Diffuse pancreatic changes: which means how to treat, diet

Diffuse changes in the structure of the pancreatic tissue - these are signs of the disease, detected by ultrasound.

Let's take a closer look at the features of this pathology, their types, the causes of this pathology, symptoms, diagnostic methods and methods of treatment.

[1], [2], [3]

Causes of the diffuse changes in the pancreas

The causes of pathology are diverse. Most often, changes occur in exchange-dystrophic processes in the organ. Changes can develop if there is a violation of blood circulation in this area, endocrine and metabolic diseases, disruption of the bile duct and liver.

In elderly people and patients with diabetes, the prostate tissue decreases in volume. The missing volume is filled with fat tissue. These changes are not considered pathology and do not require treatment. But according to the results of ultrasound, the diagnosis will sound like a diffuse change in the pancreas with increased echogenicity at normal organ sizes.

Similar changes can be observed even with a uniform replacement of the destroyed tissues of the organ with a connective tissue. The size of the gland can be normal or slightly reduced. This symptom arises from chronic metabolic dystrophic disorders or acute pancreatitis. If the diagnosis of acute pancreatitis is not confirmed, then diffuse changes do not require treatment.

The causes of various diffuse changes in the pancreas:

• Unbalanced diet, excessive use of spicy, sweet, salty, floury, fatty.
• Chronic stress and hereditary predisposition.
• Abuse of alcohol, tobacco.
• Diseases of the gastrointestinal tract.
• Irrational drug intake.

Very often, diffuse changes in the pancreas occur in patients with diabetes mellitus because of a lack of insulin production. The patient has increased blood sugar, and glucose appears in the urine. Changes of this kind require very specific treatment, which is aimed at eliminating the underlying disease. Do not forget about acute and chronic pancreatitis, which lead to diffuse changes in the pancreas and require treatment.

[4], [5]

Pathogenesis

Diffuse changes in the pancreas are not considered as an independent diagnosis, but evidence of the presence of a pathological condition, that is, they act as its individual symptom. The presence of diffuse changes indicates a decrease or increase in the size of the pancreas or tissue compaction and organ structure. Changes can appear due to inflammatory processes, to be a sign of aging of the body, to arise as a result of sclerotization. Not always diffuse changes (CI) are accompanied by the underlying disease. That is, there is no such disease as diffuse changes in the pancreas, but after an ultrasound, the doctor can write a similar conclusion. This indicates changes in the organ, most often metabolic-dystrophic.

Pancreas or pancreas (PW) is the largest gland of internal and external secretion. The organ is located in the retroperitoneal space, on the back wall of the abdominal cavity. The pancreas has a body, a head and a tail, and in front it is covered by a stomach.

• The widest part of the organ is the head of the prostate. It is located to the right of the spine and enters the inner bend of the duodenum. The body of the organ is in front of the spine, and on the left side it slowly goes into the tail.
• The pancreas has a duct that runs in the direction from the tail to the head and exits into the wall of the duodenum. The gland fuses with the bile duct, but in some cases the ducts exit into the duodenum themselves.
• The iron produces pancreatic juice, which consists of enzymes digesting proteases, lipases and amylases, that is, it performs an exocrine function. In the tissues of the body are glands of internal secretion, which produce insulin, which helps absorb glucose tissues.

[6]

Symptoms of the diffuse changes in the pancreas

Symptoms of DI depend on the underlying disease, which led to the appearance of changes. The main symptomatology looks like a worsening of appetite, frequent constipation and diarrhea, a feeling of heaviness in the stomach. Let's look at the symptoms of diffuse changes that are characteristic of certain diseases.

