The disease is reactive pancreatitis in adults. Features of reactive pancreatitis in adults: signs, symptoms, treatment and diet

A form of pancreatitis, which is caused by the occurrence of inflammatory processes in the pancreas.

Literally translated, this word means offensive or primary, which can provoke the emergence of a secondary factor.

The root causes of reactive

Poor nutrition

pancreatitis

• improperly balanced diet.
• alcohol abuse.
• long-term use medicines.
• influence of external unfavorable factors.
• prolonged exposure to stress and depression.

If you look in more detail at the symptoms and course of the disease, reactive pancreatitis does not pose any particular danger, but if ignored or ineffective treatment diseases tend to develop into more complex ones.

1. Men any age category who eat irregularly and incorrectly.
2. who abuse alcoholic beverages.
3. Reactive pancreatitis can occur against the background of pre-existing diseases, such as peptic ulcer, viral hepatitis, gastroenterological and cholelithiasis.

The causes of reactive pancreatitis are varied and can manifest in different ways.

Overeating causes problems with the pancreas

The main ones are:

• long-term use alcoholic drinks any fortress.
• gastric diseases of a chronic nature.
• symptoms of stomach overfilling.
• abuse of junk food.
• long-term treatment with drugs.
• smoking.
• increased frequency of stress.
• injury to the abdominal area, accompanied by tissue rupture.

Symptoms of the disease

The symptoms are similar in their characteristics to acute pancreatitis:

It is impossible to treat the disease on your own. This may lead to the following results:

• exacerbation of the disease;
• no aftercare;
• worsening physical condition sick.

Reactive should be carried out in medical institution. Therefore, upon detection the slightest sign symptoms reminiscent of pancreatitis, you must urgently seek help from a doctor. Timely diagnosis of the disease and treatment contributes to the patient’s rapid recovery.

Diagnosis of reactive pancreatitis

It is carried out by examining the patient, filling out a questionnaire and submitting laboratory tests. The next step is to undergo CT, ERCP and MRI

Anamnesis

Includes the necessary information about the first signs and time of onset of the disease, the presence of chronic diseases and allergies, lifestyle and genetic inheritance. This includes the main symptoms. Anamnesis is compiled by questioning the patient. It is necessary to determine the method of diagnosing the patient. In addition, before starting treatment, the patient must provide complete information about the presence of gastric and gallstone diseases, about the frequency of drinking alcoholic beverages and surgical interventions in the abdominal area.

Analyzes

ERCP

The number of leukocytes is determined, which are an indicator of the presence of inflammatory processes in the human body. If an increased amount of amylase and lipase is observed, conclusions can be drawn about certain pathologies in the pancreas and symptoms can be identified.

Today the highest quality and effective method diagnosis based on x-ray studies.

Most accurately diagnoses the symptoms and presence of gallstone disease.

ERCP

X-ray bile ducts, which helps identify diseases associated with the liver and bile ducts, can diagnose symptoms and the presence of inflammatory processes in the pancreas.

How is reactive pancreatitis treated?

Before describing self-medication, it should be noted that it must be carried out under the vigilant supervision of a doctor. consists of the following steps.

Stages of treatment

Establishing diagnosis

1. Establishing the root causes reactive pancreatitis

Provides for minimizing factors that have negative impact on the general course of the disease:

• removal of stones.
• giving up alcohol.
• carrying out a detoxification procedure.
• consultation with a psychiatrist.

2. Medication

• pain relief.
• carrying out measures to minimize inflammatory processes in the pancreas.
• prescribing medications, in particular enzymes that are necessary for full-fledged work pancreas.
• following diet number 5.

3. Diet

With the help of diet we relieve the pancreas

As with all other forms of pancreatitis, the diet should be low in calories, devoid of fatty and spicy food, and not hot. Preference should be given to steamed products. Dishes must be complete in terms of vitamin content, macro- and microelements. Overeating is prohibited. Meals should be at least 5-6 times a day, and the portions should be small.

In addition to these treatment methods, there are also traditional ones, the use of which is permitted only with the consent of a doctor. It should be remembered that independent experiments on the pancreas are fraught with a number of troubles.

