Chronic pancreatitis can be complicated by a gallbladder lesion, becoming a separate holocysto pancreatitis. The difficulty in diagnosing this disease lies in the lack of a common opinion on which disease to use the term. Thus, some doctors consider it a combination of chronic and acute calculous or acuminate cholecystitis. Others attribute this disease to manifestations of biliary pancreatitis with pathology of the biliary tract. Such inconsistency negatively affects the systematization of disease data and the selection of the optimal methods of treatment, but if we summarize the idea of holicysto pancreatitis, it turns out that this disease implies the combination of any form of inflammation of the pancreas with inflammation of the gallbladder.
Clinical symptoms of chronic holitsisto pancreatitis is a typical attack of acute cholecystitis with pain radiating from the right hypochondrium to the right shoulder blade and shoulder, fever, positive symptoms of Murphy, Ortner-Grekova and leukocytosis. Then the disease of the pancreas or gall bladder( depending on what was the root cause) is joined by the disease of another organ. The patient has a positive reaction to the symptoms of Mayo-Robson, Kert, Voskresensky, and in the urine there is diastase.
The most common complaints that are symptoms of this disease and with which patients consult a doctor are:
- Severe pain, having a girdling character;
- Restless behavior;
- Bloated in the epigastric region of the stomach;
- Excruciating prolonged bouts of vomiting;
- Ictericity of skin and sclera;
- In case of neglected and severe cases, there may be a collapsoidal condition.
Because these symptoms can indicate not only chronic cholecysto pancreatitis, but also other diseases of the liver, pancreas and gallbladder, it is very important to diagnose the disease unerringly, and if the diagnosis is confirmed, choose the right methods of treatment. In order to confirm the preliminary diagnosis, the mandatory use of instrumental diagnostic methods, such as radiology, endoscopy, endosonography and ultrasound. Holicysto pancreatitis has high mortality rates, and depending on its form, lethal outcome can occur in 55% of all recorded cases. And even with proper treatment, a complicated and severe form in the postoperative period, has a mortality rate of 31%.
Diet in the treatment of holistic pancreatitis
The success of treatment of holistic pancreatitis largely depends on the diet, since it is the proper diet that facilitates the patient's rapid recovery. The main principles of rational nutrition in this disease are:
- frequent and divided meals in small portions;
- eating at the same time;
- exception from the diet of cold and hot food;
- the use of boiled and stewed products;
- exception from the diet of acute, fatty and fried;
- reduction in the volume of coffee and tea consumed.
Allowed products:
- black and white bread, biscuit type biscuits;
- lean meat, fish, poultry;
- cereal cereals and side dishes, especially buckwheat and oatmeal;
- vegetable, cereal, milk soups;
- fresh and steamed vegetables, greens;
- low-fat dairy products, including hard cheese;
- butter and vegetable oil;
- honey, sugar, jam in small quantities.
Prohibited products:
- freshly baked bread and butter products;
- fish, poultry, meat of fatty varieties;
- canned food, marinades, smoked products, caviar;
- rich broths of mushrooms, meat and fish;
- horseradish, mustard, spicy seasonings;
- alcohol, strong tea, coffee;
- fatty ice cream, cream, chocolate.
Diet in the treatment is made individually for each patient with holitsisto-pancreatitis, taking into account the reaction of the body to those or other products, and the food should be high enough to provide the body with all the useful elements and vitamins.