Pancreas

Pancreas induration: why it appears and how to cure it

The pancreas is a large organ of internal and external secretion. It is located on the posterior abdominal wall in the retroperitoneal zone, consists of the head, body, tail, partially covered with a stomach in front. In the thickness of the pancreas there is its duct directed from the tail to the head. Iron produces pancreatic juice containing enzymes that promote the digestion of proteins, fats and carbohydrates.

In the pancreatic tissue are placed the endocrine glands that produce insulin for glucose uptake. A healthy pancreas has a uniform tissue, large contours. The reason for diffuse changes in the parenchyma of the pancreas, according to doctors, is acute and chronic pancreatitis, elevated blood sugar levels.

Often, diffuse changes of the parenchyma of the pancreas are diagnosed in people of advanced years, with various problems of the cardiovascular system, diseases of the liver and biliary tract, organs of the digestive tract. The cause of changes in the pancreatic parenchyma can also be infectious-inflammatory diseases of the internal organs that contribute to metabolic disorders.

Increased echogenicity of the pancreatic parenchyma

When conducting ultrasound diagnostics, you can find out the density of internal organs. If a reduced or increased echogenicity of the pancreas is detected, then this is a serious reason for undergoing an extensive examination, providing an accurate diagnosis and determining methods for solving problems.

Increased echogenicity of the parenchyma of the pancreas is detected during inflammation with the formation of fibrosis, developing on the background of metabolic disorders, with replacement of healthy tissue of the parenchyma with fat, with acute pancreatitis and recurrence of chronic inflammation altering the density of the parenchyma.

The magnitude of the absorption coefficient of ultrasonic radiation depends on the increased echogenicity of the parenchyma. Malignant tumors that form in the parenchyma, have a higher absorption coefficient of ultrasonic energy than benign tumors.

Sealing pancreatic parenchyma

Methods for the study of the pancreatic parenchyma include a survey and examination of the patient, laboratory, instrumental and radiological methods. Consolidation of the parenchyma may be the result of various diseases of the pancreas.

Symptoms include pain in the epigastric region and left hypochondrium, disorders of the digestive system, causing discomfort in a person, general weakness, and severe weight loss. The mode and nature of nutrition, the presence of cholelithiasis, cholecystitis, and cystic fibrosis have a certain effect on the appearance of compaction of the parenchyma of the organ.

Heterogeneous structure of the pancreatic parenchyma

The pancreas of a healthy person has a uniform structure, the same echogenicity, clearly visible contours, a hooked process, the correct position and the normal dimensions of the head and tail. Deviation from the norm is determined by increasing the size of individual parts of the pancreas and the heterogeneity of the structure of its tissues.

Heterogeneity of the pancreas - evidence of the presence of various diseases, including pancreatitis and diabetes. This pathology can be detected in any part of this organ. Diffuse-heterogeneous changes may be caused by edema, inflammation and the formation of pseudocyst.

Reactive changes in the pancreatic parenchyma

Reactive changes in the parenchyma are a consequence of inflammation of the pancreas due to aggressive effects on the liver and gallbladder. This causes pain, dyspepsia and an increase in blood sugar levels, and it happens because the glandular tissue of the parenchyma in the reactive pancreas produces pancreatic juice and hormones in insufficient quantities. One of the most common causes of parenchyma reactive changes can be an allergic reaction.

Diffuse changes in an important organ contribute to reactive changes that evenly spread throughout the pancreas without local foci indicating neoplasms or the formation of stones. Treatment of this pathology is one of the topical issues of modern gastroenterology.

The combination of medicines prescribed by the attending physician and properly organized nutrition can prevent the development of various complications. It must be remembered that timely access to a doctor and careful implementation of prescriptions can be a guarantee of successful treatment.

Expert Editor: Pavel Alexandrovich Mochalov | D.M.N. general practitioner

Education: Moscow Medical Institute. I. M. Sechenov, specialty - “Medicine” in 1991, in 1993 “Occupational diseases”, in 1996 “Therapy”.

Pancreas induration - what is it?