The use of infusions, decoctions and herbal teas makes it possible to achieve long-term remission in reactive pancreatitis, which provides the patient with the opportunity to live and eat fully.

Reactive pancreatitis is an inflammation of the pancreas that occurs as a result of some initial cause associated with pathologies of other organs of the gastrointestinal tract, for example, the stomach, duodenum or intestinal diseases.

This disease develops most often in adults, but sometimes the pathology is diagnosed in children. In this case, reactive pancreatitis in a child is either a consequence hereditary pathologies organs of the gastrointestinal tract, or has acute course, directly related to certain techniques food products or medications - that is, the symptoms develop rapidly and the child needs urgent hospitalization in a hospital.

At all, chronic form reactive pancreatitis as such does not exist, since it is an acute process. It’s just that in some cases the disease develops slowly, but always ends in an acute attack. Therefore, if chronic pancreatitis is diagnosed, this only means that the person for a long time suffers from this pathology, but with the help symptomatic therapy eliminates its manifestations until the moment when an acute attack occurs.

Diagnostics of this disease, which developed against the background of another gastroduodenal pathology, is difficult. In ICD-10 there is no such thing as reactive pancreatitis, however, according to this classification, this disease belongs to category K82.8 - dysfunctional disorders of the biliary tract. This classification is used specifically in children.

Pathogenesis

IN in good condition The pancreas produces enzymes involved in the digestion process. However, these enzymes are not activated in the gland itself, but only when they enter the intestines, they begin to perform their function. Enzymes enter this organ through the pancreatic ducts, and if it happens that intestinal contents are thrown into these ducts, the enzymes can be activated before reaching the desired part of the intestine, which causes them to digest their own pancreatic cells. This is what leads to its inflammation.

Destroying cells release even more pancreatic juice with enzymes, which worsens inflammatory process and causes great damage to the organ - pancreatic tissue is actively destroyed.

In addition, the disease can develop against the background of a narrowing or cessation of the transport of enzymes through the ducts of the organ.

Causes

As mentioned above, this disease is the cause of other diseases of the gastrointestinal tract, including:

Reactive pancreatitis can also be caused, or it will begin to progress due to injury to the organ due to blunt blows or falls.

There are certain etiological factors, which can increase the likelihood of developing this pathology in humans. These include overconsumption alcohol, smoking and poor nutrition, eating large amounts of fatty foods And fried foods, as well as uncontrolled use of various medications.

Symptoms

Reactive pancreatitis has symptoms typical for pathologies of the gastrointestinal tract:

• nausea and loss of appetite;
• belching and heartburn;
• bloating and abdominal pain.

As the disease progresses, there is an increase in temperature, vomiting and symptoms of general intoxication. The symptoms of a pathology such as reactive pancreatitis are complemented by signs of the disease of the gastrointestinal tract that caused it.

Features of treatment

The main treatment is aimed at eliminating the cause that caused the development of the disease in a person. Therefore, it is first carried out full examination patient, after which the doctor prescribes symptomatic therapy drugs to relieve external signs illnesses such as pain, heat, spasms, etc.

A diet for reactive pancreatitis, which excludes all harmful products and involves eating food in liquid form and in small portions. In this case, the person is advised to drink plenty of fluids.

If a diet is prescribed for reactive pancreatitis, then a person should not eat fatty and fried foods, sweets and smoked foods, too salty and spicy foods, as well as foods with pronounced taste, because they irritate the pancreatic mucosa.

Sometimes patients are shown surgery, for example, if false cysts have formed in the affected organ. And at times the organ is so affected that it requires parenteral administration nutrients (via vein).

As drug therapy prescribe medications such as enzymes, antispasmodics, carminatives, antibiotics and painkillers.

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Diseases with similar symptoms:

Intestinal obstruction is a severe pathological process, which is characterized by a disruption in the process of exiting substances from the intestines. This disease most often affects people who are vegetarians. There are dynamic and mechanical intestinal obstruction. If the first symptoms of the disease are detected, you must go to the surgeon. Only he can accurately prescribe treatment. Without timely medical help, the patient may die.

