Pancreatic necrosis of the pancreas - symptoms and treatment
Acute pancreatitis is acuteinflammation of the pancreas, and its complication is pancreatic necrosis of the pancreas. This is a fairly serious disease, with it, the cells of the pancreas die from self-digestion. The result of such a disease as pancreatic necrosis of the pancreas is the addition of an additional infection, which results in peritonitis and other serious complications.
Modern medicine can not guarantee 100%recovery, and if from pancreatitis the mortality is about 15%, pancreatic necrosis of the pancreas causes death in 50-70% of all cases. However, in the leading clinics of the world, this indicator is reduced to 20%, but they also can not guarantee full recovery after this disease.
According to the existing statistics, about 70% of all people,which have pancreatic necrosis of the pancreas, alcohol abuse. Also, 30% of all those who fell ill a long time before had gallstone disease.
Forms of pancreatitis and the causes
There are three forms of acute pancreatitis: hemorrhagic pancreatic necrosis, fatty pancreatic necrosis and edematous pancreatitis.
The main causes of this diseaseis the abuse of alcohol, as well as overeating, especially fried and fatty foods, the presence of cholelithiasis. Also, the cause may be ulcer of the duodenum or stomach, acute poisoning, infectious and viral diseases.
Pancreatic necrosis - symptoms
One of the main complaints of the patient is the presencepain in the abdominal region, which occurs in the left hypochondrium. Also, pain can be given in the lower back, the left shoulder blade and arm, often the pain occurs in the form of seizures. In patients, vomiting and nausea, diarrhea and bloating occur. The body temperature rises, and in some severe cases it can be very high, resulting in fever and confused consciousness.
Pancreatic necrosis - consequences and complications
The main complications of this disease are:
- a strong intoxication of the whole organism, a violation in the work of all its systems;
- the appearance of a pancreatic cyst. In this case, the liquid accumulates in the form of a cavity and this can be both outside the gland and inside it;
- the appearance of chronic pancreatitis, while the healthy tissue is replaced by a connective;
- the appearance of the fistula of the pancreas, they are a combination of the gland's flow with internal organs or with the external environment;
- peritonitis and severe intoxication of the whole organism can start;
- also intra-abdominal bleeding can occur, which is formed due to the fact that the pancreatic juice damages the blood vessels;
- the appearance of a patient with diabetes, as there is a disruption in the endocrine system.
Diagnosis of the disease
The first suspicion of the presence of the disease can beget a detailed questioning of the patient about his state of health. If there are concerns, then you can conduct ultrasound, computer tomography or magnetic resonance imaging, as well as other advanced diagnostic methods. It is also possible to determine the presence of this disease by carrying out a laboratory blood test.
Treatment of pancreatic necrosis.
Treatment of this disease is possible only in conditionssurgical hospital, since there are likely serious complications, which will be possible to cope with only through emergency surgery.
If the disease occurs without complications, then insuch cases of the patient are restricted in eating. He is prescribed a lot of glucose and saline, which are administered intravenously, thus reducing the intoxication of the body. Prescribe drugs that reduce the secretion of pancreatic juice and enzyme activity.
A nasogastric tube is alsodecrease in pressure in the gastrointestinal tract. Prescribe antibiotics and, if necessary, pain medications. If everything is done on time, then the chances of recovering from the patient are quite high.