Treatment of congenital chronic pancreatitis includes improving lifestyle, controlling symptoms, improving pancreatic function, treating complications and surgery.
1. General treatment: abstain from alcohol and smoking, avoid excessive high-fat and high-protein diet, and take appropriate exercise.
2. Symptom control: patients can take oral pancreatic enzyme preparations, subcutaneous injection of octreotide and non-opioid painkillers as prescribed by doctors to relieve abdominal pain. Intractable and non-obstructive pain can be treated with abdominal nerve block.
3. Improvement of pancreatic function: exogenous pancreatic enzyme replacement therapy.
4. Treatment of complications: congenital chronic pancreatitis is easily complicated by pancreatic duct stones, pancreatic duct stenosis, pancreatic pseudocysts, bile duct stenosis, etc. Endoscopic pancreatic sphincterotomy, pancreatic duct lithotripsy and pancreatic duct stenting are feasible.
5. Surgery: patients with intractable pain that cannot be relieved by conservative or minimally invasive endoscopic treatment can be treated with surgery, which includes pancreatectomy, pancreatic duct drainage and so on.
Congenital chronic pancreatitis is a progressive disease, patients should be active and early treatment, to avoid further development of the disease caused by a number of adverse complications, making it more difficult to treat.