Pneumonia (officially pneumonia) is an inflammatory process in one or both respiratory organs, which usually has infectious nature and is called various viruses, bacteria and fungi. In ancient times, this disease was considered one of the most dangerous, and although modern means Treatments allow you to get rid of the infection quickly and without consequences; the disease has not lost its relevance. According to official data, in our country every year about a million people suffer from pneumonia in one form or another.

Reactive pancreatitis is an acute inflammatory disease, which occurs in the pancreas due to disruption of other organs of the gastrointestinal tract. The cause of this disease can be disruptions in the functioning of the stomach, duodenum, liver, and bile ducts.

Untimely eating, alcohol abuse, and overeating lead to reactive pancreatitis. Timely help A specialist will help you recover, since the doctor knows exactly the symptoms and treatment of this disease.

What are the causes and symptoms of reactive pancreatitis

Reactive pancreatitis in acute stage- Very dangerous disease. Gastrointestinal enzymes contribute to the destruction of the pancreas because they cannot enter the MPC. Decomposition products enter bloodstream, and this leads to serious complications.

Reasons that caused this condition:

• binge eating;
• a large number of alcohol;
• gallstones.

Urgent care can save lives. Often a luxurious feast contributes to an attack of pancreatitis. After it, people end up in the hospital.

The disease manifests itself in such conditions as:

• dehydration;
• drop in blood pressure;
• fainting.

At acute attack pancreatitis, the patient must be taken to the hospital. This condition leads to the formation of cysts, ulcers, and organ death. Treatment needs to start early.

Males get sick more often than females. As men abuse alcohol and eat fatty foods, pressure in the duodenum increases and the outflow of pancreatic juice worsens, which together contributes to the progression of the disease.

Factors influencing the development of reactive pancreatitis in adults:

• alcohol;
• cigarettes;
• binge eating;
• food (fatty, fried, peppery, gas water);
• internal trauma abdominal area;
• rupture of the pancreatic parenchyma.

During therapy the following drugs are prescribed:

• NSAIDs;
• hormones.

The disease can be a consequence of diseases such as:

• hepatitis;
• stomach ulcer;
• disorders of the gastrointestinal tract;
• cirrhosis of the liver;
• cholelithiasis;
• biliary dyskinesia.

With diseases such as ulcers, cirrhosis of the liver, blockage of the bile ducts, an attack is possible. Injuries to the parenchyma and disturbances in the movement of enzymes damage the pancreas.

What are the symptoms of reactive pancreatitis? Main symptom- this is pain, it tells where exactly the inflammation is located. If the gland is in the head region, then pain is felt in the right hypochondrium. Damage to the body indicates pain in the epigastric region, in the last part of the organ - pain in the left hypochondrium. Girdle pain means that the entire gland is inflamed.

Signs of reactive pancreatitis:

• pain in the abdominal region and under the ribs;
• nausea;
• temperature increase;
• fever;
• dyspnea.

Symptoms from the gastrointestinal tract include:

• white coating on the tongue and dry mouth;
• soreness;
• temperature;
• diarrhea.

Reactive pancreatitis in adults is expressed not only by pain, but also increased salivation, lack of appetite, nausea, bloating, belching. Diagnosis should include additional methods research, since ultrasound shows an enlarged pancreas.

How to treat reactive pancreatitis with diet

Treatment of reactive pancreatitis first begins with dietary changes. This important condition guaranteeing the patient's recovery. Nutrition for reactive pancreatitis should be limited. Lifestyle changes promote recovery. This means you should not drink alcohol, pepper, fried, spicy foods - anything that leads to an exacerbation of the disease.

Diet for reactive pancreatitis is the main element of treatment, it provides physiological function pancreas.

For reactive pancreatitis, the diet includes (in case of exacerbation) fasting for 2 days. After this you can eat:

• fish, chicken;
• stewed and baked beef;
• vegetables and fruits;
• pasta and bread products.

During remission, food varies. You need to eat often, but little by little, without overeating.

One dietary nutrition There is little in the treatment of reactive pancreatitis; medications are also needed.

