Pancreatitis treatment in a hospital. Standards and course of treatment of pancreatitis in a hospital

This is due to the individual characteristics of each organism and a different response to the same treatment. Moreover, there are diseases in the treatment of which it is generally impossible to predict any terms, since it is almost impossible to completely get rid of the disease.

The most accurate answer to the question of how long to treat pancreatitis can only be the phrase - all my life. Rather, the process of medical intervention itself does not last long - usually an acute condition is removed in a few days. However, everyone who has been diagnosed with pancreatitis at least once in his life should understand that it depends only on his lifestyle how long he will be able not to remember such an unpleasant disease.

Another factor that will determine how much pancreatitis is treated is its form. Usually, at the initial detection of the disease (acute attack), inpatient treatment is prescribed for 7-10 days, and then maintenance therapy for up to six months, including choleretic, enzyme, hepatoprotective drugs and vitamins. Of course, a prerequisite is a strict diet. If the disease was detected at the very beginning and all the rules and recommendations were followed, it is quite possible that the patient will never remember pancreatitis again.

But how much you will have to be treated if you don’t give a damn about your health and allow the transition of an acute form of inflammation into a chronic one can only be assumed. The later therapy is started for a disease of the pancreas, the more tissues in it will be affected, therefore, the functions of the organ will deteriorate significantly and it will be extremely difficult to talk about specific terms.

That is why the most important thing for the patient is not to find out from the doctor how much pancreatitis is treated, but to follow all his recommendations, give up alcohol and smoking, switch to a balanced diet and other factors that make it possible to forget about pancreatitis, if not forever, then at least for quite a long period. Remember, the success of therapy does not depend on how much time you spend in the hospital, but mostly on how carefully you stick to the regimen.

How long to stay in the hospital with pancreatitis?

The duration of hospitalization for pancreatitis depends directly on the form of the disease and on the presence and severity of complications. In the event of an exacerbation of a chronic form of inflammation of the pancreas, the length of stay in the hospital may take only 2-3 days, while the patient will be assigned a specific treatment regimen for subsequent therapy at home. If there is an acute form of pancreatitis, then the patient will have to remain under the constant supervision of doctors for at least a week, up to 5-6 weeks. This is due to the abundance of complications in various organs, which has an acute inflammation of the pancreas. In this case, the lungs, and kidneys, and the blood system can be affected. Sometimes a patient needs parenteral nutrition for a whole month. How much to lie in the hospital with pancreatitis for a particular patient can only be decided by a doctor, since the subjective positive feelings of the patient do not always indicate an improvement in the condition.

Both acute and chronic forms of the disease require the implementation of strict instructions over a long period of time. And if, after acute inflammation of the pancreas, the duration of treatment for pancreatitis can take about six months with further anti-relapse therapy for several years, then, unfortunately, getting rid of the chronic form turns into a way of life.

Inpatient therapy for pancreatitis

Pancreatitis in the acute stage is treated exclusively in a hospital setting. The disease can leave a mark in the form of disability or lead to death. At the first suspicion of acute pancreatitis, a person is taken to surgery or intensive care. Treatment is medical, in difficult cases - surgical.

Hospitalization

Treatment of pancreatitis in the hospital does not last long. If the form is mild, then the patient is prescribed infusion therapy, after which the patient can go home. It is necessary to contact specialists in time, the outcome of treatment and the time spent by a person with pancreatitis in the hospital depends on the timeliness.

If acute pancreatitis is suspected, hospitalization is recommended. A correct assessment of the condition can be carried out exclusively in the hospital, since there is the necessary equipment with which the focus of inflammation is diagnosed. Not only methods of treatment, but also tactics depend on an adequate diagnosis.

Upon arrival at the emergency room, a patient with an acute lesion of the pancreas is prescribed such diagnostic procedures as:

hemogram (assessment of the presence of leukocytes);
blood test (biochemistry), detection of pancreatic enzymes;
Ultrasound (assessment of the localization of the inflammatory process);
laparoscopy.

After primary research on the territory of the hospital, specialists calculate the form of the disease, the amount of inflammation. In addition, they look at how high the risk of developing complications is. Next, the specialist decides on further treatment. It can be medical or surgical (surgical), but the patient must take the drugs without fail.

What is done in the hospital with an exacerbation of pancreatitis

The patient should be in intensive care under the full supervision of doctors. Treatment usually comes with an edematous or necrotic form. Statistics show 70% of cases with this development of the disease, in which conservative treatment is necessary. The goal of therapy is to stabilize the patient's condition and prevent the destructive stage. In addition, specialists need to quickly bring the patient back to normal, since the risk of death is high.

At an early stage of pancreatitis, the pathological process can be controlled, so a whole range of procedures must be applied to bring the patient out of a life-threatening condition.

What is done in the treatment of acute pancreatic injury

Rest of the pancreas. If there is vomiting and pain, the doctor prescribes fasting, which must be followed for 3-4 days. A catheter is also installed through which the contents of the stomach exit for 1-4 days. The patient should take antacids and drink mineral water, preferably cold. In a serious condition, the patient is given blockers.
Elimination of puffiness. To stimulate diuresis, diuretics are administered to the patient, do it intravenously. A cold pack is also applied.
Anesthesia. To relieve pain, novocaine blockades and analgesics are prescribed. It is worth noting that narcotic drugs can also be used. To eliminate hypertension in the bile ducts, antispasmodics are used, which dilate the vessels.
Enzyme activity. To suppress their movement, substances are used that prevent a chemical reaction. Antienzymes in high dosages normalize the processes in the pancreas and renew the tissues of the organ.

If a serious situation with intoxication has arisen, treatment is prescribed taking into account the characteristics of the person.

Therapy. Antibiotics are used only for purulent complications. Basically, bicomponent preparations are used, which have the ability to accumulate active substances in their natural form.
Metabolism. To normalize metabolic processes, it is necessary to ensure acid and water balance. For this, soda, saline and plasma solutions are introduced.
Body detoxification. If necessary and required by the patient's condition, thoracic duct drainage or dialysis is performed.

Nutrition and drugs

After the patient has been relieved of an acute attack, he will have a difficult period of adaptation to a new life with significant changes, especially with regard to nutrition. To get used to the new way of life, medications alone will not be enough. The patient's diet is also controlled, since this part of the therapy is no less important for pancreatitis.

It is recommended to give up fried foods, fatty foods and certain types of meat. Products must be steamed or baked. From the liquid, preference should be given to rosehip broth and compote (dried fruits). Dry cookies can replace cakes with cakes.

If diet therapy is violated, the exacerbation of pancreatitis will return in a more severe form.

The acute period with pancreatitis lasts a little over a month, but it will take about 12 months to restore the body after that. Treatment in a hospital involves long-term medication - a classic scheme.

Drugs that relieve spasms (No-shpa, platifillin).
Medicines that improve digestion (Mezim, Pancreatin, Festal).
Means that reduce acidity (Almagel).
Complex of vitamins (A, B, E, D).

