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Jun22

Acute Pancreatitis Treatment In Delhi

Acute Pancreatitis Treatment In Delhi

 

What is acute pancreatitis?

Acute pancreatitis is an inflammation of pancreas which leads to all the symptoms of the disease.

What are the causes of Acute pancreatitis?

Main causes of acute pancreatitis are gallstones, alcohol, drugs (like furosemide, azathioprine, steroids, and others) and hypertriglyceridemia and hypercalcemia.

What are the symptoms of the disease?

The main symptoms are severe pain in the upper abdomen which can radiate to back. Associated with vomiting and respiratory difficulty. If the disease is severe there may be fever, decreased urine output or bleeding from the GI Tract.

What is the treatment for pancreatitis in Delhi?

The treatment of the disease can be divided into two or three phases

Ist phase is during the first week of the disease: It is the critical care phase in which ICU care is required for the severe cases. Patients may require respiratory support or may even require dialysis in severe cases. This is the time when most of the mortality occurs in the cases of acute pancreatitis.

Pancreatitis treatment in Delhi requires a good ICU care in the initial intensive phase.

2nd phase is in the week 2-3. This is the time when the infective complications increase be it local infections in the surrounding necrosis or respiratory ones. Patient should be fed by mouth as most of the complications are due to bacterial translocation through the intestine. Feeding helps prevent bacterial growth and translocation. In case patient is not able to take orally an enteral feeding tube may be placed for enteral feeding. Antibiotics are given according to the situation.

If the patients get fever and CT documents infected necrosis drainage of the infected collection is required. It is usually done by putting CT/ Ultrasound guided drainage catheter into the collection. Multiple catheters may be required, and frequent upgradation may be needed. Majority of the patients would settle with this management. A few patients would require surgery.

Pancreatitis treatment through surgery in Delhi:

These few patients may require surgery which is pancreatic necrosectomy. It can be done open through minimal invasive means of Laparoscopy

3rd phase is after 4 weeks. This is the phase for managing the late complications like pseudocyst or pancreatic fistulae. This can be done with endoscopic interventions or surgery

To sum up Acute Pancreatitis can be a severe disease which can sometimes become life threatening also. Pancreatitis treatment in Delhi requires a good critical care and may require surgery.



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