Anatom3D
ENCZDE
Download

Pancreatitis

Pancreatitis · Zánět slinivky (pankreatitida)

What it is

The pancreas digests itself — gallstones and alcohol cause 80%.

Symptoms & signs

  • Severe boring upper pain to the back
  • vomiting
  • better leaning forward
  • fever
  • distension
  • fatty stools if chronic

🚩 Get help if…

  • call 112 / 911 now Severe upper belly pain boring through to the back
  • call 112 / 911 now Belly pain with vomiting, fast heartbeat or breathlessness
  • see a doctor soon Yellow skin or eyes
  • see a doctor soon Greasy floating stools or weight loss after pancreatitis

Where it strikes

Medical treatment

  • Moderate, goal-directed IV fluids (aggressive fluids caused overload in the WATERFALL trial)
  • analgesia
  • early feeding
  • ERCP for stones
  • cholecystectomy
  • enzyme replacement in chronic disease

Natural & lifestyle

  • Absolute alcohol abstinence
  • low-fat diet
  • stop smoking
  • small frequent meals
  • fat-soluble vitamins

Emerging & experimental

  • Lactated Ringer's protocols
  • antiprotease trials
  • total pancreatectomy with islet auto-transplant

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Antioxidants (selenium, vitamins C and E, methionine) in chronic pancreatitis — some trials less pain, others none mixed evidence
  • Fasting 'to rest the pancreas' — trials show early feeding is better not confirmed in trials
  • Acupuncture for pain — small trials early / small studies
  • Curcumin — laboratory data and a small trial early / small studies

ICD codes