Chronic pancreatitis (ICD code 10: K86) is an inflammation of the pancreas related to diseases of the digestive system. The disease proceeds cyclically, there are periods of remission and exacerbation. Against this background, dystrophic changes often progress in the body, which negatively affect the work of the pancreas. In order to prevent complications, it is necessary to identify symptoms in time, undergo an examination and a course of therapy.
Possible causes of the disease
The International Classification of Diseases (ICD) provides a specific coding that assigns a specific index to each of the possible pathological and abnormal he alth conditions of patients. This fate has not bypassed such a disease as chronic pancreatitis. ICD 10 code: K86 - this is its indexing today in modern medicine. This classification was developed by the World He alth Organization, so it has a fairly significantimportance in the current medical industry as a whole.
The main reason for the development of chronic pancreatitis (ICD code 10: K86) is the abuse of alcoholic beverages and the progression of gallstone disease. Due to the constant abuse of alcohol, a person experiences intoxication, which is provoked by decay products.
The progression of gallstone disease does not allow bile to pass through the body normally. In addition, often, in addition to the wrong outflow, an infection joins, which also affects the tissues of the pancreas, provoking an inflammatory process.
People who abuse junk food from an early age create favorable conditions for the rapid development of diseases of the digestive system. There are also a number of factors that provoke the development of chronic pancreatitis:
- high blood calcium levels;
- cystic fibrosis;
- ailments affecting the digestive system;
- malfunctions of the thyroid gland;
- food poisoning;
- injuries affecting the abdominal area;
- taking certain drugs;
- infections affecting the digestive tract;
- impaired blood flow;
- diseases of the endocrine system;
- frequent stress and depression;
- overweight.
Unhe althy diet and constant quick snacks also provoke the development of chronic pancreatitis. Complications of this disease are fraught with the fact that others can also be affected.organs. Medical diagnosis and therapy can avoid them, relying on the timely detection of relevant symptoms.
Symptomatics
At the initial stage of the development of the disease and during the onset of remission of chronic pancreatitis, there are no signs of the disease. And during an exacerbation, indirect symptoms may appear:
- burp;
- bad breath;
- periodic stool disorders.
All of these signs may indicate digestive problems or the development of a more complex pathology.
Slight pain and heaviness after eating are the first symptoms indicating that chronic pancreatitis is developing in the body. ICD-10 provides for the assignment of this pathology to the group of diseases of the digestive system. Often, accompanying echo-signs, such as increased compaction of the organ tissue or foci of the formation of a possible pseudocyst, can indicate a problem with the pancreas.
As the disease progresses, flare-ups become more frequent. A complicated form of pancreatitis may be accompanied by pronounced signs, such as:
- severe diarrhea;
- intense pain in the abdomen;
- discomfort in the area of the back and shoulder blades;
- diffuse abdominal sounds;
- unpleasant bitterness in the mouth;
- frequent burping;
- nausea;
- unreasonable increase in body temperature;
- dramatic weight loss;
- loss of appetite;
- itchy skin;
- headache.
During periodsexacerbations of diarrhea and vomiting can lead to complications of chronic pancreatitis such as dehydration and weakness throughout the body. There are bouts of dizziness, blood pressure rises.
As the disease goes into remission, the nature of the stool may change, the patient will complain of constipation.
Possible Complications
If you do not pay attention to the first symptoms of the disease and do not pass the diagnosis on time, then serious complications of chronic pancreatitis can develop. These include:
- abscess;
- formation of one or more pancreatic cysts;
- severe diabetes;
- thrombosis of the splenic vein;
- blood loss in the organs of the digestive system, provoked by rupture of the cyst;
- gland fistula;
- cicatricial-inflammatory stenosis.
Often, obstructive jaundice is observed in patients with pancreatitis. With a long course of the disease in a chronic form, secondary development of pancreatic cancer is possible.
Diagnostic tests
Diagnosis of chronic pancreatitis is based not only on the assessment of clinical symptoms, but also on a number of instrumental studies. After visiting the doctor and taking an anamnesis, the patient is recommended:
- assess the biochemical composition of pancreatic juice;
- evaluate the activity of amylase produced by the pancreas;
- pass a coprogram that will help identify the remnants of undigestedfood;
- radiography, which helps to identify gross anatomical changes in organs;
- Ultrasound.
After conducting all the studies and collecting the data obtained, it is possible not only to make an accurate diagnosis, but also to choose the right treatment, because patients often have chronic pancreatitis and gastritis in addition. Such conditions require more serious complex therapy.