Treatment of the disease with drugs

If a patient has reactive pancreatitis, the symptoms and treatment of the disease are determined by the doctor. Let's figure out how to treat reactive pancreatitis with medication. To eliminate spasms, antispasmodics are prescribed:

• Papaverine;
• No-shpa.

• Nurofen;
• Ibuprofen.

Medicines containing enzymes:

• Festal;
• Mezim.

Antibiotics and agents to reduce and eliminate gases are rarely used. At severe course surgery is prescribed.

The acute form of severe disease can cause complications:

• endotoxic shock;
• abscess and phlegmon;
• necrosis of neighboring organs.

Traditional recipes for reactive pancreatitis

Reactive pancreatitis can be treated as recommended ethnoscience, by using herbal infusions and decoctions. Here are some recipes:

1. The herbal mixture consists of the following ingredients: take 1 part chamomile flowers for 200 ml of boiling water, 2 parts boyarka and 3 parts mint, plus dill seeds. Place on low heat for 25 minutes, cool and filter. Drink 100 ml 2 times a day, morning and evening.
2. You need to take 1 part of crushed St. John's wort, field fir, nettle and 2 parts of rose hips. Add 2 tbsp to 0.5 liters of boiling water. l. collection, pour into a container, then filter. Take 100 ml 3 times a day after meals.
3. They take crushed anise, celandine, knotweed, violet, dandelion, and corn silk. Then add 1 tbsp to 200 ml of boiling water. l. collection, cool for 25 minutes, filter. Drink 1 glass 3 times a day.
4. You need to take 1 tbsp. l. plantain, corn silk, calendula, chamomile. The resulting dry mixture is poured into 1 liter of boiling water and boiled in a water bath for 15 minutes. Use this medicine you need 0.5 cups 2 times a day after meals.
5. Viburnum berries (200 g) should be poured with boiling water (500 ml), cook for 10 minutes over low heat. You should drink it like tea. You can add 2 tsp. honey
6. Take golden mustache leaves and pour boiling water (500 ml). Boil the resulting composition for 5 minutes in a water bath. Then the broth is cooled and filtered. They consume this remedy 3 times a day before meals.

If the patient has reactive pancreatitis, treatment can also be carried out with juices. You need to grate the carrots and potatoes, squeeze the juice out of the vegetables. Then mix 75 ml of carrot and potato juice, add 1 tsp. olive oil. Drink one glass 3 times a day, before meals.

Once inflammation is detected, therapy is immediately prescribed; if this is not done, the disease will become chronic. Also irreversible changes in the gland arise due to improper treatment. Light shape illnesses are treated at home or in a hospital. Treatment is symptomatic: diet, elimination of factors causing attacks.

Reactive pancreatitis appears as an instantly developing attack acute pancreatitis, the occurrence of which is based on organ diseases digestive system. These include the liver, duodenum, gallbladder and stomach.

In other words, the reactive form is a complication of another disease of the digestive tract chronic, which often has a hidden course, there are no pronounced clinical manifestations.

The fundamental point of therapy is identifying the source of the problem, which served as the impetus for the development of negative symptoms. In children, symptoms increase instantly, which is due to incompletely formed organs.

In adult patients, the symptoms are less pronounced, since the gastrointestinal tract is formed and, accordingly, is less susceptible to attack. The main reasons are consumption of alcoholic beverages and non-compliance with dietary nutrition.

Etiological factors of the disease

Reactive pancreatitis, what is it? This is a specific reaction of the pancreas (PG), which reacted this way to illness digestive tract, poisoning, allergies, dietary errors and other factors.

This is not an independent pathology, but only a symptom. In other words, the body signals serious violation. In adolescence and adulthood, the disease in most cases is caused by dietary errors.

Excessive consumption of salty, spicy and fatty foods contributes to irritation thin walls stomach and intestines. When the digestive tract is disrupted, the stomach stops working and atony is observed.

An incorrect diet leads to the following pathologies: diabetes, renal failure, dystrophy, bulimia, anorexia. During their course, these diseases affect the pancreas.