Seals in pancreatic tissues are the consequences of ailments, which in some cases are evidence of infection of the body. They are characterized by a change in thickness in the tissues of the gland from the inside. When there is inflammation in the body, a trace like a “hollow” on the wall remains after it, it heals with time, and the tissue heals - this will be a seal.

Why does a seal appear in the pancreas?

The main reasons for the formation of seals on the walls of the pancreas are all sorts of dystrophic disorders in its tissues. Often, such deviations occur when the usual rate of blood flow is disrupted, and there are also chronic diseases of the endocrine system, which are triggered by the negative effects of the environment. In some cases, seals may appear on the walls of the pancreas during the formation of the organism, although this is quite rare and this phenomenon is observed only in patients of childhood and adolescence.

Such diffuse changes in the pancreas are detected most often during ultrasound. The main factors that can trigger this disease are improper functioning of the endocrine system and irregular nutrition of the patient, although there is also a manifestation of the disease associated with continuity or impaired functioning of the gastrointestinal tract. Both in one and in another situation, only a qualified doctor can determine whether there is a seal on the walls of the organ.

Symptoms of the disease

Since the causes of the formation of seals may be different, the symptoms of diffuse changes are directly dependent on the underlying disease.

Acute pancreatitis is characterized by an increase in pressure in the virsung pancreatic duct, as a result, the duct is damaged, and the digestive enzymes enter the surrounding integument. This leads to the beginning of the digestion and destruction of pancreatic tissue, resulting in intoxication of the body. In this case, symptoms such as pancreatitis are manifested, such as severe pain in the left subcostal area, nausea and vomiting, lowering blood pressure, and increased heart rate.

Important. The patient with this disease is often a serious condition during the entire attack. Be sure to conduct intensive therapy and surgery.

In chronic pancreatitis, a prolonged course of the disease is observed, and at the beginning of development in the pancreas, only minor hemorrhages and puffiness can be noticed. Over time, the body becomes smaller, sclerosed, and ceases to produce the necessary volume of digestive enzymes.

As a result, you can notice the development of symptoms characteristic of disruption of the digestive system:

  • appetite worsens,
  • there is always heaviness in the stomach,
  • you can notice how alternate constipation and diarrhea occur.

In the future, in the process of disease progression, you can notice how the exacerbations of chronic pancreatitis occur, which are accompanied by pronounced painful sensations.

If a patient has pancreatic fibrosis at the initial stage, clinical manifestations of the disease may be absent. In the case of a fibrous inflammatory process, the glandular tissue of an organ is replaced by connective tissue, which leads to a decrease in the production of enzymes and hormones, which are necessary for the digestive system to function normally, and to maintain the body's metabolic processes. These include lipase, lactase, amylase and hormones, thanks to which sugar is broken down and absorbed (glucagon and insulin).

The initial symptoms of the disease are similar to those of pancreatitis: it hurts all the time in the left subcostal area, the appetite is disturbed, and the urge to vomit appears. With an increase in enzyme deficiency, frequent diarrhea, vomiting and weight loss appear. Over time, when the protein reserves in the body are depleted, an allergic reaction is manifested, and when insulin production is disturbed, diabetes begins to form.

If a patient has a pancreatic lipomatosis, healthy cells are permanently replaced by adipose tissue. Due to the inability of the fat cells to perform digestive functions in the body, there is a deficiency in substances that are necessary for the normal functioning of the digestive system.

How severe are the symptoms of lipomatosis due to the degree of replacement of healthy tissues with fat cells. If the pathological focus of the disease spreads slightly, then the symptoms may be absent due to the compensation of enzyme deficiency by increased production of the necessary enzymes by other organs. However, when the disease progresses uncontrollably, healthy cells die off in a significant amount, and they are replaced by massive accumulations of adipose tissue. The affected areas begin to squeeze the parenchyma of the pancreas, resulting in pain and disturbed organ function.

Diagnostic methods

To identify the presence of seals on the walls of the pancreas is quite difficult, but it is quite possible. Initially, the doctor interrogates the patient, records complaints and examines it.