Drug treatment of chronic pancreatitis
There are several basic treatments. For example, patients with the initial stage of the disease simply need to review the diet, follow the diet for a while - and the disease will go away. But in advanced cases, an integrated approach is indispensable. You may need to take a number of drugs and in addition use traditional medicine recipes.
Medicated treatment includes:
Taking enzyme preparations. They contain analogues of enzymes that the pancreas produces. They help improve digestion. Taking these drugs can cause a number of undesirable manifestations, such as constipation or diarrhea, nausea or vomiting, and abdominal pain. If side effects are observed, then it is necessary to adjust the dosage of the drugs together with the doctor
- Steroid hormones. They help reduce inflammation that damages gland tissue. It is recommended to take this type of drugs in the treatment of patients with chronic pancreatitis, if the problem is associated with immunity. But worth itremember that long-term use can cause serious complications such as osteoporosis and sudden weight gain.
- Painkillers. This is the most important component of the treatment of chronic pancreatitis ICD-10. Initially, it is recommended to take weak remedies, but if the pain does not recede, then they switch to stronger ones. Immediately after the first visit to the doctor, the doctor prescribes the patient Paracetamol or drugs that are part of the group of non-steroidal anti-inflammatory drugs, such as Ibuprofen. But long-term use of the latter can cause serious complications, such as stomach ulcers, and therefore sometimes an additional intake of proton pump inhibitors is required, which protect the body from the activation of such ailments. If these types of drugs do not bring relief, then the patient is recommended to take opioid drugs, for example, "Codeine" or "Tramadol". In cases where the pain attacks are too severe, the doctor may prescribe Morphine.
Some patients may need to take Amitriptyline due to complications of chronic pancreatitis. It is prescribed for patients who are depressed, and for some patients it helps to relieve pain.
If drug treatment does not give the desired result and the pain does not recede, then a nerve block will help relieve it. This procedure helps to alleviate the patient's condition for weeks or even months. A nerve block is an injection that stops pain attacks.
If the inflammatory process suddenly increases, thenThe patient must be urgently hospitalized. Inpatient treatment will include administering fluids to the body through a vein, feeding support with a tube, and supplemental oxygen through a special tube.
Diet for chronic pancreatitis of the pancreas
The main place in the treatment of chronic pancreatitis is given to dietary nutrition. Especially it gives good results in the period of remission. Treatment with a diet of chronic pancreatitis, the symptoms of which are pronounced, helps to reduce the load on the gland and significantly improve the reparative processes in it. As a result, the doctor manages to reduce the level of the next recurrence of the disease.
The diet for chronic pancreatitis is based on the following principles:
- It is necessary to use products with a high content of proteins - in this way it is possible to compensate for their deficiency, because during the recovery of the pancreas they are used up quite a lot;
- during the day, the patient should eat at least four times;
- in no case should overeating be allowed - it is better to eat in small portions, but more often;
- preference should be given to boiled food, steamed dishes are recommended;
- necessary to completely eliminate all fried, spicy, s alty and smoked;
- required to reduce the intake of fatty and heavy foods, as well as easily digestible carbohydrates;
- you need to completely exclude concentrated broths from the diet - when cooking meat, it is better to drain the first water after boiling.
Additionally, the patient should refrain from drinking alcoholic beverages that provoke toxic damage to the pancreas.
It is important to stick to a diet for chronic pancreatic pancreatitis, because this way you can completely eliminate the possibility of an exacerbation of the disease and improve your well-being and he alth in general. To achieve a long-term remission, the patient must completely change his life, giving up alcohol and adhering to a proper diet. Only in this way will he be able to restore the damaged organ and improve its performance.
Folk treatments for pancreatitis
National treatment of chronic pancreatitis, as well as medication, should be carried out only after consulting a doctor. Self-medication can lead to serious and irreversible consequences. To cure a patient with pancreatitis with herbs, it is necessary to correctly select recipes, taking into account concomitant diseases and the age of the patient. If you combine medications and herbs correctly, you can easily achieve stable and long-term remission even in patients with an advanced form of the disease.
Fortunately, there are many high-quality and simple compositions that, with an integrated approach, allow you to normalize the functioning of the organ and prevent the development of complications. You can use these recipes only for chronic pancreatitis in adults. With their help, it is possible to improve the outflow of bile, relieve inflammation and improve the condition of the pancreas. There are several time testedrecipes that help patients get rid of painful symptoms.
