Why is a gastric tube inserted in a patient with acute pancreatitis?

  Since pancreatic exudate and necrotic material cause stimulation to the gastrointestinal tract during acute pancreatitis, patients with acute pancreatitis often have gastrointestinal motility disorders, manifesting as nausea and vomiting, which require temporary fasting to allow the pancreas to get sufficient rest; since water and food may stimulate pancreatic secretion and aggravate the condition, a gastrointestinal decompression tube (gastric tube) needs to be left in place for gastrointestinal decompression to draw out digestive juices such as gastric acid to reduce the stimulation to the pancreas and promote recovery. Therefore, a gastrointestinal decompression tube (gastrostomy tube) is needed to reduce the stimulation of the pancreas and promote the recovery of the pancreas. In some patients, although nausea and vomiting are not obvious, abdominal distension is very serious, accompanied by symptoms of paralytic intestinal obstruction such as stopping defecation and exhaustion, etc. In this case, a gastric tube should be placed to attract gas from the gastrointestinal tract and reduce the pressure in the gastrointestinal tract; however, care should be taken not to leave the tube for too long, and the tube can be removed once the symptoms of abdominal distension improve significantly. At the same time, some drugs to promote the movement of the gastrointestinal tract, such as rhubarb, can be injected through the stomach tube to stimulate the recovery of intestinal movement and reduce the chance of serious infection caused by the translocation of intestinal bacteria into the abdominal cavity.