Holiday party overeating, watch out for pancreatitis that keeps an eye on you

<b>New Jiangsu China Jiangsu Network News</b> (reporter Sun Jun correspondent Ma Yun) During the National Day holiday, many people inevitably visit relatives and friends, and three or five friends get together without wine and food, but a meal of Hu eats and drinks, and it is easy to induce diseases after overeating. Recently, the reporter learned in the emergency surgery department of Jiangsu Provincial Hospital of Traditional Chinese Medicine that the hospital has treated a number of patients with acute pancreatitis in the past two days, many of whom have been admitted to the hospital because of excessive "indulgence" on holidays, resulting in the body being overwhelmed.

<b>Suffering from gallstones was not treated in time, and a meal of wine went to the emergency department</b>

At more than 6 o'clock last night, 58-year-old Mr. Xu rushed to the emergency department with his stomach covered, and Dr. Wang Haifeng, who was on duty at night, saw the situation and urgently checked the blood routine after inquiring about the condition, and biochemical showed that a number of values exceeded the standard. After asking about the medical history, I learned that Mr. Xu accidentally found multiple stones in the gallbladder a month ago in a physical examination, and the doctor recommended surgical treatment, because the patient had no symptoms, blood routine, biochemical examination and other indicators were relatively normal, and there was no immediate surgical treatment at that time. These two days coincide with the National Day holiday, inevitably there are some visits to relatives and friends, and friends get together without control, after a meal of wine and food under the belly, not long after returning home, Mr. Xu suddenly felt abdominal pain, and nausea wanted to vomit, originally wanted to take some stomach medicine to endure even if it was, but did not expect the pain to be severe, really can't stand it, he came to the emergency surgery department of the provincial hospital, wanted to find a doctor to hang some anti-inflammatory painkillers to alleviate symptoms, and prepared to perform surgery after the holiday.

Because the patient's "blood picture, amylase, liver transaminases" indicators are obviously abnormal, and accompanied by elevated blood bilirubin, Dr. Wang Haifeng, after reporting to the superior doctor and combining the patient's clinical symptoms, initially suspected that Mr. Xu should be due to the gallbladder calculus shedding and blocking the common bile duct, and drinking alcohol and overeating during the holidays, thus inducing acute pancreatitis, it is recommended that Mr. Xu do a full abdominal CT examination to further clarify the diagnosis, and the results show that "acute pancreatitis with peripheral exudation, multiple gallbladder stones with cholecystitis, Stones at the lower end of the common bile duct with common bile duct and intrahepatic bile duct dilation", after consulting and treating the relevant specialists, Mr. Xu's abdominal pain has been alleviated, and then he will follow the doctor's instructions to prepare for ERCP stone removal surgery in gastrointestinal endoscopy. Because the acute phase of cholecystitis cannot be treated surgically, it is planned that the patient will have the common bile duct stones removed, cholecystitis and pancreatitis cured, and then undergo laparoscopic cholecystectomy after 2 to 3 months of recuperation.

<b>Acute pancreatitis is really "terrible" and may also be combined with multi-organ failure</b>

Professor Zhu Yongkang, a famous traditional Chinese medicine doctor in Jiangsu Province and the chief of the Department of General Surgery of Jiangsu Provincial Hospital of Traditional Chinese Medicine, told reporters that acute pancreatitis is a disease that causes abnormal activation of pancreatic enzymes for various reasons, causing the self-digestion of pancreatic tissue, and can cause dysfunction of other organs when serious. Acute pancreatitis is mainly divided into mild (edema type) and severe (hemorrhagic necrosis type) two, despite the current medical level is high, the mortality rate of acute severe pancreatitis is still as high as 15% to 20%. The main symptoms of acute pancreatitis are sudden ongoing epigastric pain, which can be accompanied by malignancy, vomiting, bloating and fever, and acute severe pancreatitis can also be accompanied by hypotension, shock, and multi-organ failure, such as respiratory failure, renal failure, intestinal obstruction and other complications.

Director Zhu Yongkang said that the cause of acute pancreatitis is mainly related to overeating, biliary diseases, hyperlipidemia, etc., and trauma and surgery can also induce acute pancreatitis.

(1) Overeating, including alcoholism, is the main cause of acute pancreatitis, often during the holidays, high incidence, injury to the spleen and stomach, transportation negligence, damp and hot internal knots, pancreas damage, increased pancreatic secretion, increased protein concentration, resulting in pancreatic secretion of the pipeline blockage, inducing pancreatic enzymes to "advance" activation, thereby inducing acute pancreatitis.

(2) Biliary diseases. In addition to overeating, alcoholism and other reasons, acute pancreatitis is also closely related to gallstones, biliary tract infections and other biliary diseases, gallstones are easy to cause pancreatic fluid discharge obstruction, bile reflux into the pancreatic duct, resulting in pancreatic enzyme activation, thereby causing pancreatitis. Therefore, patients who already have biliary stones and gallbladder stones should avoid overeating, and if the biliary disease is coupled with overeating, it is easy to induce acute pancreatitis.

(3) Hyperlipidemia. Hyperlipidemia is also a common cause of acute pancreatitis, if the blood lipids are high, it will promote the secretion of a large amount of pancreatic enzymes, resulting in a sudden rise in pressure in the pancreatic duct, causing the rupture of pancreatic vesicles, pancreatic enzymes into the interstitium between cells and promote the onset of acute pancreatitis.

<b>Acute pancreatitis should not be underestimated, and timely go to the hospital for symptomatic treatment</b>

In view of the treatment of acute pancreatitis, Director Zhu Yongkang said that in the case of perfect examination, clear diagnosis, and combined with medical history, it is necessary to standardize the symptomatic treatment of different conditions of acute pancreatitis. (1) Non-surgical treatment, mainly including the prevention and treatment of shock, improvement of microcirculation, antispasmodic, analgesic, fasting, gastrointestinal decompression, inhibition of pancreatic enzyme secretion, anti-infection, nutritional support, prevention of complications (respiratory failure, kidney failure, gastrointestinal bleeding, etc.), strengthening some measures of intensive care, etc. (2) If there is an infection, it should be treated accordingly. (3) Adjuvant treatment of traditional Chinese medicine. Acute pancreatitis belongs to the categories of "abdominal pain", "stomach pain", "spleen heartache", "flank pain" and other categories of Traditional Chinese medicine, and the occurrence of this disease is closely related to the liver, gallbladder, spleen, stomach, intestines and other organs. For different types, it is possible to soothe liver choleretic, clear heat and dampness, stasis blood, clear heat and other traditional Chinese medicine for conditioning, provincial hospital preparations of pancreatic compounds can also help inhibit pancreatic secretion, in addition to acupuncture therapy, take relevant acupuncture points for analgesia treatment.

Director Zhu Yongkang reminded that during the holidays is often indispensable to food and wine, after a meal of Hu eating and drinking, once severe abdominal pain, vomiting, bloating, fever and other symptoms occur, it is necessary to go to the hospital in time, do not simply think that it is just stomach pain or take some medicine by yourself, avoid significant risk factors, reduce the risk of pancreatitis, live regularly, avoid overeating, alcoholism and excessive tension, fatigue. Patients with biliary tract disease should be actively treated to prevent the occurrence of biliary pancreatitis.

【Source: New Jiangsu, China Jiangsu Network】

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