When the patient begins to recover, it is advisable for him to drink decoctions of herbs. Healing plants from which the drink is made quickly have a mild anti-inflammatory effect, normalize metabolism. Drug intolerance is also important, so a qualified doctor must carefully select drugs.

When drugs don't work

Carrying out enzyme treatment in a hospital can provoke pain in the mouth, irritation of the skin in the perianal region, abdominal pain, allergies, fibrosis. Substances of the pancreas often form "kits" with folic acid and do not allow it to be completely absorbed.

In almost all patients, after taking drugs with enzymes, the clinical signs of the disease stop. If such an effect is not observed, doctors attribute this to such reasons as:

violation by the patient of the prescribed treatment regimen (wrong time or skipping pills);
misdiagnosis (maybe lyamliosis or celiac disease). Enzyme therapy is often not suitable for people with diabetes or gastrointestinal disorders;
incorrect dosage of the drug, in which the desired indicator is not observed;
unsuitable scheme, under which an acid-protective shell is not formed.

In the first hours of exacerbation of pancreatitis, as a preventive measure, antibiotics should be administered in a daily dosage, this is the standard of primary manipulations at the initial stage of treatment of pancreatitis. To eliminate pathological processes and endocrine insufficiency, insulin should be used, but in fractional doses. The size of the administered substance depends on the nature of the diet, glucose, and the activity of the patient. It is very dangerous to lower the glucose level below 80 mg, since this moment can provoke hypoglycemia.

The video will focus on the symptoms and treatment of pancreatitis:

How long is pancreatitis treated? Timing?

If you have had a case of acute pancreatitis at least once, then you will have to monitor the condition of the pancreas all your life. Because any errors in nutrition can provoke an attack of pancreatitis. You should exclude alcohol, smoked, salty, spicy, fried, fatty, sweets. Eat a little , but often. Acute pancreatitis is treated in a hospital, an exacerbation of chronic pancreatitis is outpatient. Usually, after 2-3 weeks, there is an improvement, subsidence of pain and improvement in pancreatic function, but a strict diet should continue for several months. Attentive attention to the pancreas, proper nutrition will allow prevent exacerbations in the future, and therefore reduce the risk of possible diabetes.

If acute pancreatitis, may last 2-3 weeks. If this is a chronic disease, then in fact it is for life. However, you can treat it so that there are no exacerbations. And still I recommend to be engaged in psychosomatics. From the point of view of psychosomatics, the pancreas can hurt for various psychosomatic reasons:

1) Human greed, rather greed.

2) Anger due to the fact that you can not show the will. If you constantly limit yourself in something, you cannot say anything, and this makes you very angry, all this negatively affects the work of the pancreas.

Other reasons are possible. Each person has psychological blocks, vices or negative feelings, all this negatively affects our health.

Pancreatitis is an inflammation of the pancreas that can be acute (sudden and severe) or chronic (ongoing). The pancreas is a gland that secretes both digestive enzymes and important hormones. Alcohol abuse is one of the most common causes of chronic pancreatitis, followed by gallstones.

Pancreatitis is one of the least common diseases of the digestive system. Treatment includes abstaining from alcohol, fasting until inflammation subsides, medications, and surgery.

Treatment depends on the cause and severity of the condition.

Treatment may include:

Treatment in the hospital - in all cases of acute pancreatitis.

Intensive hospital care - in cases of severe acute pancreatitis.

Fasting and intravenous fluids - until the inflammation subsides.

Pain relief - Adequate pain relief is essential and is often given by vein (intravenously).

Endoscopy - a thin tube is inserted through the esophagus to allow the doctor to see your pancreas. This device is used to inject dye into the bile ducts and pancreas. Stones can be seen and removed directly.

Surgery - If gallstones are present, removal of the gallbladder will help prevent further attacks. In rare cases, surgery is needed to remove damaged or dead areas of the pancreas.

Lifestyle change - do not drink alcohol.

Pancreatitis is an inflammation of the pancreas that can be acute or chronic.

Treatment options include fasting until inflammation subsides, removal of gallstones, abstinence from alcohol, medications, and surgery.

Treatment of pancreatitis in a hospital: stages and duration

Often, at the first attacks of pancreatitis, a person needs immediate hospitalization, especially if the pain in the abdomen becomes unbearable.

In this regard, it is necessary to postpone the planned activity, so many patients are interested in how long they stay in the hospital with pancreatitis. The answer to this question may depend on the type of pancreatic inflammation, the speed of diagnosis, and many other factors.

What to do with an acute attack of pancreatitis?

If a person has symptoms of an attack of pancreatitis, first of all it is necessary to call an ambulance team. While the doctors get to the patient, it is important to quickly provide him with first aid. To do this, follow these steps:

Place the patient on a couch or bed.
Apply a heating pad filled with cold water or a wet napkin to the painful focus. It is absolutely impossible to warm the abdominal region.
Open a window in the room. Air it out.

When the doctor arrives at the place, he will carry out the necessary procedures, based on the presented clinical picture. Most often, with attacks of pain, Papaverine is administered. Next, the patient is admitted to the hospital, while hospitalization cannot be refused.

At the first attacks of pain in the abdominal region, it is necessary to call a doctor or go to the hospital. A delay of even a few hours can seriously affect the patient's condition and cause complications. In addition, acute pancreatitis without proper treatment can quickly develop into chronic.

Hospitalization

How long is pancreatitis treated after hospitalization? An exacerbation usually requires fluid management, after which the patient is discharged to continue therapy at home. As soon as the patient enters the hospital, his blood pressure is measured and he is sent for an initial examination to the doctor. Further, it is necessary to carry out the following diagnostic measures:

a blood test for the determination of leukocytes and enzymes;
laparoscopy;
ultrasound examination.

After carrying out all the necessary procedures, the doctor evaluates the pancreas and the patient's condition and identifies the form of pancreatitis. Based on the data obtained, the method and plan of therapy is selected and the selection of drugs is carried out. Treatment for moderate severity is carried out in the intensive care unit, with severe pain and intoxication, resuscitation may be required.

Treatment in a hospital

Acute pancreatitis in adults is treated in a hospital with the following measures:

First of all, it is necessary to remove the pain syndrome. To do this, use drugs such as Baralgin, Novocain, Analgin, Promedol in the form of tablets and injections.
The second step is to conduct hypertension of the bile excretion channels. For this, a drug such as No-Shpa is suitable.
Be sure to relieve the load from the pancreas and ensure rest. Water fasting will help with this. In the first few days after the start of treatment, you can drink ordinary drinking and mineral water.
Often important is the prevention of thrombosis.

How long are the emergency measures? It usually takes a few minutes, but sometimes it takes a whole day. After their implementation, a period of intensive therapy begins.

It includes taking sorbents (Smecta, Almagel) and anti-inflammatory drugs (Gordox and Mannitol drip, Kontrykal). To reduce hydrolysis, diuretics (Furosemide) are prescribed.