Iatrogenic reactive pancreatitis often develops after endoscopic surgical interventions on the biliary tract.

Other reasons:

• Bad habits – smoking and drinking alcoholic beverages. Nicotine contains great amount chemical components that enter gastrointestinal tract, contribute to the destruction of the mucous membrane.
• Gastrointestinal pathologies. The reactive form of the disease develops due to chronic cholecystitis, infectious pathologies, against the background of poisoning by chemical components, as well as with cholelithiasis, gastritis, gastric ulcers, atherosclerosis of the pancreas.
• Use of medications. Unreasonable use of various medications negatively affects the condition of the intestinal and gastric mucosa. Vitamins, antibiotics, medications with analgesic and anti-inflammatory effects should be used only strictly according to the instructions.
• Diseases of the abdominal organs. Reactive pancreatitis occurs due to injuries that lead to rupture of soft tissue. Other causes are cirrhosis of the liver, hepatitis, etc.

Provoking factors for inflammation of the pancreas include chronic fatigue, nervous tension, stress, obesity, overeating.

Clinical manifestations

Clinic pathological process develops within two hours after exposure to an indirect provoking factor. Clinical manifestations consist of the symptoms that cause the underlying disease and signs of damage to the pancreas.

The patient complains of severe pain. Location: upper abdomen and hypochondrium. The pain radiates to the back and shoulder blades and intensifies after eating. The pain during a reactive attack is not as intense as during an exacerbation of chronic prostatitis.

If signs of reactive pancreatitis are observed, treatment should be started immediately. Absence timely therapy leads to various complications.

Symptoms:

1. Bloating.
2. Belching.
3. Heartburn.
4. Nausea, vomiting with mucus and bile.

Due to the fact that repeated vomiting increases the pressure inside the peritoneum and ducts, painful sensations after it they intensify.

If you don't provide help early stage pathology occurs, the patient’s condition worsens due to the abundant penetration of enzymes into circulatory system. Intoxication of the body is observed, increased temperature regime bodies. There is pallor skin, increased sweating, tachycardia, decreased blood pressure.

Patients with severe disease require urgent hospitalization to the gastroenterology department.

Diagnosis of reactive pancreatitis

Symptoms and treatment in adults are closely interrelated, so the first step should be correct diagnosis. For this purpose, biochemical and clinical researches: general analysis blood, urine, determination of blood clotting.

The level of pancreatic enzymes in the biological fluids human - urine and blood. Total protein is examined. As a rule, the patient is diagnosed high concentration amylase, trypsin inhibitors against the background of normal lipase and trypsin levels.

The development of a rapid attack is indicated chronic diseases in the anamnesis, which tend to worsen. During the physical examination indirect sign the phenomenon of tachycardia, decreased pressure, pallor of the mucous membranes and skin appears.

On palpation, the patient feels pain in the upper abdomen. There is pain in the left costovertebral angle. The abdomen is swollen, but soft. Symptoms of peritoneal irritation are negative.

Diagnosis of pancreatic pathologies is based on an increase or decrease in echo signs. Echogenicity increases with increasing density of the prostate or when healthy tissue is replaced by connective or fatty tissue. When the echo structure changes, we speak of an exacerbation of pancreatitis.

Additional diagnostic tests:

• Ultrasound examination of the abdominal organs – informative method diagnostics Helps remove stones in the bile duct area, swelling, etc.
• CT and radiography help clarify the details of the examination and visualize the pathological focus.
• Endoscopic RPCP is carried out exclusively according to strict indications. For example, obstruction of the common bile duct with a stone has been proven. Otherwise, MRI is an alternative. The manipulation helps visualize the stones and allows you to determine their location and size.

Laparoscopy is the last resort for diagnosis. It is carried out in severe cases of a reactive attack, when there are diagnostic difficulties.

Drug treatment

International classification diseases (ICD) defines chronic pancreatitis under code ten. In it you can find two subcategories: K86.0 – alcoholic pathogenesis occurrence of the disease, code K86.1 will mean other reasons.

In women and men, the attack develops rapidly. People are scared and in pain, so there is no need to relieve the pain on your own; it is recommended to call a medical team.

