To reduce the risk of Acute pancreatitis  and for pancreas regeneration, it is worth using the Biofiton Healthy Pancreas diet supplement.

Biofiton Healthy Pancreas Phytotablets include medicinal plants, the effect of which is aimed at:

1. NORMAL LEVEL OF BLOOD SUGAR. Biologically active substances of Bean Pods and Burdock Roots normalize blood sugar level.

2. NORMAL LEVEL OF BLOOD CHOLESTEROL. Biologically active substances of Bean Pods, Dandelion and Burdock Roots normalize blood cholesterol level, thus promoting health body weight.

3. GOOD DIGESTION. Nettle and Bilberry Leaves, Dog Rose Fruit, Marshmallow, Dandelion, Elecampane and Burdock Roots effect favorably the functioning of gastrointestinal tract and pancreatic work, promoting better digestion.

4. REDUCTION OF DISCOMFORT. Combined action of substances from Marshmallow, Elecampane and Dandelion Roots, and Nettle Leaves promoting reduction of discomfort in digestive system.

 

Acute pancreatitis  (Latin pancreatitis acuta) – a rapid non-cancerous disease of the pancreas.

CAUSES
The most common causes of acute pancreatitis are alcohol abuse (50%), cholelithiasis (30%) or injury. Remembering the etiology of Acute pancreatitis is facilitated by the English mnemonic abbreviation – I get smashed.
• Idiopathic – idiopathic Acute pancreatitis
• gallstones – cholelithiasis
• ethanol – ethanol
• trauma – injury
• steroids – a steroid
• mumps – mumps and other viral diseases (eg hepatitis)
• autoimmune, Ascaris – autoimmune diseases, human roundworm infection
• scorpion – scorpion venom
• hyperlipidemia (hypertriglyceridemia), hypercalcemia, hypothermia – hyperlipidemia (hypertriglyceridaemia), hypercalcemia, hypothermia
• eRCP – endoscopic retrograde cholangiopancreatography (ERCP)
• drugs – drugs (sulfonamides, azathioprine, NSAIDs, diuretics, including furosemide and thiazides, didanosine, lopinavir / ritonavir, asparaginase)

SYMPTOMS AND COURSE
The most common symptoms that are a consequence of both the inflammatory process and the action of pancreatic enzymes entering the bloodstream are:
• very severe pain located in the middle and upper abdomen, which may radiate to the back, or girdling pain that does not disappear after painkillers
• vomiting – scanty, non-relieving
• abdominal distension, gas and stool often
• severe fever, often exceeding 40 ° C, sometimes chills
• muscle aches
• Cullen’s symptom – bloody runs around the navel
• Gray Turner’s symptom – bloody runs in the lumbar region
• Halsteadt’s symptom – marbling of the skin of the abdominal wall and limbs as a result of the vasodilating effect of kinins and histamine.
The patient is relieved when sitting or crouched.

In severe forms – drop in blood pressure, hypovolemic shock, acute renal failure, acute respiratory distress syndrome, disseminated intravascular coagulation and liver dysfunction. In extreme cases, acute pancreatitis can even be fatal.

RECOGNITION
Diagnosis is made on the basis of clinical symptoms and a significant increase in the activity of pancreatic enzymes in blood and urine and the results of imaging tests (ultrasound, computed tomography).

TREATMENT
Acute pancreatitis requires intensive hospital treatment. Initially, it is usually necessary to follow a strict diet, then enter enteral or less often parenteral nutrition, administer analgesics and antispasmodics, carefully control all vital functions, including kidney function and respiratory function. In the case of pancreatitis caused by blockage of the bile ducts, an early (within 72 hours of symptoms) incision of the sphincter of Oddi at the mouth of Vater’s papilla gives good results, bringing immediate improvement. This procedure is performed using an endoscope. Some forms of acute pancreatitis may require complex surgery. In about 5% of cases, and in severe forms in 10-40%, despite proper treatment, the disease is not managed and it ends in death.
Patients with acute pancreatitis are treated in surgical wards with access to the intensive care unit in the event of clinical deterioration. Each patient with acute pancreatitis is treated in the first days of hospital stay as if potentially potentially severe, and intensively treated before observing numerous patient life parameters, repeated laboratory and imaging tests, doctors determine the severity of ACS.