• In acute pancreatitis in the duct of the prostate arises an increased pressure, which causes damage to the body and the output of digestive enzymes through the gland tissue. This leads to the destruction of pancreatic tissues and causes intoxication of the body. The patient feels terrible pain in the left hypochondrium, frequent vomiting and nausea. There are symptoms of increasing tachycardia and low blood pressure. The condition does not improve, right up to intensive care or surgical treatment.
• With chronic pancreatitis, the symptomatology of LPL is lingering. At the first stage, the gland is damaged, which leads to its swelling and small hemorrhages. After a while, the prostate gland decreases in size and is sclerosed, which leads to disturbances in the production of digestive enzymes. As the disease progresses, the patient develops severe pain.
• If the diffuse changes in the pancreas are caused by fibrosis, then at the beginning of the disease, there is no symptomatology. With fibrous inflammation, normal gland tissues change to connective tissue. This leads to a lower production of enzymes and hormones that support metabolic processes in the body and are responsible for the digestive process. The initial symptomatology of the disease is similar to the symptoms of pancreatitis. The patient feels constant pain in the left hypochondrium and nausea. Due to a lack of enzymes, nausea, diarrhea, vomiting, and sudden weight loss appear. In the future, due to the depletion of protein reserves, allergic organism begins to develop and insulin production is disrupted, which leads to diabetes mellitus.
• If the changes in the RV are caused by lipomatosis, then this is an irreversible process. The healthy tissue of the gland is replaced with fat tissue. Since fat cells do not perform the functions of the digestive glands, the body begins to feel the deficiency of substances that are necessary for normal functioning. The degree of severity, that is, the symptomatology of lipomatosis, depends entirely on the degree of diffuse changes in the pancreas. So, if the disease has a limited spread of the focus of the pathology, then the process is asymptomatic. With uncontrolled progression, the parenchyma is compressed by a massive accumulation of adipose tissue, which causes painful sensations and leads to disturbances in the operation of the prostate.

[7]

Diffuse changes in the pancreatic parenchyma

Very often found in the conclusion of ultrasound. This is not a diagnosis, but only the result of a study that indicates a uniform change in the gland tissues, the absence of stones, local foci, cysts or tumors. That is, ultrasound suggests that there are changes in the tissues of the parenchyma, the cause of which must be clarified.

Doctors distinguish the following causes of diffuse changes in the pancreatic parenchyma:

• Pancreatitis (acute form) is a serious disease that occurs as a result of a violation of outflow of secretion due to the inflammatory process in the pancreas. The result of the above process is reflected by diffuse changes in the parenchyma of the gland.
• Chronic pancreatitis is one of the forms of inflammation of the prostate. The disease can occur due to pathological processes in the gallbladder and liver or appear independently.
• Diabetes mellitus is a disease in which a healthy tissue of the gland is replaced by a fatty tissue. As a result, diffuse changes in the parenchyma of the organ are seen on the ultrasound examination.

In addition to diffuse changes, when examining the parenchyma of the pancreas, doctors can diagnose an increased echogenicity of the organ. Echogenicity of tissues is considered one of the important indicators that allow you to assess the density of internal organs. If ultrasound revealed an increased or decreased echogenicity of the pancreatic parenchyma, then additional tests are required to determine the cause of this pathology. As a rule, increased echogenicity of the pancreatic parenchyma, occurs when:

• Inflammatory process with the formation of fibrosis - connective tissue is scarred, which causes the tissue sites to differ in density. On ultrasound it gives a hyperecho signal. The disease can occur due to metabolic disorders.
• Lipomatosis of the prostate is the substitution of a healthy tissue for the parenchyma of the body for fat. Because of the changes, there is an increased echogenicity.
• Acute and chronic pancreatitis - an inflammatory disease leads to swelling of the organ, because of what the density of the parenchyma changes, which means that the echogenicity of the tissue increases.

[8], [9], [10]

Diffuse changes in the structure of the pancreas

There are uniform and uneven character. It is the nature of the changes that indicates that the processes occurring in the gland have a common, and not a local form. The tissues of the pancreas, due to inflammation and swelling, can become denser or on the contrary lose their density.

In case of non-uniform diffuse changes in the structure of the gland tissues, various tumors, cysts or sclerosis of the organ are most often detected. Most of the changes concern the parenchyma of the gland, since its tissues have a glandular structure. There are many reasons that lead to changes in the structure of the organ. Changes indicate violations in the body that without additional diagnosis and treatment can lead to serious consequences. Since the prostate is responsible not only for the process of digestion, but also for the production of vital hormones, such as glucagon and insulin.

Let's look at the most common factors that lead to structural changes.