To determine whether there is a seal of the pancreas can be on ultrasound (this is the most accurate method of examination). Ultrasound examination makes it possible to examine how much the thickness of the tissue has changed, as well as to observe changes in the homogeneity of the structure, to identify the factor that provoked the inflammatory process that led to the appearance of seals on the walls of the organ.

Important. In addition to ultrasound, the patient is given a blood test to determine the biochemical composition, urine, to check whether there are pancreatic enzymes, as well as being examined by an endoscope.

Medication Treatment

Therapeutic measures are assigned depending on what disease has caused the formation of seals. The goal is to eliminate the symptoms of the disease. For example, when violations in the functioning of the pancreas manifested due to pancreatitis, the doctor prescribes the reception:

  • nonsteroidal anti-inflammatory drugs to relieve pain,
  • antispasmodic to relax the muscles in the ducts of the body and eliminate cramps,
  • enzymatic medication to eliminate the urge to vomit and diarrhea,
  • vitamin preparations.

With the appearance of seals in the pancreas due to diabetes mellitus, the use of additional drugs to reduce the level of glucose in the bloodstream is prescribed. It should be noted that self-treatment is strictly prohibited.

Diet food

How effective will be drug therapy for seals in the pancreas is often due to the correct diet of the patient.

All food must be boiled, baked in the oven or steamed. In addition, you should pay attention to what the temperature of food consumed. The best option is the use of warm food. If the dish is very hot or cold, the body does not digest it well.

Important. Food intake should be regular and frequent, and portions should be small.

Patients with impaired pancreatic function are allowed to use such products:

  • white bread
  • without fail you need to eat first courses - vegetable and milk soups, borsch,
  • on the second should be chicken and beef low-fat varieties,
  • fish dishes should be steamed or boiled,
  • dishes from boiled, raw or steam vegetables,
  • systematically need to eat dairy products,
  • you can drink tea (only not strong), compote and jelly.

Patients will have to be excluded from the diet:

  • fatty dishes
  • smoked products,
  • spices and seasonings
  • spicy dishes,
  • ice cream,
  • mushrooms

Also completely eliminated bad habits, especially the use of alcoholic beverages.

Liver and pancreas

Different seals can occur simultaneously in both organs due to their close relationship. The growth of the size of the organs is not yet a pathology, but it indicates that a person develops a massive painful process.

In the liver and pancreas are able to develop these types of diffuse changes:

  1. The defeat of the body of small volume. This is a common phenomenon occurring after suffering hepatitis, with prolonged exposure to harmful factors - alcohol or poor environmental conditions.
  2. Changes moderate diffuse nature - develop as a result of adverse environmental conditions and prolonged systematic use of alcoholic beverages. With moderate compaction, the patient should think about lifestyle correction.
  3. Pronounced pathology is almost always accompanied by a strong swelling of the body. This condition is characteristic of persons diagnosed with obesity, alcoholic cirrhosis of the liver, chronic hepatitis, and neoplasms of various nature.

Pronounced pathology is almost always accompanied by a strong swelling of the body, which is characteristic of people with obesity.

This change is most often diagnosed with pancreatitis. Due to swelling of the head, the outflow of bile is disturbed, therefore the skin becomes yellow in such patients, there are marked difficulties in digestion. Characterized by darkening of the urine and discoloration of feces.

Changes in the head are also found in the reactive type of pancreatitis, when organ inflammation occurs due to the pathology of the stomach or intestines.

Pseudotumor pancreatitis resembles the symptoms of cancer and inflammation of the gland, indicating severe organ failure.

2 Reasons for rejection

The most common pathology leading to the development of changes in the parenchyma is pancreatitis. In addition to it, tissue consolidation occurs for the following reasons:

  • impaired normal blood circulation,
  • metabolic disorders (diabetes, pituitary hyperplasia, adrenal insufficiency, thyrotoxicosis),
  • food, water and air pollution
  • changes due to puberty,
  • malnutrition,
  • various pathological dysfunctions of internal organs,
  • congenital features of the functioning of the gland.

Changes in tissue occur when taking antibiotics and hormonal drugs. Especially harmful effect on the organ synthetic analogues of female sex hormones - estrogen.

