Features of the course and treatment of biliary pancreatitis
All organs of the gastrointestinal tract are closely interrelated, and biliary pancreatitis clearly illustrates this relationship.
Treatment of any kind of pancreatitis presents difficulties, mainly because of the difficulties of diagnosis. However, untimely treatment is fraught with loss of body and death of the body.
What is pancreatitis?
Contents:
- What is pancreatitis?
- Pancreatitis of biliary origin
- Different approaches to diagnosis and treatment of
Digestion is a complex process in which the stomach is not more important than the intestine or liver of the pancreas.
Without any of these organs, normal digestion of food and, consequently, a full life is impossible.
The pancreas is actually not located under the stomach, which can be inferred from its name, but behind it.
The body received light anatomists who studied the structure of the human body on corpses in a lying position.
Small body sizes, up to 10 centimeters, can be misleading about its huge role.
First of all, most of the enzymes required for the breakdown of fats, proteins and carbohydrates, is produced precisely by the pancreas.
These enzymes in the pancreatic juice get into the duodenum - the main shop for processing fats, proteins and carbohydrates in the food.
Bicarbonate ions in pancreatic juice neutralize sulfuric acid at the border between the stomach and duodenum, helping to maintain the alkaline medium in the latter.
To avoid the effects of enzymes on the gland tissue, they are activated only in the duodenum.
Acute pancreatitis is a condition of premature activation of enzymes in the gland, which leads to self-digestion of the organ.
Along with intoxication, the pathological process spreads to other vital organs: the heart, brain, lungs, kidneys and liver, literally poisoning the entire body.
This is a life-threatening condition, and if you do not carry out competent treatment in time, then it threatens the death of the body and the body as a whole.
To the development of pancreatic pathology can lead to a variety of reasons. The most common at the moment is alcoholism, which causes 70% of all pancreatitis.
The disease can develop as a result of side effects of various drugs, arise as a result of trauma, for example, during the performance of various diagnostic procedures.
The pancreas can become inflamed due to the pathology of other organs, often the gallbladder.
Pancreatitis, associated with cholelithiasis, is called biliary, that is, bile, associated with the liver.
Pancreatitis of biliary origin
Biliary pancreatitis develops as a result of casting bile into the pancreatic ducts, which disrupts the normal functioning of the organ and provokes the development of pathological processes in it.
Biliary pancreatitis can be acute and chronic.
It is easy to assume that exacerbations of chronic pancreatitis have the same principle as acute pancreatitis, but these are completely different states.
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However, acute pancreatitis can develop against a background of chronic problems with the gland.
Biliary pancreatitis is a complication of one of the gallbladder diseases:
- cholecystitis is accompanied by edema and a violation of bile outflow;
- stones in the gallbladder block the current of bile in the bile ducts and cause it to stagnate. As a result, intra-pancreatic pressure increases, and bile enters the pancreas;
- cholangitis is an inflammation in the bile ducts, when their patency is disturbed, and bile is infected.
Nonspecific symptoms are one of the factors that make it difficult to accurately diagnose pancreatitis:
- , some symptoms of pancreatitis are characteristic of a number of other digestive disorders;
- these or other symptoms may or may not be present in the clinical picture of pancreatitis;
- even if the symptoms of pancreatitis detect inflammation in the pancreas, they are unable to help with the definition of its causes, including cholecystitis, cystic fibrosis, trauma and many others.
Symptoms of pancreatitis are pain in the abdomen, usually surrounding the hypochondrium, they can give in the back. A sick person can vomit, and a biting taste may be felt in the mouth.
Vomiting with duodenal contents does not bring relief. Acute and chronic( at the stage of exacerbation) pancreatitis develop against the background of disturbances in the water-electrolyte balance caused by excessive vomiting and intoxication. Diarrhea or constipation may occur.
Symptoms may include bruising on the side of the stomach, sometimes a yellow tint. Bruises can also appear in the navel area.
Treatment of biliary pancreatitis depends on the degree of severity. Diet is an indispensable condition for improving the patient's condition.
Its severity depends on the actual state of the gallbladder and pancreas.
Like the diet, treatment varies depending on the condition of the organs, confirmed with the help of specific diagnostic techniques, and not just "by eye" on the basis of complaints.
Different approaches to the diagnosis and treatment of
Pancreatitis, especially chronic, can be compared to a complex, confusing crime, in which it is difficult to determine the cause and effect.
Not all doctors are sufficiently competent investigators to determine the correct diagnosis.
Here only medicine - not search of the criminal, here seldom close cases for lack of evidence - the doctor is obliged to confirm professionalism with the diagnosis.
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If there are complaints from the pancreas, then this diagnosis is often pancreatitis, including biliary pancreatitis.
Following the diagnosis, treatment is prescribed, and it's good if it's just a diet, because a healthy diet, even because of a diagnosis delivered without due cause, can not cause harm.
However, treatment, especially in the case of patients - children or pregnant women, often leads to negative and even tragic consequences.
Any serious illness in childhood is necessarily accompanied by a significant backlog in physical development in terms of height and weight. Knowing this, doctors often diagnose chronic or acute pancreatitis in children with normal development.
Treatment, more precisely, a permanent stay among sick people, firstly, provokes psychosomatic diseases, and secondly - causes the child to grow under the influence of hospitalism, which significantly affects his self-esteem and personality already in adulthood.
Exacerbations of chronic pancreatitis in pregnant women often lead to the termination of pregnancy, although during the "investigation" of each individual case, other culprits are found other than the pancreas.
Doctors in countries with advanced medicine rarely diagnose chronic pancreatitis, believing that after every exacerbation of inflammatory processes in the pancreas there is a very specific reason that must be found and, if possible, eliminated.
All this is written not to discredit domestic doctors, among whom there are many competent and responsible specialists, but to convince patients that the responsibility for their health lies, first of all, on them.
Before agreeing to any treatment, it is necessary to make sure that the biliary pancreatitis caused the health problems.
Control of doctors without special education is not a simple task, but it is quite feasible.
Consultations with other specialists, the study of current medical literature, including the latest research, setting the right doctor the right questions - there are many methods, but they are only for those people who do not rely on the case in matters of their own health.