• Inflammatory diseases and other disorders of the digestive system.
• Pathological heredity - very often RV diseases are transmitted to children from their parents.
• Chronic nerve overexertion, stress, increased fatigue.
• Improper eating, abuse of salty, spicy, fatty and sweet foods.
• Smoking and alcoholism.
• The patient's age - very often the diffuse changes in the structure of the pancreas begin at a late age.

The doctor's task is to determine precisely the cause of the changes. But do not forget that the change in the structure of the prostate can be a symptom of many diseases. That is, the presence of only structural changes, this is not a reason for setting the final diagnosis. The doctor is guided by the collected anamnesis and the results of other studies and analyzes.

[11], [12], [13]

Chronic diffuse changes in the pancreas

They may not show themselves for a long time. Chronic changes indicate the presence of chronic diseases and inflammatory processes. The cause of this kind of changes can be chronic pancreatitis, fibrosis or lipomatosis.

• Lipomatosis is a disease in which healthy gland tissues are replaced with fat cells. From this disease most often suffer people with diabetes.
• If, in addition to chronic diffuse changes in the pancreas, ultrasound revealed increased echogenicity, but the normal size of the gland is preserved, then this is fibrosis. The disease can be caused by a violation of metabolic processes or appear as a result of the fusion of connective tissue.

Chronic diffuse changes in the pancreas indicate uniform changes in the organ. Similar results of ultrasound are not a diagnosis, but serve as a signal for a doctor who must find the cause of the changes and eliminate it.

[14], [15], [16]

Diffuse reactive changes in the pancreas

Mean secondary changes, that is, the response of the body to the disease. Diffuse reactive changes can occur in all diseases of the digestive system, since the functions of all organs and systems are interrelated. But most often reactive changes indicate problems with the liver or biliary tract, since it is with them that the PZ has the closest relationship.

Reactive changes may indicate the presence of secondary pancreatitis, which occurs in patients with diseases of the digestive system, due to regular overeating, eating fried, spicy, salted. Pathology also occurs with certain congenital enzymatic disorders and because of prolonged use of medications or anomalies in the development of bile ducts.

On ultrasound examination, diffuse jet changes in the pancreas are similar to that of acute pancreatitis. One of the parts of the organ is enlarged, most often the tail, an enlargement of the duct of the gland and changes in the tissues of the organ are observed. With secondary MI, the patient is waiting for a full diagnosis of the gastrointestinal tract to determine the true cause of this pathology.

[17]

Diffusive focal changes of the pancreas

Can testify that in the body there are tumor processes, cysts or stones. This is caused by local, that is, focal changes in the tissues of the pancreas. Similar processes can occur due to diseases, both the gastrointestinal tract and the prostate.

Diffusive focal changes require additional research and compulsory treatment. As evidence of the pathological process in the body. Patients with such ultrasound findings should be prepared for prolonged, and possibly surgical, treatment.

[18]

Diffuse fibrotic changes in the pancreas

This is scarring, that is, consolidation of the connective tissue. This pathology can occur due to metabolic disorders in the body, chronic inflammatory processes, viral or alcohol intoxication, or lesions of the hepato-biliary system. When performing ultrasound, fibrotic changes are characterized by increased echogenicity and tissue density of the organ. Not always a decrease in the prostate is observed, since the change in the size of the organ depends on the extent of the changes in the tissue.

Fibrous changes may indicate the development of fibroid tissue in the tissues. Fibroma is a benign tumor that is formed from connective tissue, does not metastasize and grows very slowly. The disease does not cause painful symptoms, so it can be diagnosed only by ultrasound. But if the tumor is large, it leads to squeezing of the prostate and the organs that are located next. Depending on the localization of fibroma in the pancreas there is a certain symptomatology:

• Pain in the left or right hypochondrium, in the navel and epigastrium - this is a sign of damage to the pancreas.
• If the fibroma is located in the head of the prostate, then the jaundice is symptomatic due to the jammed duct.
• If the fibroid compresses the duodenum, then the patient appears symptomatic, similar to the intestinal obstruction (nausea, vomiting).