Enlargement of the liver during compaction of the gland occurs for the following reasons:

  • progression of viral hepatitis and the absence of specific therapy for liver pathologies,
  • persistent alcohol poisoning,
  • regular consumption of alcoholic beverages
  • the appearance of tumor metastases,
  • various cardiovascular pathologies,
  • stagnation of venous blood in the vessels
  • prolonged use of drugs with toxic activity against the liver,
  • self-therapy.

Enlargement of the liver during compaction of the gland occurs due to independent therapy.

The change in the structure of the pancreas occurs as a result of such reasons:

  • chronic pancreatitis,
  • severe swelling of the internal and external parts of the body,
  • active replacement of healthy fatty tissue,
  • the growth of tissue volume or its scarring due to the occurrence of a chronic inflammatory process.

3 Symptoms

Signs of compaction depend on the cause of the change in the structure of the organ. Because. in case of acute pancreatitis, an organ tissue is digested, its symptoms are most pronounced. A person feels "dagger" pain in the left hypochondrium, nausea and vomiting. The patient's blood pressure decreases and the heart rate rises.

During acute pancreatitis, partial cell death occurs on the inner side of the gland wall. Characterized by uneven compaction. Perhaps a thickening of a small area of ​​the body.

The chronic form of pancreatitis is characterized by a protracted course.

Violation of the gland structure is mild. In humans, digestion is disturbed, appetite deteriorates. There is an alternation of constipation with diarrhea.

In the chronic form of the pathology, constant recurrences of inflammation occur. If it is not treated, then there is almost complete death of the body. Thickening of the tissue is observed on ultrasound along the entire diameter of the organ. Early therapy does not cause subsequent consolidation of the gland walls.

With fibrosis of the gland, the following symptoms appear:

  • pain in the left subcostal area, which are characterized by consistency,
  • frequent diarrhea, vomiting,
  • weight loss,
  • the appearance of allergic reactions
  • violation of the body's resistance to glucose due to the defeat of the area of ​​the gland produced by insulin.

Pathology Definition

Pancreas induration is a consequence of a past or transmitted disease, which often indicates the presence of an infection. The characteristic is the change in the thickness of the areas of the organ that forms the scars on the organ after the end of the inflammatory processes.

The appearance of seals can tell how effective the treatment of diseases of the gland has been. If the situation does not change, it means that the diagnosis was incorrectly made or the method of therapy was chosen. It should be noted that they are not the disease itself as such and can only be signs of deviations in the processes and work of the internal organs of a person.

Causes

Diffuse change most often occurs against the background of the development of pancreatitis. Depending on the nature and nature of the disease, the following deviations are distinguished:

  1. In the acute form of the disease, pancreatic cells die off, which leads to thickening of small sections of tissue.
  2. The chronic form of the disease is often accompanied by relapses, which lead to necrosis of the tissues of the organ. The thickness of the seals may be greater than in the acute form of the pathology.

In addition, the following factors and assumptions may influence the occurrence of such phenomena:

  • negative changes in blood circulation in the body,
  • chronic pathologies of the endocrine system of the body,
  • dystrophy,
  • the consequences of the negative impact of the environment,
  • teenage years,
  • genetic abnormalities of organs.

A symptom denoting the course of normal age-related or genetic phenomena does not pose a health hazard.

Symptoms of Sealing

Despite the fact that diffuse changes in the pancreas are only a sign of the presence of any pathologies, they may have their own symptoms:

  • sharp causeless weight loss,
  • disorder of the gastrointestinal tract, stool disorder,
  • nausea, discomfort in the abdomen, vomiting.

Diffuse changes themselves are not dangerous, however, if they are signs of serious diseases of internal organs, it is not necessary to delay the start of treatment. To do this, it is necessary to undergo a comprehensive diagnosis.

Diagnostics

It is quite difficult to correctly diagnose violations of this type, so the procedure should be performed by a fairly qualified doctor - a gastroenterologist. First of all, he conducts a survey of the patient and the study of his medical history. A manual examination can also be carried out.

The second stage of diagnosis is usually the ultrasound examination as the most appropriate and effective procedure. On ultrasound, you can calculate changes in the structure and thickness of tissues, determine heterogeneous areas and identify the causes of inflammatory processes. In addition, you may need advice from other doctors, as well as the collection of urine and blood tests.

