Gastroenterology: Chronic pancreatitis — Diagnosis and conservative treatment. Treatment
Pancreatitis is one of severe gastrointestinal diseases, the treatment of which requires a physician's qualification and experience in the use of modern drugs. According to European statistics, conservative treatment gives a positive result to 75% patients with pancreatitis.
The first visit to the clinic involves examination, case history and complaint collection. Based on these data, the individual plan of the survey is drafted, which may include:
- physical examination: complete blood count and urinalysis, hormonal status, etc.;
- biochemical blood analysis;
- functional tests;
- abdomen ultrasonography;
- endosonography and cholangiography;
- ERCP and gastroscopy with biopsy.
Pancreatitis Treatment Principles
The goal of the treatment is to prevent progression of pancreas destruction and reduction of the risk of severe complications. For this purpose, the following is used:
- infusion therapy aimed at normalizing the water and electrolyte balance;
- medical endoscopy: it is carried out to restore the patency of the major duodenal duct and to remove the occlusion;
- drugs inhibiting the production of enzymes in the pancreas;
- symptomatic therapy: analgesic pharmaceuticals, antispasmodics, etc.;
- immune drugs;
The cost of required medicines must be confirmed at the clinic.
During the acute phase of the disease, only the parenteral catering route is possible. An intravenous catheter is usually installed for administration of infusion solutions. The patient receives nursing services to the required extent. The patient stays at the clinic full time for 9 days or more, depending on the course of pathological process. After a control examination, the patient is discharged with recommendations for diet and further treatment.Hide
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