Fibrous changes require treatment. Treatment can be carried out as conservative, i.e. Medication, and with the help of surgical intervention. In addition to treatment, the patient waits for a long recovery period, adherence to a healthy lifestyle and only dietary meals (diet table number 5).

[19]

Diffusive dystrophic changes in the pancreas

This is an irreversible process, which is associated with a deficiency of adipose tissue, which leads to pathological changes in the organ. The normal cells of the prostate are replaced by fat cells that are unable to function stably and support the functioning of the organ. Diffusive dystrophic changes are lipodystrophy.

Fatty degeneration arises from the death of the cells of the organ, under the influence of a number of factors (inflammatory processes, chronic pancreatitis, tumors). Because of such pathologies, the body is not able to restore its integrity. If the dystrophy has arisen because of a malfunction, and the number of dead cells is not great, then a person may not even know about similar processes in the body. Since the pancreas will work properly. If the dystrophy progresses, and the cells form foci, then this leads to a halt in the full operation of the pancreas.

Precise symptomatology, which would help diagnose diffuse dystrophic changes, is absent. As a rule, problems are detected during an ultrasound examination. All this suggests that any abnormalities in the operation of the prostate should be an occasion for profound diagnosis, which could confirm or refute diffuse dystrophic changes.

[20], [21], [22], [23], [24], [25]

Diffuse changes in the pancreas of the tail

This is a pathological process that requires detailed diagnosis. The pancreas has three main parts: the head, the body and the tail, which is already the main part. The tail has a curved, pear-shaped form, rises upward and snugly adjoins the spleen. The optimal width of the tail of the pancreas is 20-30 mm. In the tail there is an excretory duct, which has a length of 15 cm and passes through the entire body of the organ.

As a rule, diffuse changes in the tail of the pancreas indicate its densification or expansion. These changes are due to violations of the patency of the splenic vein. Against the background of these changes may develop portal hypertension of the adrenal form.

Diffuse changes in the tail of the pancreas occupy one-fourth of all organ diseases. Examine the tail through the spleen or left kidney. But to treat the pathology of the tail is very difficult. As a rule, the patient is operated on removing the tail of the prostate and blocking the blood vessels of the organ to maintain its normal functioning. With minor or moderate diffuse changes, conservative therapy and regular observation are possible.

[26], [27],

Diffuse parenchymal changes in the pancreas

Occur with various diseases of the gastrointestinal tract, and in particular the prostate. It should be noted that all the organs of the human body are divided into parenchymal and hollow. The parenchymal organs are filled with the main tissue, that is, the parenchyma. The pancreas and liver are the parenchymal organs of the abdominal cavity, since they contain glandular tissue, divided into many lobules by connective tissue septa, and covered with a capsule.

The functioning of the prostate, biliary tract and liver are interrelated, since all these organs have a single duct for the output of bile and pancreatic juice. Any violations in the liver are displayed on the pancreas and vice versa. Diffusive changes in the parenchyma of the pancreas arise from metabolic-dystrophic diseases, which lead to the replacement of normal organ tissue by fatty or connective tissue.

As a rule, diffuse changes in the parenchyma are found in elderly patients with diabetes mellitus and in people with cardiovascular diseases and circulatory disorders in the prostate. Changes can be caused by diseases of the liver, organs of the gastrointestinal tract, bile ducts or long-term infectious and inflammatory diseases that cause metabolic disorders.

Parenchymal changes occur in patients of young and middle age. The pathology is caused by the transferred acute pancreatitis. Changes may impair the functional capacity of the prostate and cause painful sensations. In order to determine the consequences of diffuse changes, it is necessary to conduct a patient examination and additional tests.