Medicines

If seals are found in the pancreas, the pancreas is inflamed. Therefore, it is necessary to take anti-inflammatory drugs.

Also requires a comprehensive treatment with drugs:

  1. Drugs that can reduce the production of hydrochloric acid. Thanks to their reception the level of irritation of the mucous is reduced.
  2. Enzymes that improve digestion. Due to the fact that the diseased pancreas does not cope with its functions, it may require support in the form of enzymes in pills taken with meals. This is especially important with pancreatitis.
  3. Antispasmodics. Helps to relieve pain and pressure on internal organs and ribs.

In order to prevent recurrence of pancreatitis to maintain the normal functioning of the gland, it is necessary to follow a therapeutic diet that includes the following rules:

  1. Lunch is the main meal.
  2. The last meal is no later than two hours before bedtime.
  3. There is a need in small portions of four to five times a day.
  4. Nutrition must be energy balanced.
  5. It is necessary to include in the diet a sufficient amount of fresh vegetables.
  6. Be sure to exclude salted, smoked, fried and other harmful products.

It is advisable to cook foods for a couple, boil and bake. It is also recommended to reduce the level of chemical additives.

Consequences of seals

In case of refusal from timely treatment of the cause of the appearance of a condensed gland, the growth of coarse tissues and the transition of pathology to a new phase is possible. In addition, acute pancreatitis may become chronic. Therefore, it is important to consult a doctor at the first symptoms and eliminate harmful foods from the diet.

What doctor treats pancreas induration?

The local pediatrician or therapist is the primary link that you need to go through to make a preliminary diagnosis. After examining the patient, these specialists will give directions for laboratory tests and ultrasound. With the results obtained, the person will consult a gastroenterologist, and if necessary, an oncologist. They will determine further medical tactics and prescribe treatment.

Prevention

Diffuse induration in the pancreas can be prevented. To do this, follow the simple guidelines:

  • the expectant mother should take care of the health of the fetus and follow all the recommendations of the gynecologist,
  • a person must eat right by limiting the consumption of easily digestible sugars and fat,
  • you need to completely give up bad habits, especially the use of alcohol,
  • timely treat diseases of the liver, gallbladder, intestines,
  • consult doctors at the slightest suspicion of an attack of acute pancreatitis,
  • regularly undergo medical examination.

Any pathology of an organ is accompanied by a change in its structure, which becomes heterogeneous. The seal in the pancreas is only a statement of the presence of organic changes. This is not a diagnosis. The patient should be carefully examined. The results will help professionals to prescribe the correct treatment.

Tissue compaction

Consolidation of the pancreas - a consequence of the disease, which can sometimes indicate the presence of infection in the body. It is characterized by a change in the thickness of the organ tissue from the inside. When an inflammatory process takes place in the gland, it leaves traces in the form of “hollows” in the wall, later they heal and turn into scars - this is the seal.

The location of the organs of the gastrointestinal tract

Diffuse changes of the pancreas

Diffuse changes in the parenchyma indicate changes in the tissue within the organ. In inflammation of the pancreas, the parenchyma is fully involved in the pathological process.

Yes, such a manual examination can indeed show that a certain part of the pancreas is distinguished by a density greater than normal. Thus, an experienced physician, having studied the picture of the changes that occur in the tissues of a patient with pancreatitis, can definitely tell how effective the prescribed treatment was.

Consolidation of the digestive tract organs indicates a serious malfunction in the body and can cause the development of various pathologies. Consolidation of the liver and pancreas, as a type of violation of the digestive tract, is quite difficult to diagnose and therefore requires the intervention of an experienced gastroenterologist.

In either case, the final decision on the occurrence of pancreatic induration can only be made by an experienced specialist. The primary treatment for pancreatic seals is fasting, which reduces the level of gastric secretion. Promedol is used as a means of relieving pain arising from an increase in the thickness of the walls of the pancreas. Based on a variety of reasons, signs of diffuse changes will directly depend on the main diagnosis.

