Inflammation Of The Chronic Pancreatitis : What Causes, Symptoms And Treatment Of Chronic Pancreatitis

What is chronic pancreatitis?


When pancreatitis, the pancreas works less well or not at all. Chronic pancreatitis means that the pancreas is inflamed and is no longer better. An increasing number of scars, it remains less healthy tissue. Chronic pancreatic inflammation may arise in several ways. For example by drinking a metabolic disorder or because someone too much alcohol.

In chronic pancreatitis you get severe pain in the upper abdomen. This pain often radiates to the back.

For the treatment, it is important to know the cause of the inflammation of the pancreas. If you drink too much alcohol, then you should stop. If you have a metabolic disorder, you get there a cure for it. You also get medication for pain.

Chronic pancreatitis is a severe illness. One or two out of ten people with this inflammation eventually dies of a complication. They also have a greater risk of pancreatic cancer.

Inflammation Of The Chronic Pancreatitis : What Causes, Symptoms And Treatment Of Chronic Pancreatitis


Symptoms of chronic pancreatitis


In chronic pancreatitis especially you have pain in the upper abdomen. This pain may radiate to your back, left side and left shoulder. The pain is less when bent seat and knees accelerates.

Other symptoms may include:
  1. Little appetite.
  2. Nausea and / or vomiting.
The symptoms are worse after a large meal or after a lot of booze.

After some years, the pancreas makes less and less digestive enzymes and hormones. This means that nutrients are absorbed worse.
This leads to:
  1. Vetdiarree: lots of greasy, light-colored and unusually smelly stools.
  2. Vitamin deficiency.
  3. Weight loss.
You can have diabetes mellitus as your pancreas makes too little insulin.

The more pancreatic tissue is lost due to the ignition, the less severe the pain is. The pain eventually disappears (after ten to fifteen years) totally.

Complications of pancreatitis


In severe pancreatitis may arise complications.
The most important are:
  1. Irritation and inflammation of the peritoneum (peritonitis). This is caused by enzymes and toxic substances which run into the abdominal cavity from the pancreas. Also other (often serious) infections can occur in this way.
  2. Pseudo cyst. Accumulate in the pancreas enzymes, tissue debris and moisture. As a result, the pancreas appears to be a balloon or a cyst. Doctors call this a pseudo cyst. The pseudocyst may press the bile duct or stomach or become inflamed. A pseudo cyst frequently resolves itself again. Is this not so? Then, an operation is possible. During surgery, the surgeon connects the pseudo-cyst with the stomach or intestine. Then runs the contents of the pseudo-cyst therein. Sometimes, the surgeon places a discharge tube (drain) in the pseudo-cyst. As a result, the contents of the pseudocyst can flow away from the body.

What causes chronic pancreatitis?


At seven or eight out of ten people with chronic pancreatitis drinking too much alcohol is the cause. They have a liver disease.

There are also other causes of chronic pancreatitis:
  1. For example, a metabolic disorder, hypercalcemia and hyperlipoproteinemia.
  2. An acute pancreas inflammation.
  3. By a tumor can not be drained the pancreatic juice.
  4. Because of the extra connective tissue is formed, the ampulla of Vater too closely. The papilla of Vater is the place where the drain pipe of the pancreas in the duodenum. If this place is not the pancreatic juice can be drained too closely.
  5. A trauma, such as a serious traffic accident in which the pancreas becomes damaged.
  6. Hereditary predisposition.
The cause of chronic pancreatitis is not always known.

How the doctor finds that you have chronic pancreatitis?


In severe pain in the upper abdomen and back thought the doctor to pancreatitis.
The doctor examines you. Often research is needed.
Possible investigations are:
  1. Blood tests.
  2. Urinalysis.
  3. Measure how much pancreas produces enzymes.
  4. Stool examination at vetdiarree.
  5. X-ray examination.
  6. Echo.
  7. ERCP.
  8. CT-scan.
  9. MRI scan.

Treatment of chronic pancreatitis


In the treatment of chronic inflammation of the pancreas must be dealt with, the cause of the disease. So that means for example:
  1. Stop drinking alcohol.
  2. Treating the metabolic disorder.
You also get a treatment for pain.

First the doctor is trying to remedy the pain with medication. This does not help, it is often possible to operate. The pain disappears or diminishes over.

There are several different operations possible. Which surgery, the surgeon can do depends, for example from the site of inflammation:
  1. The surgeon places during an ERCP-study, a tube in the duct of the pancreas. For example, the pancreatic juice can again well into the intestines. You have gallstones in the duct? Then the surgeon can immediately remove these stones.
  2. The surgeon has during an operation a portion of the pancreas road.
  3. The surgeon cuts open the pancreas. The folded-open pancreas they then attach to the small intestine.
  4. The surgeon will remove the entire pancreas way. This surgery is radical and has risks.
  5. Very serious and intractable pain, the doctor can fight with celiac plexus blockade.
Makes your pancreas no longer enough enzymes, you get enzyme pills. Additionally, you may need to take extra vitamins and minerals.
When you get diabetes insulin injections. You must also follow a diet.

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