Acute pancreatitis can pose a serious threat to life.
Diagnosis of pancreatitis
Diagnosing chronic pancreatitis is not easy, especially in the early stages. In this, the gastroenterologist is helped in the diagnosis of pancreatitis with laboratory tests and instrumental methods of investigation.
- General clinical blood test – carried out in order to detect signs of inflammation (increase in the number of leukocytes, increased ESR, etc.).
- Biochemical blood test – detection of elevated levels of enzymes amylase, lipase, trypsin will confirm the presence of the disease (more often, in acute pancreatitis). A blood test for sugar can show an increase in glucose levels.
- Urinalysis – the detection of amylase in the urine also indicates pancreatitis (mainly in acute pancreatitis).
- Ultrasonography of the abdominal organs allows to detect changes in the pancreas and other organs (for example, the gallbladder).
- Gastroscopy (EGD) is needed to assess the involvement of the stomach and duodenum in the inflammatory process.
- Radiography of the abdominal cavity. A survey radiograph of the pancreas often reveals calcification of the pancreas and intraductal stones.
- Endoscopic retrograde cholangiopancreatography (ERCP). Cholecystocholangiography.
- CT scan.
- Coprogram (fecal analysis).
- Functional tests (secretin-cholecystokinin test, Lund test, PABK test and
Treatment acute and exacerbations of chronic pancreatitis most often performed in a surgical hospital.
At the same time, starvation diet is important. Narcotic analgesics (for anesthesia), droppers with saline solutions, plasma or albumin, inhibitors of proteolytic enzymes (drugs that block the activity of enzymes) and other drugs are prescribed.
If this does not help, as well as the development of complications (for example, peritonitis has developed), doctors resort to surgical methods of treatment.
- Abdominal flushing (peritoneal lavage). To carry out lavage, hollow tubes (drains) are installed in the abdominal cavity, through which fluid accumulating in the abdominal cavity flows out.
- Removal of destroyed pancreatic tissue (necroectomy) is a difficult operation for both the surgeon and the patient, so it is performed very rarely.
- Sometimes, after the symptoms of acute pancreatitis subside, the gallbladder is removed – cholecystectomy.
How to treat chronic pancreatitis :
- It is necessary to adhere to a strict diet for pancreatitis (refusal from spicy and fatty foods, the exclusion of alcohol);
- taking painkillers;
- enzyme replacement therapy (for example, creon, mezim and
In rare cases, if there is no effect from conservative treatment, surgery may be prescribed for pancreatitis (for example, distal pancreathectomy, Whipple’s operation, lateral pancreatojejunostomy) or endoscopic treatment (pseudocyst drainage and