How should pancreatolithiasis be treated?

summary

Recently, my aunt is very sick, loss of appetite, limb weakness, and some weight loss, abdominal distension, and a little pain. When she went to the hospital, the doctor said it was pancreatolithiasis. So how should pancreatolithiasis be treated? Now let's talk about it.

How should pancreatolithiasis be treated?

First, the treatment of pancreatolithiasis has not yet formed a fixed operation. The reason is that there is no certain pattern in the size and location of the stones, the degree of pancreatic duct stenosis, and the scope of pancreatic fibrosis. The specific operation method should be considered from many aspects.

Second: pancreatic parenchyma lithotomy: suitable for pancreatic head and body stones with multiple strictures of pancreatic duct. If there is no stricture at the proximal end of the solitary stones in the head and body of pancreas, the fibrotic pancreatic tissue should be cut at the stones, the stones should be removed, and the pancreatic duct and pancreas should be sutured properly. But this kind of case is rare. In general, multiple stones of pancreatic duct are accompanied by multiple strictures and dilations. In order to relieve the obstruction, sometimes most or nearly all of the pancreatic duct is split, the stone is removed, and the split pancreatic duct and jejunum are anastomosed laterally. Since most of the pancreas is fibrotic, there is not much bleeding when the pancreatic duct is opened.

Third: partial pancreatectomy: it refers to the cases where the stones are limited to the body and tail of pancreas and the pancreas is seriously damaged. If there is no stricture at the proximal end of the pancreatic duct after resection of the body and tail of the pancreas, the pancreatic stump can be sutured. When there is stenosis in the proximal end of the pancreatic duct, the jejunum under the pancreatic duct can be intubated or end to side Roux-Y anastomosis. Because most of the islet cells are located in the tail and body of the pancreas, excessive resection of the body and tail of the pancreas on a diseased pancreas will lead to severe pancreatic endocrine insufficiency. Therefore, the body and tail of pancreas should be reserved more, and pancreatojejunostomy is feasible when there is stenosis at the proximal end.

matters needing attention

Actively quit smoking and alcohol. There are many carcinogens in tobacco; Excessive drinking for a long time can increase the burden on the liver, which is harmful to the recovery of the disease. Experts have pointed out that long-term drinking is the most important factor leading to pancreatolithiasis, so it is necessary to let patients abstain from drinking in the nursing process.