatitis.

In medicine are two main forms of biliary pancreatitis:

• biliary acute pancreatitis;
• Chronic biliary-dependent pancreatitis.

Biliary pancreatitis threatens pancreas irreversible consequences, which are formed on the background of the changes in the diseased organ. First of all, the inflammatory process begins in the gland itself. After that, completely or partially disrupted the operation of the pancreas. Later the glandular apparatus is damaged and, eventually, the growth of diseased cells begins in the damaged pancreas.

clinical picture

Symptoms of biliary pancreatic diseases allow the skilled artisan to determine the initial diagnosis without the use of sophisticated diagnostic:

1. The first patient may begin to disturb the constant aching pain in the abdomen. The pain syndrome can be shrouded and given to the left hypochondrium, or to the lower back( most often the pain arises from the intake of fried, fatty, spicy food or alcoholic beverages);
2. A persistent bitter taste in the mouth is also one of the symptoms of biliary pancreatitis;
3. Patient may be disturbed by night vomit;
4. Diarrhea, flatulence or constipation is an additional symptom of the diagnosis of biliary pancreatitis;
5. The patient's body temperature may change in the larger side( not critical);
   Acute period of the disease can be characterized by severe pain in the hypochondrium.

When contacting a health care professional, be sure to describe all of the symptoms that you were concerned about to determine the correct diagnosis.

Diagnostics

acute biliary pancreatitis is diagnosed solely in a hospital based on committed blood and urine tests as well as of the corresponding ultrasound.

First of all, when a patient enters the hospital with appropriate complaints, a general blood test should be administered. If there is a sharp increase in leukocytes, then bilinear pancreatitis has begun its development and it is necessary to begin immediate treatment.

The following examination procedure is a biochemical blood test. Here, acute biliary pancreatitis will be indicated by an elevated level of transaminase.

To more accurately determine the diagnosis, a gastroenterologist specialist can prescribe cholangiopancreatography with reverse contrast injection of magnetic resonance imaging.

Treatment of

Treatment of an acute attack of biliary pancreatitis should be carried out exclusively in a hospital under the supervision of a gastroenterologist. Acute biliary pancreatitis is treated in a comprehensive manner, including dietary nutrition and drug therapy.

Therapy with the help of medicines is built by the doctor according to the following scheme:
First of all, pain relievers are prescribed analgesics and antispasmodics. And in the case of a very serious condition of the patient, drugs can be administered intravenously.

The next stage of treatment with drugs is aimed at reducing the production of digestive enzymes, which stimulate the pancreas. For this purpose, new generation enzyme preparations can be prescribed.

After an acute attack of biliary pancreatitis is removed, the attending physician may consider the advisability of surgical intervention. This treatment option can be used if the cause of biliary pancreatitis is precisely the cholelithiasis, the symptoms of which may be present.

The operation can be performed in two ways: :

1. Laparotomy( external cut of the upper abdominal wall);
2. Laparoscopy( two small punctures in the abdominal wall).

The first method of surgical treatment is considered cheaper, but not very aesthetic in terms of residual phenomena( scars).

Treatment of acute biliary pancreatitis implies strict adherence to the prescribed diet. There are several basic rules that should be adhered to for a speedy recovery:

• Complete exclusion from the menu of fried, fatty, spicy food and alcohol. All food should be only lean and cooked for a couple;
• Do not allow the presence of choleretic products in the menu: sour cream, butter, egg yolk;
• Meals should be taken at least five times a day( in small portions);
• The temperature of all dishes should be from 40 to 50 degrees;
• All dishes should have a consistency of puree, mousse, pudding.

Possible complications and prevention

Proper treatment of biliary pancreatitis will allow the patient to return soon to a normal lifestyle. If the disease is started, it can threaten the patient with the transfer of gallstones to the bile ducts. In this case, the area of ​​surgical intervention will have to be significantly expanded.

Moreover, ignoring the symptoms of biliary pancreatitis and letting the disease into its own way means significantly aggravating the work of all the organs of the digestive tract. In this case, the pain will intensify each time, especially after taking heavy meals: pies with meat or fish, okroshki, chocolate, cakes, saltwort, champagne and other carbonated drinks( alcoholic and nonalcoholic).

Another consequence of neglected bilirial pancreatitis or cholelithiasis may be parenchymal pancreatitis. Inflammation of the pancreatic parenchyma threatens the patient with the following:

1. Long-term treatment in a hospital;
2. Extensive surgery;
3. Long-term recovery therapy;
4. Practically lifelong observance of the strictest diet.

Avoiding the occurrence of biliary pancreatitis and other diseases of the gastrointestinal tract will help you to maintain a healthy lifestyle, refusal to drink alcohol, a full diet and a caring attitude to the physical condition of your body!

Adhering to the elementary rules, you can significantly strengthen your health and prolong longevity! Stay healthy and active!

Useful video about pancreatitis