Pancreatic Cholecystitis: what it is, symptoms and treatment

Cholecystopancreatitis is a very difficult disease to diagnose. This is due to the fact that doctors still do not know the unambiguous reason for the development of such a pathology.

In the first case, the disease is considered to combine a chronic, acute calculous and stoneless form of inflammation of the gallbladder. According to another opinion, cholecystopancreatitis is referred to as biliary pancreatitis, which appears in the disruption of the biliary tract.

In both cases, the condition is associated with an inflammatory process in the pancreas and gallbladder, which is why the doctor diagnoses pancreatitis and cholecystitis at the same time.

Cholecystopancreatitis what is it?

Pathology is listed in the International Classification of Diseases ICD-10 under the code K87.0. The disease is inflammatory in nature, it affects two vital internal organs in adults at once. Most often, an acute form of the disease is detected, which is very similar in symptoms to other disorders of the gastrointestinal tract.

As a rule, the appearance of signs is connected with the fact that a person eats incorrectly and irregularly, gets into stressful situations, few and rarely moves, is among adverse factors. According to statistics, women are often sick because of their emotional characteristics.

The chronic form of pancreatitis usually acts as a complication of cholecystitis; therefore, both diseases accompany each other. The gastrointestinal tract is arranged in such a way that when one organ is affected, the inflammatory process immediately spreads to the others. Also, the cause of all pathologies associated with irregular nutrition, alcohol abuse, imbalance of food.

The main factors for the development of pancreatitis and cholecystitis include the following factors:

  • Irregular meals;
  • Abuse of fats and easily digestible carbohydrates;
  • Excessive drinking of alcoholic beverages;
  • Chronic stress;
  • The presence of associated diseases of the gastrointestinal tract.

Symptoms of pancreatitis and cholecystitis

Pancreatitis can be identified by severe abdominal pains in the abdomen, especially after eating. Painful sensations can be permanent, which causes significant discomfort to the patient.

An analgesic drug in this case does not bring any clear relief. To avoid pain, a person begins to refuse to eat, which can cause a strong weight loss.

If the patient retreats from the diet and eats fatty foods, after eating, severe nausea may occur, which often leads to gagging.

  1. Due to the lack of pancreatic enzymes, food intake cannot be fully digested, resulting in spasmolytic abdominal pain and bloating.
  2. A person suffers from constant flatus, constipation or diarrhea. The fermentation process in the intestine leads to a fetid stool with a greasy consistency. During the coprological examination of the fecal masses, poorly digested food fibers can be detected. Bowel spasms may disturb before emptying.
  3. When dyspeptic syndrome erupts air or food eaten, appetite decreases, there is an aversion to fatty and fried foods.

If the disease is acute, Langerhans cells may be involved in the pathology, which are responsible for producing the hormone insulin in the blood. In this case, there is a risk of developing diabetes.

The patient feels weakness, noticeably loses weight, his working capacity decreases. This is due to the lack of vital pancreatic enzymes. As a result of the pathology, the food that is received is not fully broken down and nutrients do not enter the body, this leads to anemia.

With persistent pancreatic diarrhea, the electrolyte balance of the blood is disturbed and hypovitaminosis develops. Due to pain after eating a meal, a person tries to eat as little as possible and refuses food.

Cholecystitis is diagnosed by the following additional symptoms:

  • Half an hour after a meal, there are painful sensations in the right hypochondrium, sometimes pain is given to the back, right clavicle, right scapula.
  • When the outflow from the gallbladder is disturbed, the nerve roots of the skin are irritated by bile acids, which leads to an inexplicable itching on the skin.
  • The patient may also experience nausea, belching, bitterness in the mouth after eating, diarrhea, including reduced appetite. If the disease is running, vomiting provokes the release of bile impurities. This condition can be caused by fatty foods and alcohol.

In general, the symptoms of cholecystitis and pancreatitis are very similar, so it is important to contact your doctor, who will conduct a thorough examination, to determine the exact diagnosis, identify the disease, predict recovery and prescribe medical therapy to determine the exact diagnosis.

Symptoms of pancreatic cholecystitis unite all the above symptoms, the disease is accompanied by dyspeptic, pain and psycho-emotional syndrome.

Therefore, treatment should be comprehensive, taking into account the individual characteristics of the organism.

Diagnosis and treatment of pancreatitis

To identify the disease, the patient must undergo a general and biochemical blood test, pass urine. Also, an ultrasound examination of the abdominal cavity, esophagogastroduodenoscopy, duodenal sounding, scorological analysis.

If type 1 diabetes is suspected, blood glucose is measured. Diagnostic methods are selected based on the general condition of the patient and the severity of the disease.

In the presence of pathology during the examination, the doctor finds certain symptoms. During palpation, the patient feels pain in the abdomen and right hypochondrium. At the same time, an enlarged liver is groped, which protrudes from under the edges of the rib arches. Characteristic features include the presence of the symptom of Mussi-Georgievsky and Ortner.

The disease can flow in different ways. In the acute course of the disease, a purulent-ulcerative form is detected, and in chronic, a prolonged sluggish form. If there are at least isolated symptoms, you should immediately seek medical help in order to start the necessary treatment in time and avoid complications.

  1. In the acute stage of the disease, the patient is placed in inpatient treatment, where all studies are conducted and the method of therapy is selected.
  2. If acute purulent infection of the abdominal cavity and peritonitis is detected, emergency surgery is prescribed. Also, surgery is carried out with the exacerbation of the chronic form of the disease, the detection of gallstones.
  3. Next, conduct intensive drug therapy to block the inflammatory process and restore the affected pancreas.
  4. In the chronic form of the disease, surgery can also be assigned, but it is carried out according to plan.

When pancreas surgery is not required, conservative treatments with medication are used. To do this, use an antibacterial anti-inflammatory drug, antispasmodic and choleretic drugs, enzymes that improve the digestion and absorption of food.

A proven folk method aimed at restoring the body — rosehip syrup expelling bile may also come up. The sooner a person begins treatment, the higher the chance to avoid the development of severe complications and cure the disease.

Pancreatitis and related diseases are discussed in the video in this article.

Watch the video: Pediatric ERCP. Cincinnati Children's (February 2020).