Cleansing and draining of the stomach, as well as checking the condition of other internal organs, is necessary to prevent the patient's condition from worsening, but a full medical examination is not carried out due to his dangerous condition. To facilitate the work of the pancreas, insulin injections are given.

Thus, it usually takes about 7-10 days to eliminate an attack of acute pancreatitis or an exacerbation of its chronic form, while the first 2-3 days are the period of the most intensive therapy. After discharge from the hospital, the patient must be under the supervision of doctors from one and a half months to six months.

Chronic pancreatitis should be stopped with the passage of periodic examinations, adherence to the regimen and self-administration of recommended medications.

Surgical intervention

How many people stay in hospitals with pancreatitis if surgery is needed? This form of treatment can take a different amount of time, depending on the extent of the problem.

Treatment of pancreatitis with surgery can be prescribed when diagnosing complications. It is indicated for jaundice, lack of benefit from medications, detection of formations in the pancreas on ultrasound.

In this case, time will be needed not only for the preparation and direct surgical intervention, but also for the rehabilitation period. Thus, the patient spends about a week after him in the hospital and spends about 1.5-2 more months on home treatment.

He is prescribed a special diet, drug therapy, exercise, and also draw up a daily regimen plan. Putting in a hospital again is necessary at the first sign of a complication.

Conclusion

When a person has severe pain and signs of acute pancreatitis, there is a high probability that he will be admitted to the hospital. In such cases, you can not hesitate and it is important to immediately seek qualified help.

In the most successful cases, it is possible to get rid of the disease in a week, however, with delay and violation of the regimen, therapy can be delayed up to several months.

Treatment of acute pancreatitis in a hospital

Treatment of acute pancreatitis in a hospital is a prerequisite in order to prevent the development of complications. In the event that you do not seek medical help in time and do not start treatment, this can lead to serious consequences, such as disability or death.

Hospitalization

The process of treatment in stationary conditions lasts for a fairly short time, especially if the patient seeks medical help at the first symptoms. When a patient, after examinations, is diagnosed with a mild form of pancreatitis, then special infusion therapy is prescribed to get rid of the disease.

Treatment should be carried out quickly, especially if the patient applied at the first symptoms.

After the therapy, the patient is allowed to go home, but despite this, it is recommended to follow certain rules without fail, which will prevent the development of the disease and follow a strict diet without fail.

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In the event that a patient is diagnosed with acute pancreatitis, then emergency hospitalization is recommended. As soon as such a patient enters the emergency department with signs of acute pancreatitis, first of all, he undergoes certain diagnostic procedures, such as:

a hemogram is performed, according to the results of which the presence of leukocytes is assessed;
a blood test is taken for biochemistry and detection of pancreatic enzymes;
an ultrasound examination is performed, which helps to assess the localization of the inflammatory process;
laparoscopy is performed.

After conducting primary studies, the form of the disease and the amount of inflammation are determined, and the possible risk of complications is also assessed. After that, an accurate diagnosis is made and a final decision is made on the method of further therapy. Regardless of which decision is made, medications are prescribed even if surgery is planned.

Actions for a severe attack of pancreatitis

Even if you do not suffer from a disease such as pancreatitis, then everyone should know about its symptoms and what to do in case of an acute attack before the ambulance arrives.

In the event that you suddenly have pain in the area of \u200b\u200bthe ribs, then it is strictly forbidden to self-medicate or endure pain, but you need to immediately call an ambulance. Before the doctors arrive, you can take painkillers such as Spazmalgon or Analgin to relieve symptoms.

In no case should you expel a hot bath, apply a heating pad, and also pull the place where the pain manifests itself with material. Among other things, it is strictly forbidden to drink liquids, and even more so alcoholic beverages. In the event that, with acute pain, the patient begins to vomit, in no case should you take antiemetic drugs.

Before the arrival of the ambulance, the patient must be laid down and ensured peace

Before the ambulance arrives, do the following:

place the patient on a sofa or bed, it is best if it is a semi-sitting position;
apply a cold cloth to the area where pain is most pronounced;
thoroughly ventilate the room at all times.

As soon as the doctor arrives at the patient, the patient will be given first aid, and appropriate injections will be made to alleviate his condition. In such a situation, it is strictly forbidden to refuse hospitalization, since the acute pain that has appeared indicates the development of a severe pathological process in the patient's body.

Therapy of acute pancreatitis in stationary conditions

In the event that an acute attack of pancreatitis occurs, then immediate treatment in a hospital is mandatory. After the research, certain therapeutic measures are prescribed, which are carried out in two stages. First of all, the symptoms of an attack of pancreatitis are relieved, and then the functions of the pancreas are restored.

As mentioned earlier, for the treatment of acute pancreatitis in a hospital, it is first necessary to stop the attack.

For this, the patient is strictly forbidden to eat and drink, and complete rest is provided and a heating pad with ice is placed on the stomach. The use of painkillers at this stage is strictly prohibited. If necessary, the doctor anesthetizes the patient with injections. For this, preference is given to such medicinal injections as Platifillin, Nitroglycerin, Drotaverine, Antropy, Papaverine and others.

If necessary, the doctor will prescribe painkillers injections

After the attack is stopped, you can begin to restore the functions of the pancreas. I would also like to draw attention to the fact that you should not try to stop an attack of acute pancreatitis on your own, as you can only significantly aggravate the situation.

After a stopped attack, the doctor selects restorative therapy in each case individually, depending on the established cause of the pathology, as well as the degree of damage to the organ and the individual characteristics of the body.

Note! In some cases, treatment of acute pancreatitis requires surgery. This mainly happens if the patient has a strict indication.

In some situations, surgery is necessary

Basically, for the treatment of acute pancreatitis in a hospital, the doctor prescribes the following drugs:

Antibiotics - such drugs are prescribed if the development of pancreatitis is provoked by infectious diseases or a previous surgical intervention.
Enzymes - these drugs are prescribed to reduce the enzymatic activity of the organ and normalize its condition.
Medicines containing live bacteria are used to restore the intestinal microflora and avoid the development of dysbacteriosis.

Also, if acute pancreatitis is accompanied by additional symptoms, then all comorbidities must also be treated. For this, the doctor also selects the appropriate drugs. Among other things, in a hospital, the body is detoxified, which includes cleansing the blood of decay products. Basically, for such a procedure, an appropriate intravenous drip infusion is performed.

When carrying out all therapeutic measures, a certain diet is recommended as a complex therapy, which is prescribed by the attending physician. With regard to surgical intervention, the operation is generally scheduled approximately a week after drug treatment. The main indications for the operation include:

abscess;
infected pancreatic necrosis;
purulent peritonitis;
necrosis over 50%;
pancretogenic peritonitis.

The doctor will prescribe proper nutrition

The operation can be planned, delayed or urgent. Currently, there are two methods of performing an operation to combat acute pancreatitis. This is a laparotomy and a minimally invasive method. The choice of method is carried out by the doctor depending on the severity of the pathology.