To improve the outflow of bile, you need to take 30 g of immortelle, dandelion roots, chamomile flowers, tansy and knotweed. Pour all this mixture with a liter of hot water and leave to infuse for two hours. Drink this decoction in a glass half an hour after each meal. In addition, before eating, you should drink a glass of mineral water containing sodium hydrochloride.
To stop the inflammatory process in the body, you will need to take and squeeze the juice from plantain leaves and take it 1 teaspoon before each meal for 30 days. Freshly squeezed juice from plantain leaves contains a large amount of vitamin R, which is considered a natural hepatoprotector. After 30 days of use, it is advisable to take a break for three months, and then repeat the course again.
To relieve severe pain, you can use an analgesic decoction. To prepare it, you will need to take the herbs of zopnik, agrimony, plantain, dandelion, chamomile, cudweed, motherwort and yarrow. All this is required to mix well, pour 2 tablespoons of the resulting collection with two glasses of boiling water and insist in a thermos for at least 8 hours. It is necessary to drink the remedy at night to relieve pain and increase the separation of bile.
These recipes will help relieve the pain and symptoms of chronic pancreatitis. Diet will be an excellent addition to therapy. It is important to keep the water balance, it is useful to use alkaline mineral water. Enough to drink a glass of water at night, andthe pain will become less noticeable.
Surgery
If a patient has been experiencing increased pain for a long time, which even effective drugs cannot cope with, then surgery may be recommended. The choice of surgical technique depends on the causes of the disease. After consultation with a specialist, the patient may be recommended several possible options for operations.
- Endoscopy. If chronic pancreatitis with ICD code 10 K86 is due to the fact that the excretory tract is clogged with stones, then endoscopic therapy with lithotripsy is used in this case. This technique allows the stones to be destroyed with a shock wave into small particles, which are subsequently removed with an endoscope. This treatment technique can relieve pain, but the effect of it is not always constant.
- Resection of the pancreas. Patients in whom certain parts of the gland are inflamed and cause severe pain are offered to have them removed. This technique is called resection, when only parts of the organ affected by the disease are cut off. This method is used in cases where endoscopic treatment cannot be used. There are several resection techniques, and the choice depends on which parts of the gland are to be removed. Some operations involve the removal of part of the gland itself and the gallbladder. All types of resection have the same efficiency, they help relieve pain and preserve the functionality of the organ. But it must be remembered that the higherthe complexity of the surgery, the more likely the risk of complications, such as infection and bleeding, the long recovery period after surgery.
- Total pancreatectomy is the complete removal of the pancreas. This technique is used only in extreme cases, when a large part of the organ is affected by the disease and requires its complete removal. This technique has proven to be highly effective, because the pain completely disappears. But only after such operations, the patient's body is no longer able to produce a vital hormone - insulin. That is why a new unique technique was created, which is called autogenous cell transplantation of the islet of Langerhans. Its essence lies in the fact that even before the organ is removed, the cells of the islets of Langerhans, which are responsible for the production of insulin, are taken from the patient. After that, they are placed in a special liquid and injected into the patient's liver. If everything goes well, then these cells will take root in the liver and will produce the insulin necessary for the body. For a short time, this technique can help, but in the future, the patient may need to take medications containing the hormone.
A patient who underwent pancreatic surgery for chronic pancreatitis should follow a diet for the rest of his life.
Prevention measures
People who are prone to the development of pancreatitis and other ailments of the digestive system should definitely carry out prevention. And its essence is to:
- completelylimit yourself to alcohol;
- stick to proper nutrition - no fatty foods and carbohydrate foods;
- should stop smoking;
- the diet should contain a sufficient amount of vitamins and trace elements that will allow to establish the work of not only the pancreas, but also other systems;
- drink enough water - each person should drink at least 1.5 liters of purified water per day;
you need to consult a doctor in a timely manner, follow all his recommendations and undergo treatment for diseases of the digestive system in time
Prolong the period of remission in chronic pancreatitis will help sanitary-resort treatment. It is better to ask your doctor where and how to undergo therapy in order to prevent complications.
Forecast
If you consult a doctor in time and follow all his recommendations for the prevention and treatment of pancreatitis, then the prognosis can be made favorable. If the patient does not adhere to dietary nutrition, will systematically consume alcohol, then the treatment will not bring the desired results, and dystrophic processes in the pancreas will lead to serious complications. Severe forms of the disease require surgical intervention. If it is not carried out in a timely manner, then the patient may face a fatal outcome.
