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Введение

Хронический панкреатит — это заболевание, которое может вызывать множество симптомов и осложнений, требующих своевременного лечения [1]. Наиболее распространенным клиническим проявлением является абдоминальная боль, которая становится основной причиной для обращения к врачу и значительно снижает качество жизни пациента. По мере развития хронического панкреатита, у пациентов может развиться экзокринная недостаточность поджелудочной железы, проявляющаяся в виде стеатореи и нарушения пищеварения. Также существует риск возникновения сахарного диабета, связанного с разрушением островковых клеток поджелудочной железы.

У пациентов с хроническим панкреатитом могут возникать различные осложнения, такие как псевдокисты поджелудочной железы, обструкция общего желчного протока, дуоденальный стеноз, псевдоаневризма висцеральной артерии, панкреатический асцит и плевральные выпоты, варикозное расширение желудка из-за тромбоза селезеночной вены и злокачественные новообразования поджелудочной железы. Единственным эффективным способом предотвратить прогрессирование хронического панкреатита является отказ от вредных привычек, таких как курение и употребление алкоголя. Все остальные методы лечения направлены на устранение боли в животе, нарушений пищеварения, панкреатогенного диабета или других осложнений, связанных с хроническим панкреатитом.

Общие рекомендации для всех пациентов

Лечение абдоминальной боли при хроническом панкреатите

Лечение экзокринной недостаточности поджелудочной железы

Лечение эндокринной недостаточности поджелудочной железы (панкреатогенный диабет)

Резюме

Список литературы