Acute Pancreatitis Treatment In Delhi, Pancreatic treatment in Delhi, India | Dr. Neeraj Goel - PowerPoint PPT Presentation

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Acute Pancreatitis Treatment In Delhi, Pancreatic treatment in Delhi, India | Dr. Neeraj Goel

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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. – PowerPoint PPT presentation

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Title: Acute Pancreatitis Treatment In Delhi, Pancreatic treatment in Delhi, India | Dr. Neeraj Goel


1
Acute Pancreatitis Treatment In Delhi,
Pancreatic treatment in Delhi, India Dr.
Neeraj Goel 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.
2
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.
3
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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