The dreaded killer acute pancreatitis

  After a vibrant spring, we welcome the heat of summer. As the temperature rises and the daylight hours lengthen, the food-related industries gradually boom. The roadside stalls that had disappeared are coming back into the limelight. Cold beer, attractive specialties and inexpensive prices attract more and more people choose to “go out to eat”. Eating while watching, eating while talking, eating while playing has become another scenery of the city. However, who would have thought that behind this beautiful scenery, a dangerous killer gradually emerged, that is, acute pancreatitis.  Acute pancreatitis is a relatively common clinical acute abdominal disease, Chinese medicine belongs to the category of “spleen heart pain”, “knotted chest”, which is mainly due to liver depression and qi stagnation, the spleen and stomach real heat and then transformed into damp heat stagnation caused. Clinically, the incidence of AP can account for the 3rd to 5th place of all acute abdominal diseases. About 10% of patients present with severe acute pancreatitis, where inflammation is difficult to control and changes such as hemorrhage and necrosis of the pancreas occur, with a high mortality rate.  The etiology of acute pancreatitis in China is summarized in the following categories: (1) biliary (2) alcohol and overeating (3) hyperlipidemia (4) circulatory disorders (5) trauma (6) other.  Although biliary origin is predominant in China, with the change of people’s diet structure, heavy drinking, binge drinking, irregular diet and obese patients are gradually increasing, making AP and people’s life closer and closer.  Pain is the first and most important manifestation of AP: severe left upper abdominal pain after heavy alcohol consumption, satiety, and high-fat diet heralds the possibility of AP, accompanied by different degrees of malignancy, vomiting, and other GI symptoms. The pain is severe and unbearable and radiates to the back of the lower back. The first feeling of some patients may be: a heart attack. However, this pain cannot be relieved by oral nitroglycerin, anti-cardiac pain and other crown-dilating drugs.  The cause: because a large amount of fat and alcohol absorbed into the blood, stimulating the pancreas to increase secretion. As we all know, the pancreas is the digestive organ of the human body and its digestive capacity cannot be underestimated. The increased secretion of pancreatic juice and the increased content of pancreatic enzymes will line up as boluses in some of the small pancreatic ducts. At the same time, the stimulation of alcohol on the lower structures of pancreatic secretion (odi sphincter) leads to its edema, blocking the channels of pancreatic secretion. A large amount of pancreatic fluid accumulates, the pressure in the pancreatic duct increases, and as a result, the pancreatic vesicles rupture and pancreatic enzymes enter the bloodstream. As a result, pancreatic enzymes that are supposed to digest food end up digesting themselves, and pancreatitis occurs. A large amount of toxic substances enter the bloodstream and flow to all organs of the body with the blood flow, leading to a chain reaction.  For the treatment of alcoholic pancreatitis and hyperlipidemic pancreatitis, the focus is on prevention (biliary pancreatitis requires hospitalization) First of all, we need to change our bad eating habits, not a momentary pain and a lifetime of suffering. The Chinese Nutrition Society recommends that the limit of alcohol consumption for adults is no more than 25g of alcohol a day for adult men, equivalent to 750ml of beer, or 250ml of wine, or 75g of 38-degree white wine, or 50g of high white wine; and no more than 15g of alcohol a day for adult women, equivalent to 450ml of beer, or 150ml of wine, or 50g of 38-degree white wine. If you are unfortunate enough to have had pancreatitis, then it is recommended to avoid alcohol, eat lightly and avoid overeating.  For general mild pancreatitis, most of them can be cured by clinical non-surgical treatment. However, severe (necrotizing) pancreatitis should be actively treated surgically, and there are still various complications and great dangers after surgery, as well as a certain mortality rate.