The harm of self-medication

When a person, when the first signs of pancreatitis appear, tries not to pay attention to this and prefers self-medication, this can lead to quite serious complications. The complications of acute pancreatitis include the following pathologies:

pancreatic abscess - this complication develops as a result of infection on the inflamed gland. An abscess tends to spread to neighboring organs;
expansion of inflammation - this complication can spread very quickly to neighboring organs and, in addition, cause a chemical burn;
pseudocyst formation - this complication is not very common, but is still considered very serious. In some cases, pseudocyst rupture can be fatal;
the development of DIC - this syndrome is also a very dangerous pathology, as a result of which blood clots and blood clots form. The treatment of such a disease is considered very difficult and almost never brings results, but on the contrary, over time it becomes the cause of the patient's death;
sepsis - in the process of such a pathology, the infection enters the bloodstream and becomes infected. Such consequences in most cases lead to death.

In the event that the patient refuses to treat pancreatitis in the hospital and prefers self-medication, then in this case no one is immune from the occurrence of severe and irreparable complications. That is why you should seek medical help at the first symptoms and clearly follow all the recommendations of your doctor in the future.

Conclusion

In order for you to never worry about the question of how pancreatitis is treated in a hospital, and how long they stay in the hospital with pancreatitis, regular preventive measures are required. To do this, you should completely abandon the use of alcoholic products, as well as other bad habits. In addition, fatty, spicy, fried and smoked foods should be excluded from your diet. In the event that the disease has already appeared, then in order to prevent its recurrence and exclude the development of complications, you must immediately seek help from a medical institution and strictly follow all the recommendations of the attending physician. When the doctor advises treatment in a hospital, you should not refuse it, because otherwise the development of pathology can not only have a negative effect on the body, but also cause death.

Treatment of acute pancreatitis in a hospital: how many stay in the hospital

An acute attack of pancreatitis is accompanied by a significant deterioration in well-being, the patient is disturbed by severe pain, up to loss of consciousness. It is impossible to cope with such a situation at home. The patient needs to be hospitalized.

The lack of adequate treatment leads to disability, as a result, disability, and in the worst case, death. Treatment of pancreatitis in a hospital has its own characteristics, it helps to restore the functionality of the pancreas.

In which department are they with pancreatitis? It all depends on the clinical picture. Sometimes the patient is hospitalized in the intensive care unit, where conservative therapy is carried out. In some cases, the patient must be placed in the surgical department - if surgery is necessary.

Let's see when hospitalization is needed for pancreatitis, and how is treatment carried out in an inpatient setting?

What to do in an acute attack?

Before you find out what the treatment of acute pancreatitis in a hospital is, you need to take out the call of the ambulance team. What can be done before the arrival of medical specialists, and what is not recommended? Every patient should know the answers to these questions.

If there is a strong pain syndrome under the left or right rib, then it is strictly forbidden to endure. The situation will not improve on its own. You need to call an ambulance. Before the doctor arrives, you can not take painkillers (Analgin, Spazmalgon and other drugs).

You can not apply a warm or hot heating pad to a sore spot; pull the hypochondrium with a scarf or handkerchief; take alcoholic beverages to reduce pain; drink any liquid at all. If there is severe nausea or vomiting, antiemetic drugs are prohibited until the doctors arrive.

When the disease worsens, you can do the following:

Place the patient on a bed or sofa in a semi-sitting position.
Apply a damp cold cloth or a cold heating pad to the painful area.
Ventilate the room.

If a patient has been suffering from inflammation of the pancreas for a long time, is registered in a medical institution at the place of registration with a diagnosis of chronic pancreatitis, then he has a complication of the disease.

The visiting doctor will conduct the necessary treatment, based on clinical symptoms. To hospitalize a patient against the background of severe pain, papaverine diluted with saline is injected.

It is strictly forbidden to refuse hospitalization, despite any difficulties at work, in the family, etc. Severe pain indicates the onset of severe pathological changes in the body.

Hospitalization of a patient with pancreatitis

How many are in the hospital with pancreatitis? There is no exact answer to the question. When the patient has a mild form of exacerbation, infusion therapy is recommended, then the patient can go home. The duration of treatment in the hospital depends on the timeliness of contacting doctors.

After the patient enters the emergency room, first of all, blood pressure and body temperature are measured. Next, the doctor palpates the abdominal region, looks at the whites of the eyes for yellowness, assesses the condition of the upper and lower extremities for swelling.

Other diagnostic methods:

The presence of leukocytes in the blood is assessed.
Biochemical analysis of blood, determination of enzymes.
Ultrasound examination to identify the localization of the inflammatory process.
Laparoscopy.

After the initial diagnosis, the medical specialist determines the form of the disease, the localization and volume of the focus. The likelihood of complications is calculated. Based on this information, a decision on further therapy is made. Treatment can be conservative or surgical. But the patient takes medication anyway.

In a state of moderate severity, treatment is carried out in the intensive care unit. If the patient is diagnosed with extensive intoxication, the threat of coma, loss of consciousness due to pain shock, immediately go to the intensive care unit.

Therapy in stationary conditions

The patient must be in the hospital under medical supervision. In the predominant majority, patients are admitted for treatment with an edematous or necrotic type of pathology. In many pictures - about 70%, drug treatment with drugs is enough.

The goal is to stabilize the human condition, prevent destructive damage in the body. The patient needs to be stabilized as soon as possible, as the probability of death is high.

First you need to implement a set of measures that help reduce the load on the pancreas. During the period of severe pain syndrome, nausea and vomiting, the patient does not receive food through the mouth. Drinking is prohibited. With mild and moderate degrees, hunger lasts for 2-4 days. On day 3-5, you can eat liquid food for 3-5 days.

A catheter is placed through the nose into the stomach to help create low pressure. It is located in the stomach. Most often, in patients, this measure reduces pain within a few hours.

If there are no intense pain sensations, then antacid drugs are recommended - Almagel 10 ml 4 times a day. If the course is severe, parenteral administration of blockers is carried out.

Actions to reduce swelling of the internal organ:

Cold heating pad on the organ area.
Inject the Mannitol solution into a vein.
Drip Hemodez.
Furosemide is administered on the first day.

To prevent enzyme intoxication, Kontrykal is used. The drug is injected into the body intravenously - up to 3 times a day. Relatively often, patients have allergic reactions to the administered medications. Therefore, during the removal of the patient from a serious condition, it is necessary that there are ampoules with Prednisolone at hand.

If a necrotic form is diagnosed in an adult, then treatment with antibacterial drugs is mandatory. Tienam is usually prescribed at 250 or 500 mg, slow drip administration is carried out.

Analgin is prescribed as painkillers - administered intravenously or intramuscularly; Procaine, Promedol. In most pictures, analgesics of narcotic and non-narcotic nature are combined with the use of myotropic antispasmodics.