Treatment depends on the form of the disease, but is always aimed at stopping the initiated “self-digestion” process of the pancreas and leveling the body disorders associated with the disease. Acute pancreatitis therapy is multidirectional and includes:

1. intravenous anti-shock treatment, aimed at replenishing lost fluids that penetrate ACS from blood vessels into the peritoneal cavity and reduce circulating blood volume.
2. monitoring of cardiac and renal function, as well as blood biochemical parameters such as: glucose, sodium, potassium, chlorides, calcium and correction of emerging disorders (increase in sugar level, electrolyte disturbances, decrease in calcium level),
3. control of blood counts. Anemia in the course of ACS may require a blood transfusion.
4. analgesic treatment, because severe abdominal pain is the cause of much suffering. Pain is best tolerated by opioid analgesics: tramadol or pethidine. Morphine is contraindicated in ACS, as it may increase spasm of Oddi’s sphincter. Abolishing pain calms the patient and improves his mental well-being and has a positive effect on breathing.
5. early implementation of antibiotic therapy aimed at preventing pancreatic necrosis infection. For this purpose, broad-spectrum antibiotics including Gram-negative bacteria are used.

Lack of improvement despite intensive treatment in the surgical ward is an indication for moving the patient to the intensive care unit.

Nutrition in Acute pancreatitis
In the past, patients with acute pancreatitis were fasted for a long time to relieve the diseased pancreas. Currently, the patient is first fasted for a short while to stop the secretion of pancreatic juice by the pancreas. Because it is known that acute pancreatitis is accompanied by a condition of so-called hypercatabolism, characterized by a rapid consumption of protein and fat stores and a decrease in the patient’s body weight – that’s why after a few days of fasting combined with observation and after the diagnosis of the patient’s form of Acute pancreatitis , the decision is made to include nutrition.
In patients with edema form of ACS, this is oral nutrition, and in patients with severe ACS, total enteral or enteral nutrition is considered by means of an enteral probe, and if the patient tolerates them poorly, parenteral or parenteral intravenous nutrition is implemented. This nutrition is carried out with special diets ensuring proper supply of all nutrients and appropriate caloric content.

Surgery
The edema form of acute pancreatitis is treated conservatively. In the case of necrotic ACS, conservative treatment is initiated for sterile, uninfected necrosis. However, if necrosis infection occurs, as evidenced by the lack of clinical improvement during treatment or worsening of the patient’s condition despite conservative treatment for some time, surgical treatment becomes necessary. Indications for surgical treatment are also local complications of necrotic ACS such as pancreatic pseudocysts, abscesses, necrosis, gastrointestinal haemorrhage.

Complications
Complications can be systemic or local.
• Systemic complications include acute respiratory distress syndrome, multiorgan failure syndrome, disseminated intravascular coagulation syndrome, hypocalcaemia (due to fat saponification), hyperglycemia and insulin-dependent diabetes (caused by damage to insulin-producing pancreatic beta cells)
• Local complications include pancreatic cyst, purulent or abscess formation, splenic artery aneurysms, hemorrhage from damaged arteries and splenic veins, splenic vein thrombosis, upper mesenteric vein and portal vein (order of decreasing frequency), duodenal obstruction, joint tract obstruction progression to chronic pancreatitis

PREVENTION

To reduce the risk of Acute pancreatitis  and for pancreas regeneration, it is worth using the Biofiton Healthy Pancreas diet supplement.

Biofiton Healthy Pancreas Phytotablets include medicinal plants, the effect of which is aimed at:

1. NORMAL LEVEL OF BLOOD SUGAR. Biologically active substances of Bean Pods and Burdock Roots normalize blood sugar level.

2. NORMAL LEVEL OF BLOOD CHOLESTEROL. Biologically active substances of Bean Pods, Dandelion and Burdock Roots normalize blood cholesterol level, thus promoting health body weight.

3. GOOD DIGESTION. Nettle and Bilberry Leaves, Dog Rose Fruit, Marshmallow, Dandelion, Elecampane and Burdock Roots effect favorably the functioning of gastrointestinal tract and pancreatic work, promoting better digestion.

4. REDUCTION OF DISCOMFORT. Combined action of substances from Marshmallow, Elecampane and Dandelion Roots, and Nettle Leaves promoting reduction of discomfort in digestive system.