[28], [29], [30], [31], [32]

Stages

The degree of diffuse changes in the pancreas can be different. The changes vary. But in any case, their presence indicates pathological processes (focal inflammation, tumors, cysts or stones). Consider the main diffuse changes in the pancreas (DIP):

1. Diffuse decreases in the density of the prostate tissue, reduced echogenicity and increased size of the organ - this kind of change is typical for patients with acute pancreatitis. The disease occurs due to a violation of the outflow of digestive juice from the gland. Digestive juice begins to destroy the tissue of the gland, which leads to its puffiness and increase in volume.
2. Diffuse decreases in tissue density, reduced echogenicity, but maintaining normal size of the gland - these changes occur in chronic pancreatitis. The disease occurs due to disturbances in the process of digesting fatty foods. In some cases, the excretory duct of the gland may have a convoluted shape.
3. Diffusive increase of echogenicity without changes in the size of the prostate is evidence of lipomatosis. Lipomatosis is a partial substitution of a healthy tissue of the fatty body. Most often this disease occurs in elderly people and in patients with diabetes mellitus.
4. Diffuse pancreatic changes with increasing tissue density of the organ, increased echogenicity, but with normal or reduced organ size - similar changes occur in fibrosis of the gland. Healthy organ tissues are replaced by a connective tissue. This occurs after inflammation or metabolic disorders.

Diffuse changes in the pancreas are important only if there are additional studies. Based on the results of ultrasound, a general clinical picture, patient complaints and performed instrumental studies and laboratory analyzes, the doctor makes the final diagnosis. This allows you to designate an effective treatment.

Minor changes

Not a cause for concern. This diagnosis can indicate a recently transferred inflammatory disease, frequent stress or malnutrition. Very often, disorders of the prostate are due to the influence of the central nervous system. Regular stressful situations lead to increased sosokootdeleniem, and depression - to its oppression. As a result, an insignificant DIP is visible on ultrasound examination.

Elimination of the cause of changes, that is, proper nutrition and avoidance of stressful situations, can eliminate minor diffuse changes in the pancreas. If the onset of the pathological process is neglected, it will lead to serious damage to the prostate and very dangerous diseases, the treatment of which can be radical.

[33], [34]

Moderate changes

Occur in the first stages of diseases of the gastrointestinal tract. Moderate changes can occur in inflammatory processes that lead to swelling of the body. This is observed when there is a suspicion of pancreatitis. So, at the acute stage of pancreatitis, no densification is found, which indicates moderate DIPH.

• In some cases, moderate diffuse or diffusional organ changes occur in chronic pancreatitis. It is very important to know the reason that led to the appearance of the disease. Chronic pancreatitis can be the result of a prolonged course of acute pancreatitis. In the place of inflammation, small seals appear, of moderate character.
• Moderate DIPD can be caused by diseases of the duodenum or gallbladder. Due to violations of digestion of protein and fatty foods, insufficient production of pancreatic juices, the parenchyma is replaced by a fatty or connective tissue.
• Diffuse changes can occur due to fibrosis, that is, an increase in connective tissue, which has an uneven structure. This symptomatology does not require treatment if it does not cause painful sensations.

Diagnosing moderate diffuse changes in the pancreas is very difficult to say, which led to their appearance. If you suspect a gastrointestinal disease, the doctor performs additional tests and studies.

Unexpressed changes

These are pathological processes in the organ that do not affect its functioning. In the tissues of the prostate are the glands of internal secretion, which produce insulin for the body's absorption of glucose. A healthy organ has large contours and a uniform tissue. If diffuse changes are detected, then this indicates the replacement of healthy tissues with fat or connective.

The cause of unexpressed MI may be elevated blood sugar, liver or gallbladder disease, previously suffered acute or chronic pancreatitis. Diffusive changes in the unexpressed character are found in elderly patients, with diseases of the cardiovascular system, the organs of the digestive tract. Changes can be caused by infectious or inflammatory diseases, as well as hereditary predisposition.

Expressed changes

Witness the pathological process that occurs in the body. Changes can be caused by disease or inflammatory processes. As a rule, expressed DIPH is an occasion to conduct additional examinations of the gastrointestinal tract and the body as a whole. In especially difficult cases, changes in the organ are accompanied by painful sensations and complaints of the patient from the organs of the digestive system.