To correct the water and electrolyte balance, it is necessary to inject an isotonic sodium chloride solution or a 5% glucose solution. The latter option is used only in cases where the patient's glucose concentration is within the normal range. To combat heart failure, a solution of hormones (adrenaline and norepinephrine) and catecholamines is used.

It is impossible to cure the disease, but in the hospital, doctors normalize the patient's condition, improve the activity of the pancreas.

The course of therapy in stationary conditions is designed for 3 weeks. After therapy in a hospital, it is necessary to undergo prophylactic treatment after 6-8 months to prevent a relapse of the disease.

Treatment of chronic pancreatitis in the hospital

After providing assistance in a medical institution, the patient must be treated on an outpatient basis, follow a pancreatic diet, and take all the medicines recommended by the doctor. Often, patients are also diagnosed with cholecystitis, which is taken into account in the therapy regimen.

Patients are prescribed to be treated in the hospital twice a year. The full course is designed for 3-3.5 weeks. Upon admission, desensitization is carried out, which implies the cleansing of the body from toxins and toxic substances.

Upon admission, enema procedures are performed, the stomach is necessarily washed, preventive fasting is recommended for pancreatitis under the supervision of doctors. These actions help improve the functioning of the pancreas. The patient needs to sit on a water diet for about 72 hours.

Appoint reception of sorbents:

Rheosorbilact is administered intravenously every day, the dosage is 200 ml. Upon completion of this stage, the patient is recommended to eat in accordance with the dietary table number 14, 15 or 16.

Prescribed anti-inflammatory drugs:

Contrykal. Contraindications: do not prescribe during pregnancy, intolerance to bovine proteins, individual intolerance to the drug. The drug is administered intravenously, the standard dosage is. According to the indications, it is permissible to increase.
Gordox. Not applicable in the first trimester of pregnancy. Introduced drip, very slowly. Speed - no more than 5-10 ml per minute. Enter only into the main veins. To begin with, the introduction of 1 ml is mandatory - a trial "portion", since the patient may have an allergic reaction.
Mannitol is administered by drip or jet method. The dosage varies from 150 to 200 ml. Contraindications include severe liver failure, impaired filtration in the kidneys, hemorrhagic stroke. Cannot be used in case of organic intolerance.

The choice of drugs is determined by the results of laboratory tests. Based on them, the doctor paints the necessary treatment regimen.

As a diuretic drug that helps reduce hydrolysis in the soft tissues of the muscles, it is necessary to use Furosemide. The standard dosage is 1 tablet every three days. Furosemide is usually combined with Asparkam.

As a result, we note that it is necessary to treat acute and chronic pancreatitis in a medical institution in a timely manner. This allows you to restore the work of the internal organ and the synthesis of the most important hormones of the pancreas, which significantly improves the quality of life.

How pancreatitis is treated is described in the video in this article.

Duration of treatment for pancreatitis - a long way to recovery

Currently, diseases of the gastrointestinal tract are a common pathology. With complaints of pain in the right hypochondrium, heaviness in the epigastric region or heaviness after eating, more and more people turn to the doctor. Such symptoms are caused by a large number of factors and diseases, which also include pancreatic pathologies.

The development of an inflammatory process in the pancreas is called pancreatitis. Pancreatitis in adults is treated for a long time, because not all patients may experience the development of the acute phase of the disease, and the chronic form for a long period can proceed without clear signs.

Basic forms

Based on the overall clinical picture, several forms of the disease are distinguished, which differ in the duration of the course, severity and symptoms. How much pancreatitis is treated depends directly on the type and concomitant diseases.

Acute phase

In the acute phase, several forms are distinguished:

Fatty, hemorrhagic stages belong to pancreatic necrosis, in the process of development there is a change in three degrees of the disease:

enzyme toxemia.
temporary remission.
Sequestration and purulent complications.

The degree of spread of the disease can be total, subtotal and limited. The disease acquires a confluent or focal character with the development of the fatty type.

The main characteristic of pancreatitis is the appearance of pain localized in the upper abdomen, which is girdle in nature and radiates to the lumbar, shoulder blade, arm and neck area.

The appearance of pain, which was provoked by irritation of the receptors or increased pressure in the bile, pancreatic ducts, may be protracted.

With the development of the inflammatory process in the body, the chemical breakdown of trypsin, an enzyme that is responsible for the breakdown of peptides and proteins, is activated. Due to the absence of disturbances in innervation, a patient with edematous pancreatitis develops a severe pain syndrome. If there is damage to the nerve endings, then the pain becomes mild. High intoxication and severe dehydration of the whole organism are of great danger.

How long does acute pancreatitis last in an adult? The duration of the exacerbation can be from several hours to one week. Most acute pancreatitis lasts for several days. This type of pancreatitis is characterized by increased mortality, so treatment should begin as soon as possible. The overall lethal outcome is from 7 to 15%, and with the development of a destructive form from%.

The main symptoms of the acute form include:

With pancreatitis, the patient may develop a symptom of Gray-Turner and a symptom of Cullen

Chronic form

In the chronic form, an inflammatory-degenerative process develops in the body. It is possible to distinguish recurrent, painful, latent or indurative type of chronic pancreatitis.

Timely initiation of treatment of the disease will achieve a positive effect after two to six months. The main goal of such therapy is to achieve remission. Chronic pancreatitis is treated for a long time, basically therapy requires compliance with the doctor's basic recommendations for life.

Often chronic pancreatitis is accompanied by other diseases of the gastrointestinal tract, which include:

If a person is diagnosed with a chronic type of disease, then in order to suppress the main symptoms, he needs to take medications and follow a strict diet that will save the patient from relapse. The timing of chronic pancreatitis and its exacerbation directly depend on the right therapy.

This form of the disease is characterized by the appearance of girdle pain, which radiates to the right or left hypochondrium. In some cases, the pain syndrome becomes permanent.

The patient suffers from belching, nausea, decreased appetite, vomiting, inconsistent stools. Increased pain occurs when eating fatty foods, heavy physical activity.

By the time of treatment, pathology occupies a leading place among other diseases of the gastrointestinal tract. This is due to the increased sensitivity of the pancreas, which reacts to junk food, alcohol. Increase the duration of chronic pancreatitis associated diseases of the digestive system, which are also chronic.

jet form

This type of disease is characterized by instant development and the appearance of symptoms. The main reason for the onset of an attack is food that has an irritating effect. As a result, there is a blockage of the pancreatic ducts, leading to the digestion of the organ itself by enzymes. Since the development of symptoms is acute, the patient will need the help of medical personnel.

After contacting an ambulance, treatment will be prescribed, during which the pain attack will be relieved. Analgesics, antispasmodics are prescribed. The attack does not last long: with complete rest, the disease recedes after three to four days.

The treatment of the disease is selected exclusively by the doctor, based on concomitant diseases, the general condition and characteristics of the patient's body. The use of traditional medicine methods is also allowed with the permission of a specialist. It is important to remember that the pancreas is a sensitive organ that responds with the development of discomfort to the slightest stimulus.