Chronic pancreatitis has a protracted nature of the course and at the initial stage, damage to the pancreas is limited to edema and minor hemorrhages. Over the course of the disease, iron is reduced and sclerosed, and does not produce enough digestive enzymes. At the initial stage of pancreatic fibrosis, there may be no clinical manifestations of the disease.

Therefore, ultrasound shows a change in the whole organ, rather than in individual areas, as in other diseases. Additional criteria is the presence of fluid in the pancreas, in the abdominal and pleural cavities. Iron acquires a fuzzy contour with jagged edges. Uneven edges remain. In the later stages, cysts and calcinates can be found in the tissues of the pancreas and adjacent organs. Pancreatic fibrosis is manifested on ultrasound by increasing the density and echogenicity of the organ while maintaining its normal size.

Compaction of pancreatic walls # 8212, causes and treatment, if compacted

A healthy pancreas has a uniform tissue, large contours. The cause of changes in the pancreatic parenchyma can also be infectious-inflammatory diseases of the internal organs that contribute to metabolic disorders. Methods for the study of the pancreatic parenchyma include a survey and examination of the patient, laboratory, instrumental and radiological methods.

Ultrasound of the pancreas in acute pancreatitis

The pancreas of a healthy person has a uniform structure, the same echogenicity, clearly visible contours, a hooked process, the correct position and the normal dimensions of the head and tail. Deviation from the norm is determined by increasing the size of individual parts of the pancreas and the heterogeneity of the structure of its tissues.

Diffuse-heterogeneous changes may be caused by edema, inflammation and the formation of pseudocyst. Reactive changes in the parenchyma are a consequence of inflammation of the pancreas due to aggressive effects on the liver and gallbladder.

The thyroid parenchyma is an epithelial functional tissue of an organ containing actively dividing cells. Such transformations in tissue can occur due to age, in diseases of both the pancreas and other organs.

Uniform transformations of pancreatic parenchyma tissue can be caused by a number of diseases. The structure of the gland during such transformations is homogeneous. The development of such transformations signals the diseases of organs directly related to the pancreas. Diffuse changes in the pancreas are reactive, that is, secondary, and occur as a reaction of the gland to the disease of neighboring organs.

The main causes of compaction of the pancreas are various dystrophic changes in the structure of its tissues. In this case, ultrasound data are described as moderate changes in the pancreas. The presence of such changes indicates a decrease in the size of the pancreas or compaction of the structure of its tissues.

Sealing pancreas: causes of disease

This diagnosis can be made by a specialist after a patient undergoes an ultrasound scan and a number of other examinations. Such changes may indicate the presence of any violations in the body.

In the presence of an inflammatory process or a previous illness, the pancreas may undergo various functional changes. They are expressed in the following:

Chronic pancreatitis is a persistent inflammation that can be characterized by a rather slow lesion of the entire tissue. Atrophy may occur over time, the fabric may calcine or even die out. Consolidation of the pancreas is associated with scarring of the body from the inside. The more often relapses occur, the more dense the pancreatic walls become. Acute pancreatitis can cause necrosis of pancreatic tissue. In the case when the disease is detected on time and the treatment is carried out correctly, the inflammatory process is eliminated, and seals of various localization, which are caused by scarring of the tissue, may appear at the site of inflammation foci.

Consolidation of the pancreas is not a symptom of the disease, but a sign of an already experienced disease. In this regard, this feature does not carry a diagnostic function in itself. Changes may not always be detected during the first examination. The danger is that seals may be associated with an infectious process in the body.

Methods of examination for pancreatic parenchyma are examination, patient interview, instrumental, laboratory and x-ray examinations.

The main symptoms of compaction are pain in the left hypochondrium and the epigastric region, digestive disorders, weight loss and weakness. They make their own adjustments in the nature and diet, the presence of cholecystitis, gallstone disease, cystic fibrosis.

Diabetes mellitus is a disease of the endocrine system, which is caused by a relative or absolute lack of insulin in the human body (pancreatic hormone). The blood sugar level (glucose) increases significantly. As a result, the walls of the pancreas are compacted.

A pancreatic tumor can also cause a thickening of the organ. The etiology of pancreatic cancer today is not fully identified. However, several factors contribute to the development of the tumor.