The goal of therapy is to relieve swelling and reduce the severity of inflammatory processes internal organ. It is necessary to remove intoxication, restore normal secretion pancreatic juice. It is impossible to cure reactive pancreatitis if the underlying disease is not eliminated, so special attention is paid to it.

IN acute period course of pathology is required therapeutic fasting which lasts 1-2 days. During this time, it is permissible to drink only plain water. Can be used folk remedies, in particular, decoctions and infusions based on anti-inflammatory herbs.

If the form light currents, then they may not recommend it. As a rule, a diet enriched with carbohydrates is prescribed, but the consumption of fat and protein components is limited. The goal of the diet is to reduce the load on the pancreas.

In some clinical pictures carried out surgical intervention. For example, if the inflammatory process has led to the formation of a false cyst.

After diagnosis, a comprehensive pathogenetic treatment, which can alleviate the patient’s condition and lead to a long-term stage of remission.

Antispasmodics

In the treatment of reactive pancreatitis, the use of antispasmodics is mandatory. Peculiarity pharmacological action consists of relaxing a blocked duct due to a pronounced spasm of the sphincter of Oddi, which allows pancreatic juice to enter the duodenum.

To remove pain syndrome antispasmodics are administered intravenously or intramuscularly, then switch to oral administration. The most effective parenteral antispasmodic drugs are: No-shpa (Drotaverine), Papaverine, Platyfillin, Baralgin. Duspatalin (Mebeverine) is effective in tablets and capsules.

Important! This group of drugs is prescribed with caution in case of personal intolerance to components, nonspecific ulcerative colitis and tuberculosis.

Painkillers

Analgesic treatment for reactive pancreatitis helps eliminate discomfort in epigastric region, girdle subcostal pain, weakness, malaise and general hyperthermia. Inflammation or injury to the glandular organ is reduced to severe pain, sometimes they can be so pronounced that the patient dies from painful shock and intoxication.

Painkillers include: Pentalgin, Baralgin, Acitamiphren, Relafen. Block transmission nerve impulse, relax, affect the central nervous system.

Non-steroidal anti-inflammatory drugs can be prescribed as an analgesic treatment for reactive pancreatitis. medicines, capable of inhibiting biologically active enzymes involved in the synthesis of prostanoids (prostaglandin, prostacyclin, thromboxane): Ibuprofen, Naproxen, Acetylsalicylic acid.

Carminative

Against the background of reactive pancreatitis, complaints often arise: abdominal pain, accumulation of gases, a bursting sensation. Insufficient function of the gland and insufficient secretion of pancreatic enzymes stops the complete breakdown of incoming chyme (chewed food) into the duodenum. Unprocessed food particles are exposed to intestinal bacteria with massive release of intestinal gases.

Read also: Treatment of pancreatitis

Their excessive accumulation leads to overstretching of the intestinal wall and severe pain. The most effective carminatives: Espumisan, Meteospasmil, Disflatil, Sab Simplex, Kuplaton, Pepfiz.

Pancreatic enzymes

Enzyme preparations have a beneficial effect on the functioning of the organ itself and the digestive processes. Enzyme deficiency due to inflammation and swelling of structures is compensated by amylase, lipase, and bile acids included in the medications. The settling of chyme on the wall with the subsequent process of fermentation and decay is eliminated.

Enzymes for reactive pancreatitis: Creon, Pancreatin, Mezim, Panzinorm, Festal. Take three times a day with meals.

Preparations for the balance of intestinal microflora

Taking antibacterial agents, digestive disorders, and the proliferation of pathogenic microflora are the basis for the formation of dysbacteriosis. Accompanying discomfort in the abdomen, diarrhea, intestinal cramps, flatulence.

In case of illness, prebiotics are prescribed to promote growth. normal flora and suppression of opportunistic and pathogenic microorganisms, contain special nutrients: Hilak-Forte, Lactulose, Inulin products.

Probiotics contain directly beneficial bacteria, which settle in the intestine, performing a replacement function: Linex, Bifidumbacterin, Acipol, Bifiform, Bifikol, Atsilakt.