Therapy

Acute pancreatitis or exacerbation is best treated in a hospital setting. The first step is to follow a starvation diet and prescribe narcotic analgesics, which act as an anesthetic. In addition, the patient is given droppers of saline, plasma and albumin.

Medicines are prescribed that have a blocking effect on pancreatic enzymes. In the absence of a positive effect or with the development of a severe complication - peritonitis, they resort to emergency, surgical methods of treatment.

In such cases, the pancreas is treated by washing the abdominal cavity. To do this, carry out peritoneal lavage, which draws the fluid accumulated from inflammation outward.
Another method of surgical treatment is the removal of damaged tissue. Such surgery refers to dangerous and difficult methods of treatment, it is prescribed in emergency cases.
After suppression of acute symptoms, removal of the gallbladder may be required.

Chronic pancreatitis is treated with another technique. For this:

A strict diet is prescribed.
Pain medications are prescribed.
Enzymes are prescribed in the form of drugs ("Creon", "Mezim").
They treat other diseases, especially diabetes.
Treat cholelithiasis.

If there is no proper result from conservative treatment, an operation is prescribed. Endoscopic treatment is also practiced, after which pancreatitis passes.

Thus, pancreatitis is a disease that entails a disruption in the functioning of the entire digestive system. With inflammation of the pancreas, a person should follow the right lifestyle. First of all, it is necessary to exclude alcohol, eat fully and fractionally. The food should not contain fried, salty, smoked, pickled.

In the presence of the disease, it does not matter how long pancreatitis lasts, and at what stage it is diagnosed, it is imperative to follow the diet prescribed by the doctor and take the necessary medications. How much pancreatitis is treated directly depends on the patient himself and on the correct observance of the recommendations of the gastroenterologist.

The most common questions asked by patients

How long is the pancreas treated?

The duration of treatment directly depends on the form of the disease, the duration and the presence of complications. It is impossible to completely restore the pancreas in chronic pancreatitis, therefore, continuous maintenance therapy for the organ is recommended.

How long does an exacerbation of pancreatitis last?

The acute form is characterized by the occurrence of a sharp exacerbation, which lasts an average of two to seven days.

Methods of treatment of pancreatitis in a hospital

Treatment of pancreatitis in a hospital is carried out in order to eliminate the symptoms of the disease, if the disease has passed into a severe phase. Treatment of acute pancreatitis in a hospital is necessary to stop the impact on the patient's body of the current attack of the disease, as well as to eliminate factors that can cause further development of the disease.

Chronic types of illness are usually treated at home, but in some cases they are treated on an outpatient basis in a polyclinic. Sometimes, if the patient has begun necrosis of the pancreatic tissue, the patient undergoes a surgical operation.

How is acute pancreatitis treated in a hospital?

Hospitalization is needed with a severe attack of acute pancreatitis, which cannot be stopped with painkillers at home. After the patient is delivered, he is transferred from the admission department of the clinic to the intensive care unit. Treatment is carried out with the obligatory participation of an anesthesiologist and resuscitator.

Acute pancreatitis is treated as follows:

First, doctors relieve the patient of pain and various nervous, reflex disorders with the help of analgesics. For this, drugs Baralgin, Promedol, Analgin, etc. are used. Novocain blockade can be used.
To combat hypertension in the bile ducts, doctors use No-shpu, Nitroglycerin and other drugs.
The pancreas must be unloaded, so the patient is prescribed hunger. He must take alkaline drinks, such as Borjomi.
In combination with the above measures, prevention and treatment of blood clots in the vessels of various organs (pancreas, liver, etc.) is carried out.

In order not to worsen the condition of a patient with pancreatitis due to intoxication, the heart and lungs are checked for performance, and then drainage and gastric lavage are performed. This procedure is carried out with a solution of soda, Pyrroxane or Obzidan are used.

Intravenous injections are made with insulin solutions with glucose and potassium.

With acute pancreatitis during inpatient treatment, the patient is under constant monitoring of studies of metabolic processes occurring in his body. The exchange of electrolytes (for example, sodium or potassium) is examined, the level of sugar in the blood, the presence of proteins in it, etc. are checked.

Usually, during the inpatient treatment of acute pancreatitis, a complete examination of the patient is not carried out, since it is impossible due to the severity of the person's condition and can lead to a rapid and sharp deterioration in the course of the disease. Therefore, the survey is carried out in 2 stages. Initially, only on the basis of symptoms, the diagnosis is confirmed, and then the above measures are taken, and after the patient's condition improves, laboratory tests are carried out.

Treatment of chronic pancreatitis

Usually, before the start of the treatment process, a complete examination of the patient is carried out. There are many methods for detecting this disease, but they are practically useless in the early stages of the disease due to the presence of a large number of various symptoms and phases of the further development of the disease, interspersed with periods of remission.

Therefore, it is necessary to conduct a comprehensive examination, which includes blood, urine, feces tests. Ultrasound is performed to detect changes in the pancreas, radiography of the abdominal organs, and other studies.

Chronic pancreatitis is usually treated at home or on an outpatient basis. Hospitalization of the patient is not required. He is prescribed a special diet and conservative medication.

If the patient has an acute attack that he cannot stop with the drugs prescribed by the doctor, then you should immediately call an ambulance. After that, the patient will be treated for an attack according to the above method to eliminate the signs of acute pancreatitis.

Until a car with doctors arrives, it is necessary to transfer the patient to a horizontal position (lay on a sofa or bed). The room where it is located is recommended to be constantly ventilated, and the patient should put something cold on the stomach area, such as an ice pack. If the doctors are late, then it is not necessary to feed the patient. It is best if he fasts for 3 days.

Treatment of chronic pancreatitis in the hospital is usually carried out with medications. At the next attack, the pain is eliminated by drugs such as Papaverine, No-shpa, Atropine, etc. It is forbidden to use Aspirin and other NSAIDs, as they only thin the blood and irritate the mucous membranes.

To suppress the excessive secretion of a diseased organ, omeprazole and similar drugs are used. The gland is unloaded with the help of drugs such as Mezim, Digestal, etc. To eliminate the infectious lesion on the gland, antibacterial therapy is prescribed with medicines such as Ampicillin. Water and salt balance is restored with the help of physiological solutions.

Surgical treatment of chronic pancreatitis and terms of treatment of various forms of the disease

The operation is prescribed if the patient has developed complications, there are signs of jaundice, pain that cannot be stopped with medicines, despite long-term treatment.

Indirect types of surgery on the bile ducts or the stomach and intestines can be applied. If necessary, an operation is performed to drain the cysts, remove stones, and sometimes pancreatic resection may be necessary.

Many patients want to know how many days the acute form of pancreatitis is treated. Usually, treatment in a hospital lasts from 7 to 10 days, and then he is discharged, but a person undergoes maintenance therapy for another 6 months.

The patient is treated by taking various drugs, vitamins, following a strict diet.