Pancreatic cysts are diagnosed rather difficult. Most often they can be confused with a cyst in the kidneys, liver and adrenal glands. This is fraught with various complications and inevitably leads to compaction of the pancreatic walls.

After a disease such as pancreatitis, stones can form in the pancreatic ducts. They consist practically of calcium. If not removed in time, it can lead to sclerosis or atrophy of the organ.

Treatment of this condition begins only with certain complaints. If the compaction of the pancreas, the causes of which are caused by the disease, does not bring any discomfort, it does not require treatment.

In order to maintain health, you need to follow a diet and a balanced diet. This can help avoid pancreatic compaction and diseases associated with changes in the thickness of its walls.

Be sure to include in the diet the use of first courses (soups). second courses of lean meat (beef, chicken). boiled fish, fresh vegetables. It is necessary to avoid spices and sweets, spicy foods and mushrooms, as well as frozen foods.

Consolidation of the parenchyma of the pancreas can be a hint that it is time to revise your diet, begin to take good care of your health, seek the help of a specialist.

What does pancreatic parenchyma mean?

In the peritoneum is the pancreas. It consists of three parts: the body, the tail and the head. The gland partially covers the stomach. The pancreas has a special structure similar to the texture of soaked meat and having a pale pink color. It consists of:

  • glandular tissue, or parenchyma,
  • connective tissue, or stroma.

The parenchyma is a multi-structured tissue of the organ, which has the form of multiple lobules and islets of Langerhans. The lobes have an irregular shape and size of 5 mm, and the islets are cellular areas that have a round shape.

Parenchyma performs a number of important functions:

  1. External secretion. In the slices produced pancreatic juice containing enzymes that are necessary for the breakdown of food. These include lipase, amylase, trypsin.
  2. Internal secretion. The islets of Langerhans produce hormones necessary for the metabolism of carbohydrates and lipids. Insulin, glucagon and lipocaine enter the bloodstream and regulate this process.

Some diseases lead to changes in the structure, size of the organ, etc.

Investigation of the state of the pancreatic parenchyma

Diseases such as pancreatitis and diabetes affect the state of the organ.

They lead to inflammatory processes. As a result, it swells, the pancreas condenses, the texture and the intrasecretory function are disturbed. As a result, hyperglycemia develops, the liver is swimming in fat.

All changes that occur in the parenchyma of the pancreas are visible with ultrasound. It allows you to diagnose the following factors:

  • increase in size and compaction of the organ,
  • heterogeneity of the structure, in some cases its destruction.

If a patient is diagnosed with chronic pancreatitis, ultrasound can reveal the following disorders:

  • seal organ
  • cysts and tumors.

All this distinguishes a sick and healthy gland.

Methods of treating disorders

They depend on the severity of the course and the severity of the disease. 2 types of treatment are prescribed:

  1. Drug therapy. Appointed on the basis of the disease, which was the root cause of the violations. Goal # 8211, eliminate the symptoms of the disease. So, if pancreatitis became the cause of the organ disorder, then:
  • nonsteroidal anti-inflammatory drugs that relieve pain,
  • drugs of the antispasmodic group, which relaxes the muscles of the ducts of the gland and eliminates the spasms,
  • preparations of a group of enzymes that eliminate nausea and diarrhea,
  • vitamins.

If the cause is diabetes, the doctor prescribes additional drugs that help reduce blood sugar levels. Self-medication can not be done.

  1. Diet therapy. It is the abolition of a number of products. Prohibited fatty, fried, smoked, spicy and sweet food. Mushrooms, coffee, strong brewed tea, canned food and fast food, carbonated drinks and alcohol are excluded. A protein diet is recommended. It is necessary to carefully use vegetables, fruits, but grapes, oranges, bananas are also prohibited. If the cause of violations of the body was diabetes, food that is rich in carbohydrates is excluded.

It is important to comply with the diet. Patients should eat regularly and often, but in small portions. Food processing is also important: boiled, baked and steamed dishes are ideal for patients.

Watch the video: Pancreas Feline Video 1 (January 2020).