In most cases, pronounced diffuse pancreatic changes appear due to pancreatitis:

• In acute pancreatitis stagnation of pancreatic juice in the gland is observed. The patient feels severe pain, vomiting and a general severe condition. To remove the pain, you need to relax the smooth muscles of the gastrointestinal tract as much as possible and suppress the functions of the prostate. For this purpose, doctors prescribe non-steroidal anti-inflammatory drugs or narcotic drugs. After further study of the patient's condition, surgical intervention is possible.
• In the case of chronic pancreatitis, DIPD can be both pronounced and moderately expressed, that is, remain in the phase of remission. Exacerbation of chronic pancreatitis in its symptoms is similar to acute pancreatitis. Therefore, the disease requires the same treatment and additional diagnosis.

[35], [36], [37], [38], [39], [40], [41], [42], [43], [44]

Diagnostics of the diffuse changes in the pancreas

Diagnosis is performed using ultrasound. With the help of ultrasound, a doctor can diagnose an increase or decrease in the density of the tissues of the organ, change its homogeneity, detect inflammation. But you can confirm the DIP with only additional examinations.

The patient is given a biochemical blood test and an endoscopic examination. This allows to detect the inflammatory process and provides information on the state of the tissues of the organ. In addition to research, the doctor collects an anamnesis based on the patient's complaints. Mandatory palpation of the prostate and instrumental examination. Diagnosis consists of:

• Determination of the level of pancreatic enzymes and the level of glucose in the blood.
• Conduct a general blood test.
• Determination of pancreatic enzymes in urine and inhibitor / trypsin ratio.
• Ultrasound examination of the pancreas (body size, the presence of seals and swelling, the state of the viral duct).
• Carrying out of a computer tomography and ERPHG.

Ultrasound signs

Diffuse changes in the pancreas on ultrasound can in time reveal the pathological process and begin treatment. During the ultrasound examination of the prostate, the doctor evaluates the size and shape of the organ, the uniformity of the tissues and the presence of the formation. The conduct of ultrasound is a fairly long process, which is complicated by the fact that the organ is located behind the intestine and stomach, which contain gases. Therefore, before ultrasound, the patient must follow a diet that is aimed at reducing gas generation.

During ultrasound, the density of the pancreas structure is assessed, which can be diffusely increased or decreased. Do not forget that the organ is closely related to the gallbladder and liver, so any pathological changes are displayed on the gland and vice versa. To clarify the results of ultrasound of diffuse pancreatic changes, the patient is prescribed additional blood tests, feces, urine and endoscopy of the gastrointestinal tract.

Ultrasound examination of the pancreas is performed for the examination of the abdominal cavity organs. The main indications for ultrasound, this feeling is heavy after eating, diarrhea and frequent constipation, pain in the left hypochondrium and abdomen, bloating, diabetes, icterus of the mucous membranes and skin. Let's look at the process of ultrasound of the pancreas and the cases in which the organ of the organ appear.

[45], [46], [47]

Preparation for ultrasound

Since the prostate closely contacts the stomach, the study of air in the hollow organs complicates the visualization of the gland. Because of this, ultrasound is performed on an empty stomach, 12 hours after the last meal.

• Normal picture

The organ has a homogeneous structure, any diffuse changes are absent. Echogenicity of the pancreas, corresponds to the echogenicity of the liver and spleen. The doctor visualizes the head, isthmus, body and tail of the organ. Each of their structures is of normal size.

• Acute pancreatitis

With this disease diffuse organ changes are visible. The pancreas is enlarged in size, has fuzzy contours and an expansion of the pancreatic duct. Ultrasound can reveal changes in other organs. CIs can be focal, total or segmental.

• Non-specific non-tumorous lesions

There are many conditions that lead to the appearance of diffuse pancreatic changes. As a rule, all pathological processes begin with acute or chronic pancreatitis. Ultrasound clearly shows changes in the tissues of the organ, dystrophy or vice versa, the increase in the prostate. Such changes can result in injuries, diabetes mellitus, amyloidosis, intoxication.

• Benign tumors

Ultrasound examination shows focal-diffuse changes in the pancreas. Tumors can arise from cells of the endocrine system or connective tissue. But with the help of ultrasound it is rather difficult to recognize the nature of the seals, since many of them have a small diameter, and are similar in structure to the structure of the prostate.