If the disease has taken severe forms, then after 2-3 days of intensive treatment, the patient should remain under the supervision of doctors for about 1.5-2 months.

In chronic types of pancreatitis, the patient (if he does not need surgery or has a remission period) stays in a medical institution for 1 day for an examination.

How many days the patients lie after the operation depends on the type of surgical intervention, the regenerative ability of the patient's body. Usually this period does not exceed 7 days. After that, the person is transferred to home treatment, which lasts 1.5-2 months. He takes medication, diets, and exercises.

For the treatment of acute pancreatitis in a hospital, the first thing to do is to identify the causes of inflammation in the pancreas. When the disease occurs, the secretion produced by the glandular cells is stopped in the intestine, and the tissue decays under the influence of its own enzymes.

Contraindications for self-medication

Naturally, the treatment of pancreatitis (the choice of a method with appropriate medications) is prescribed by a doctor. Symptoms of pathology are diverse, may be similar to other diseases. Therefore, self-treatment of pancreatitis is categorically unacceptable. You can not tolerate the resulting paroxysmal pain in the abdomen, apply heat and wash the stomach. You just need to seek medical help in a timely manner.

It is possible to quickly stop the course (or exacerbation) of the disease if it is detected only when it begins.

Diagnosis of the disease

Before treating chronic pancreatitis, the doctor prescribes urine and blood tests and a pancreatic examination using ultrasound.

A blood test for pancreatitis shows an increase in ESR, a decrease in the amount of proteins. When analyzing urine, alpha-amylase is detected in the acute period of the disease, bilirubin is observed in the presence of obstructive jaundice. An ultrasound visualizes the deformity of the gland, a change in the edge, or the development of nodules (cysts).

According to the analysis of feces, the work of the pancreas is also evaluated.

In addition to the fact that pain occurs in the left side in the hypochondrium, it can radiate to the region of the heart or peritoneum, take on a girdle character. At the same time, nausea and vomiting. In the feces, particles of undigested food and a greasy sheen are noted. The patient's weight is drastically reduced.

Treatment of chronic pancreatitis inpatient

The doctor performs an initial examination of the patient with an ambulance. Suspecting acute pancreatitis, he will perform an injection of an antispasmodic drug. If cholelithiasis led to an attack, the pain will decrease. If this is the initial degree of pancreatitis, then the effect of the injection will be small.

Treatment of chronic pancreatitis in the acute period in children and adults is carried out permanently. The patient is admitted to the Department of Surgery. But this does not mean that the patient will immediately undergo surgery. He will first be observed and will undergo mandatory examinations.

With the classical treatment regimen, "cold, hunger and rest" is indicated.

An ice pack is placed on the epigastric region. It is forbidden to eat for two to four days. Then they are allowed to eat food in liquid form.

To eliminate pain, a thin catheter is inserted through the nasal passages into the stomach for a couple of days and connected to the suction in order to create negative pressure. At the same time, painkillers are administered intravenously. In the absence of vomiting, Almagel A is given. However, only a doctor prescribes all drugs.

Taking medication for exacerbation of pancreatitis is only the first aid during an illness. Learn more about which medications to take.

Eliminate intoxication in pancreatitis and reduce the degree of swelling of the pancreas through intravenous administration of electrolytic solutions (Hemodez, Mannitol), glucose, urination agents.

The suppression of enzyme activity helps to prevent tissue breakdown. Why intravenously injected with a dropper Contrykal, Traciol, Gordox.

Each patient requires the use of significant doses of antibiotic drugs, because an inflammatory process begins near and in the pancreas itself. Assign more often 2 antibiotics (intramuscularly or intravenously).

In order to maintain blood pressure in a state of shock, cardiovascular and hormonal drugs are administered.

Treatment is carried out by monitoring it with studies of electrolyte (sodium, potassium, calcium), protein (protein fractions, total plasma protein) and carbohydrate (blood sugar) metabolism.

They jointly carry out activities aimed at maintaining the kidneys and liver, since they are under a significant load during the period of an attack and treatment. To support the liver, the patient receives large doses of glucose and vitamins. Kidney function is increased through the introduction of sacrospinal blockade and aminophylline, diuretic drugs.

It is not surprising that at an early stage of the course of the disease (or during its exacerbation), a detailed examination is not carried out. The reason is that a diverse examination of patients is impossible at an early stage due to the serious condition and the existing danger of worsening the course of the pathology.

An illiterate examination at the initial stage can lead to a new wave of exacerbation of the pathological process and even progression of the disease. This can be caused by blood tests for sugar load, duodenal sounding, etc. To avoid this, the hospital conducts an examination twice.

If signs of peritoneal irritation appear, drainage of the abdominal cavity is performed, the supply of drugs and antibiotics is carried out directly into the abdominal cavity by means of catheterization.

Surgical intervention (resection of the head of the pancreas) is used in a situation where it is impossible to obtain results by other methods of treatment.

In the adult population, the treatment of pancreatitis is often accompanied by the presence of stones in the ducts of the gallbladder, alcoholic cirrhosis of the liver, peptic ulcer. Therefore, it is not possible to get rid of such a set of diseases once and for all. After undergoing treatment in a hospital, the patient is obliged to adhere to the recommendations of a gastroenterologist and therapist for a long time in order to get rid of existing pathologies.

Treatment of pancreatitis on an outpatient basis

After the removal of acute symptoms, a difficult period of adaptation of the patient to a new way of life and a different diet will be stationary. It would be a mistake to assume that only drugs are enough for treatment.

Strict adherence to the rules of diet therapy for pancreatitis is an equally important component of treatment. At the same time, one should refrain from fried, fatty, fat, broths on fatty meats for a long time. Meals are allowed to be consumed only in boiled, baked or steam-cooked form. Drinking - only a rosehip broth or dried fruit compotes. Dry cookies replace cakes and pastries.

Each time, violating diet therapy, one should expect a return of exacerbation, but in a much more severe form.

The acute phase of pancreatitis lasts five weeks. It will take one year to restore the disturbed enzymatic balance.

The outpatient stage for the patient means that you have to take medication for a long time.

This is the take:

antispasmodics (Platifillin, No-shpa);
enzymes to improve the digestion process (Mezim, Panzinorm, Pancreatin, Creon, Festal);
means for lowering acid in gastric juice (Phosphalugel, Almagel);
vitamin-mineral complex, including vitamins A, B, E, D, which restore disorders of fat metabolism.

The fact that the enzyme composition has returned to normal is evidenced by the cessation of diarrhea in the patient and the absence of undigested food particles in the feces.

Competently behaves the patient with a chronic form of pancreatitis, who regularly visits a doctor and takes measures under his control.

Collapse

The process of treatment in stationary conditions lasts for a fairly short time, especially if the patient seeks medical help at the first symptoms. When a patient, after examinations, is diagnosed as a mild form, then special infusion therapy is prescribed to get rid of the disease.

