What causes pancreatitis?

summary

When I went to bed last night, I suddenly heard my grandfather yelling a stomachache in the room. Later, my family sent him to the hospital. The doctor said that my grandfather suffered from acute pancreatitis. Acute pancreatitis is caused by a variety of causes. After the pancreatic enzyme is activated in the pancreas, it causes the inflammatory reaction of pancreatic tissue digestion, edema, bleeding and even necrosis. The severity of the disease varies, and the mild one is mainly pancreatic edema with good prognosis, which is also known as mild acute pancreatitis. Severe acute pancreatitis is characterized by severe pancreatic hemorrhage and necrosis, secondary infection, peritonitis, shock and other complications with high mortality. Now let's talk about it.

What causes pancreatitis?

First, cholelithiasis, biliary tract infection or biliary Ascaris can cause acute pancreatitis, among which cholelithiasis is the most common. Acute pancreatitis is closely related to cholelithiasis. About 70% - 80% of the pancreatic duct and common bile duct are connected to form a common channel opening in the ampulla of duodenum. Once the stone is embedded in the ampulla, it will lead to pancreatitis and ascending cholangitis, which is called common channel theory.

The second is the mechanism of acute pancreatitis caused by excessive drinking. Alcohol stimulates the secretion of gastric acid, secreting secretin and cholecystokinin, increasing exocrine pancreatic secretion, stimulating sphincter of Oddi spasm and duodenal papilla edema, obstructing the discharge of pancreatic juice, increasing the pressure of pancreatic duct. Long term alcoholics often have increased protein content in pancreatic juice, which is easy to precipitate and form protein thrombus, The pancreatic juice was not discharged smoothly.

Third: pancreatic duct stones or Ascaris lumbricoides, pancreatic duct stenosis, tumors can cause pancreatic duct obstruction, when the pancreatic secretion is strong, the pancreatic duct pressure increases, so that the small branches of the pancreatic duct and pancreatic acinus rupture, pancreatic juice and digestive enzymes infiltrate into the stroma, causing acute pancreatitis. Abdominal surgery, especially pancreaticobiliary or gastric surgery, blunt abdominal trauma, can directly or indirectly damage the pancreatic tissue and blood supply of the pancreas, resulting in pancreatitis.

matters needing attention

Patients must pay attention to personal hygiene in daily life, relax and rest, and don't be too nervous. They must believe in themselves in daily life, and don't have psychological burden. Their families must enlighten patients, and try not to eat spicy food in daily life. They can eat more fresh fruits and vegetables.