Pharmaceutical manufacturers have created combined agents for the treatment of reactive pancreatitis, including prebiotics and probiotics - symbiotics. These include: Bifido-Bak, Laminolact, Normoflorin.

The duration of elimination of pathology is on average 1-4 weeks.

Antiemetics

Vomiting is another sign of acute or exacerbation chronic pancreatitis, caused by intoxication, dysfunction upper sections gastrointestinal tract.

Antiemetic drugs:

1. Metoclopramide (Cerucal);
2. Domperidone (Motilium);
3. Torekan;
4. Zofran.

In the acute form of reactive pancreatitis, it is administered intravenously and intramuscularly, then switched to oral administration.

Antibacterial agents

In the pancreas, at the time of development of reactive pancreatitis, an aseptic inflammatory process develops due to impaired outflow and autodestruction of glandular cells.

Read also: Therapy for chronic pancreatitis: how to restore the pancreas

In the acute stage it has preventive measure for warning severe complications with effusion of serous contents into abdominal cavity, development adhesive process, peritonitis.

Antibiotics: Amoxicillin, Ampiox, Ceftriaxone, Cefuroxime, Meropenem, Tienam. To enhance and potentiate the action intravenously antimicrobial: Metronidazole.

Detoxification treatment

It is important to note! Loss of fluid from vomiting and feces can lead to a severe course - acidosis, in addition, toxins produced in the intestines worsen the general condition.

Correction of acid-base balance due to saline solutions: Trisol, Disol, Tris-Buffer (Trisamine).

Elimination of intoxication with the help of Reosorbilact, Hemodez, Poliglyukin.

Oral sorbents: Polysorb, Smecta, Neosmectin, Phosphalugel, Enterosgel, Atoxil.

Surgical treatment of reactive pancreatitis

In surgical practice, operations for complete removal Surgery of the pancreas is performed quite rarely; it is important to preserve the organ and maintain its functioning.

Important to remember! Besides exocrine function(secretion of pancreatic enzymes in 12 PCs), endocrine regulation is also carried out by means active work islets of Langerhans and the release of the hormone insulin. Helps regulate blood sugar levels.

Surgery is indicated only in the following situations:

• Extensive pancreatic necrosis, changes in more than 2/3 of the organ.
• Treatment of reactive pancreatitis due to severe complications: fistula tracts, abscess formation, single and multiple.
• Malignant neoplasm head, body or tail.
• Performed laparotomy or laparoscopically quick access, which is stipulated in preoperative period. The patient is transferred to permanent replacement therapy, are sent to MSEC to receive a disability group.

Diet therapy

Patients are prescribed diet table No. 5 according to Pevzner.
Diet therapy algorithm:

• The number of meals is 5-7 times a day, in small portions.
• Cooking with steam or water, the first days puree soups.
• Complete refusal flour products, fatty and fried foods, alcohol.
• Exclude: coffee, cocoa, carbonated drinks, saturated and sour juices.
• Smoked meats, legumes, canned food, bananas, grapes, figs, chocolate, and ice cream are prohibited.
• The menu should contain a large amount of proteins and thermally processed vegetables, foods rich in iron, zinc, selenium, fluorine, magnesium and potassium.
• Soups are welcome vegetable broth, porridge, rabbit and turkey meat.
• In the morning, for breakfast you can serve an omelet cooked under the lid, weak tea, rosehip decoction, and uzvar.

Important tip! Diet in combination with complex therapy reduces the risk of poor prognosis.

First aid for reactive pancreatitis

First first aid is to create favorable conditions relieving pain, vomiting, nausea and weakness:

1. Distract and calm the sick person.
2. Help him take a forced position so that the pain subsides.
3. Recommend breathing shallowly with short-term breath holding.
4. Do not give food, only non-carbonated mineral water is allowed alkaline water(Essentuki, Polyana Kvasova, Borjomi).
5. Give No-shpa 2 tablets of 20 mg each, Metoclopramide - 1 tablet (10 mg), after 30 minutes you can give another 10 mg.
6. It is mandatory to call an ambulance.