Methods of researching the pancreas

Early Warning Signs Of Pancreatic Cancer (Health And Medical Video July 2018).

Correct pancreatic examination is a necessary condition for accurate diagnosis.

For the diagnosis of pancreatic diseases, general-clinical, laboratory and instrumental methods of investigation are used.

General clinical methods of research

The examinations begin with careful inquiring of the patient about available complaints. Already at this stage you can suspect violations from the pancreas, and sometimes determine their nature. Here attention is paid to such complaints as pain in the upper abdomen, nausea and vomiting, digestive disorders, stomach upset.

Pain syndrome, characteristic for inflammatory diseases of the pancreas, has its own peculiarities. Pain sensation while concentrating in the upper abdomen and wearing a protective character. Pain may be moderate or high intensity, provoked by the intake of fatty foods, alcohol.

In tumorous lesions of the pancreas, any painful sensations may be absent for a long time.

Disorders of digestion with damage to the pancreas are manifested in complaints of frequent emptying, change in its consistency.

Reduced appetite, nausea, vomiting that does not bring relief - the symptoms that are characteristic of inflammatory pancreatic defeat.

A sharp decrease in appetite up to aversion to food is possible with pancreatic cancer. Tumor diseases of the pancreas can also lead to compression of the bile ducts and the appearance of jaundice. When examined by a patient, the doctor may pay attention to weight loss, change in the color of the skin.

Normally, the pancreas is not palpable, but in the presence of a tumor or cyst of the pancreas, it is possible to detect a seal in this area. Inflammatory lesions of the pancreas are accompanied by pain when pressed in the upper abdomen.

Laboratory research methods

The most commonly used laboratory methods are the determination of the activity of pancreatic enzymes in biological fluids and the study of feces.

In the serum of blood and urine, the content of pancreatic amylase is most often studied. When inflammatory disease of the pancreas increases the activity of this enzyme.

At coprologic research, an increase in the total number of feces, an increase in the content of neutral fat in feces (steatorrhea) is detected.

Laboratory also examines the composition of pancreatic juice and the contents of the duodenum.

Instrumental research methods

Ultrasound diagnosis of the pancreas can clarify the size, shape, contours of the pancreas and violation of its structure.

For the same reason, computer or magnetic resonance tomography of the pancreas is possible, which gives more detailed information about the state of the organ.

X-ray of the abdominal cavity allows to identify the indirect signs of pancreatic damage - the change of the position of adjacent organs, changes in the stomach and intestines, molding and stones in the ducts of the gland.

Endoscopic retrograde pancreato-cholangiography (ERPCG) is performed to clarify the state of pancreatic ducts. In this case, the X-ray examination of the gland is made after the introduction of contrast media directly into its duct through the duodenum.

In complex cases, additional testing methods, such as laparoscopy or pancreatic biopsy, are used to determine the extent of treatment.

Methods of researching the pancreas

Category Of Medical Issues: Diseases

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