Treatment should be carried out quickly, especially if the patient applied at the first symptoms.

a hemogram is performed, according to the results of which the presence of leukocytes is assessed;
a blood test is taken for biochemistry and detection of pancreatic enzymes;
an ultrasound examination is performed, which helps to assess the localization of the inflammatory process;
laparoscopy is performed.

Even if you do not suffer from a disease such as pancreatitis, then everyone should know about its symptoms and what to do in case of an acute attack before the ambulance arrives.

Before the arrival of the ambulance, the patient must be laid down and ensured peace

Before the ambulance arrives, do the following:

place the patient on a sofa or bed, it is best if it is a semi-sitting position;
apply a cold cloth to the area where pain is most pronounced;
thoroughly ventilate the room at all times.

In the event that an acute attack of pancreatitis occurs, then it is imperative to immediately in a hospital. After the research, certain therapeutic measures are prescribed, which are carried out in two stages. First of all, the symptoms of an attack of pancreatitis are relieved, and then the functions of the pancreas are restored.

As mentioned earlier, for the treatment of acute pancreatitis in a hospital, it is first necessary to stop the attack.

If necessary, the doctor will prescribe painkillers injections

Note! In some cases, treatment of acute pancreatitis requires surgery. This mainly happens if the patient has a strict indication.

In some situations, surgery is necessary

Basically, for the treatment of acute pancreatitis in a hospital, the doctor prescribes the following drugs:

Antibiotics - such drugs are prescribed if the development of pancreatitis is provoked by infectious diseases or a previous surgical intervention.
Enzymes - these drugs are prescribed to reduce the enzymatic activity of the organ and normalize its condition.
Medicines containing live bacteria are used to restore the intestinal microflora and avoid the development of dysbacteriosis.

abscess;
infected pancreatic necrosis;
purulent peritonitis;
necrosis over 50%;
pancretogenic peritonitis.

The doctor will prescribe proper nutrition

The harm of self-medication

pancreatic abscess - this complication develops as a result of infection on the inflamed gland. An abscess tends to spread to neighboring organs;
expansion of inflammation - this complication can spread very quickly to neighboring organs and, in addition, cause a chemical burn;
pseudocyst formation - this complication is not very common, but is still considered very serious. In some cases, pseudocyst rupture can be fatal;
the development of DIC - this syndrome is also a very dangerous pathology, as a result of which blood clots and blood clots form. The treatment of such a disease is considered very difficult and almost never brings results, but on the contrary, over time it becomes the cause of the patient's death;
sepsis - in the process of such a pathology, the infection enters the bloodstream and becomes infected. Such consequences in most cases lead to death.

Conclusion

Pancreatitis is an inflammatory disease of the pancreas. The essence of the pathology is to stop the excretion of the secret synthesized by the cells of the gland into the intestine, and to melt the tissues under the action of their own enzymes. Treatment of pancreatitis is aimed at eliminating the causes of the disease and its consequences.

In deciding which method of treatment to choose, where and how to treat pancreatitis, you must completely trust the specialist doctor. With this disease, one cannot rely on someone else's experience. Symptoms of pancreatitis are varied, very similar to other diseases. Therefore, the desire to “endure” abdominal pain, applying a heating pad or gastric lavage, refusing timely medical care is completely unjustified.

You can permanently get rid of pancreatitis only if it is detected in the initial stage. Skeptics to the question: "Is it possible to cure pancreatitis?" - will answer: "No." Optimistic doctors are much more resolute.

An ambulance doctor conducts an initial examination of the patient. If acute pancreatitis is suspected, he will inject antispasmodic drugs. The pain will decrease if the attack is associated with gallstone disease. In primary pancreatitis, the effect is negligible.

Treatment of pancreatitis in adults and children with exacerbation should begin with a stationary stage. The patient must be admitted to the surgical department. This does not mean that there is an emergency surgical treatment. The patient is observed, urgent research is carried out.

The classical scheme calls for assigning "hunger, cold and thirst." An ice pack is placed on the epigastric region. Eating and drinking is not allowed for two to four days. Then they switch to liquid food.

To relieve pain through the nose, a thin catheter is inserted into the stomach for 2-3 days, it is attached to the suction to create a slight negative pressure. At the same time, intravenous painkillers are administered. If there is no vomiting, you can give Almagel A inside. Which drug to use is decided by the attending physician.

In order to combat intoxication in pancreatitis, to reduce pancreatic edema, Hemodez, Mannitol, and diuretics are administered intravenously.

The only way to prevent tissue breakdown is to suppress the activity of enzymes. For this, Trasilol, Kontrykal, Gordox are used intravenously.

All patients need high doses of antibiotics because inflammation develops around and inside the pancreas. Apply 2 antibiotics (intravenously and intramuscularly).

To maintain blood pressure in a state of shock, hormonal and cardiovascular agents can be administered.

Intoxication is treated with solutions of electrolytes, glucose, Reopoliglyukin.

If there are symptoms of peritoneal irritation, the abdominal cavity is drained, drugs and antibiotics are administered directly into the cavity through a catheter. There is a surgical method of treatment - resection of the head of the pancreas, but it is resorted to in the absence of results from other methods.

Treatment of pancreatitis in adults is often complicated by the presence of gallstones, alcoholic cirrhosis of the liver, and concomitant peptic ulcer disease. Therefore, it is impossible to cure such a set of diseases forever. But after inpatient treatment, the patient will have to follow the recommendations of the gastroenterologist and the therapist for a long time in order to cure at least part of the pathological changes.

When acute phenomena are removed in a hospital, a difficult period of adaptation of the patient to a different diet and regimen lies ahead. If someone thinks whether pancreatitis can be cured without a diet, with medication alone, he is very mistaken. Strict adherence to a dietary regimen for pancreatitis is as much a part of treatment as expensive medications. It is necessary to give up fatty foods, fat, rich broths for a long time. Fried foods are contraindicated. You can only eat boiled, baked or steamed foods. Instead of strong coffee and tea, dried fruit compote, rosehip broth are recommended. Cake and pastries are replaced with dry cookies.

Any violation in nutrition, alcohol intake will cause a return of exacerbation in a more severe form.

The duration of the acute period with pancreatitis lasts up to five weeks. It is believed that it takes at least a year to restore the enzymatic balance of the pancreas.

At the outpatient stage, the patient should take the following drugs for a long time:

antispasmodics - recommended for increased pain (No-shpa, Platifillin);
enzymes as assistants in restoring impaired digestion in the intestines (Mezim, Pancreatin, Panzinorm, Festal, Creon), only a doctor can choose the right enzyme preparation, taking into account its activity, combination with bile acids;
drugs that reduce the acidity of gastric juice (Almagel, Phosphalugel);
vitamin complex, including such as A, B, D, E, restoring fat metabolism.

The normalization of the enzyme composition is judged by the cessation of diarrhea in the patient and the absence of undigested food in the analysis of feces.

That patient with chronic pancreatitis, who is constantly treated under the supervision of a doctor, is doing the right thing, is fully and regularly examined.