• Malignant tumors

Ultrasound can detect pancreatic malignancies that are classified as: diffuse changes in the head, body, or tail of the organ. If the tumor is small, then it does not change the contours of the organ, but larger ones cause deformation of the prostate. In addition to ultrasound, the patient is given a histological examination to accurately confirm the malignant nature of the neoplasm.

All the ultrasound data is analyzed by a gastroenterologist or therapist, after which he appoints additional examinations and tests and establishes the final diagnosis.

ECHO-signs of diffuse pancreatic changes

Echoes of diffuse pancreatic changes occupy a special place in the process of ultrasound. When carrying out an ultrasound examination, the device uses sound ultrathin waves that are safe for the human body and can penetrate the tissues of the organs. The waves are reflected differently, which allows us to talk about the density and structure of the pancreas.

Diagnosis of pancreatic diseases is based on increasing or decreasing echocardiography of the organ. If the organ is healthy, then normal echogenicity is observed. With increased parenchyma density or replacement of normal tissues with fat or connective, echogenicity increases. If echolineses of MI indicate a decrease in parenchyma, then this indicates inflammatory processes in the pancreas, acute or chronic pancreatitis. Depending on the severity and nature of diffusion, it is possible to diagnose not only pancreatitis, then diabetes mellitus, tumors, fibrosis and abscesses.

In some cases, echoes of diffuse pancreatic changes may be the result of age-related changes or illnesses. There is a regularity, the more pronounced echopriznaky, the more DIPZH.

Treatment of the diffuse changes in the pancreas

Treatment is possible only if the changes are pathological. Very often, diffuse changes indicate a disease that has already been transferred or a possible organ damage. That is why when a DIP is detected, it is necessary to contact the attending physician to clarify the diagnosis and conduct therapeutic treatment.

• If the diffuse changes are caused by chronic pancreatitis in a latent form, then additional tests are performed to confirm the disease. Particular attention is paid to concomitant symptoms. Sharp weight loss, pain and dyspeptic disorders confirm pancreatitis. To treat diffuse changes, the patient is prescribed a diet and physiotherapy procedures.
• If the diffuse changes in the pancreas are due to diabetes mellitus, then the therapy is aimed at maintaining the blood sugar level and adherence to the diet. Many doctors recommend that patients use some methods of alternative medicine, for example, herbal medicine to maintain health.
• If DIPH occurred in elderly patients, then such processes do not require treatment. To maintain the body, patients are recommended therapeutic diet and active lifestyle.

Proceeding from the foregoing, it can be concluded that the diffuse changes in the pancreas alone are not treated. The doctor should diagnose the cause of malfunctions in the body, eliminate it and prescribe restorative therapy. CIs can arise from malnutrition, bad habits. Therefore, to eliminate this pathology, it is necessary to completely revise your lifestyle.

Diet for diffuse pancreatic changes

Therapeutic diet depends on the final diagnosis. Changes can be caused by pancreatitis, diabetes mellitus or other dangerous diseases, whose treatment is long and requires adherence to a special diet.

But, regardless of the disease, a patient with diffuse pancreatic changes should know that the body categorically does not tolerate alcohol. Taking alcoholic beverages will exacerbate the painful symptoms and worsen the condition. All patients with diffuse changes in the prostate should adhere to a low-calorie diet, the basis of which is plant food, cereals and dairy products. In this case, it is necessary to completely abandon the smoked, salty products and seasonings that enhance the taste and appetite. Food should be moderate, preventing the abundant secretion of digestive juices, as this can provoke attacks of pancreatitis.

DIPJ can testify to developing diabetes mellitus. From the diet, it is necessary to completely eliminate rapidly digestible carbohydrates: sweets, sweet fruits. The therapeutic diet for pancreatic diseases  should consist of cereals, fruits and vegetables. That is, in the presence of diffuse changes in the pancreas, the diet is prescribed immediately. Nutrition is adjusted depending on the disease, which led to changes in the pancreas.

Prohibited products:

• Any alcoholic beverages, even in the smallest quantity.
• Acute, fatty, sweet, salty, fried, smoked.
• Packaged juices, canned food, condiments, sausages.

Permitted products:

• Vegetables and fruit (use of citrus is better limited, because they have a lot of sugar, this applies to bananas and grapes).
• Low-fat varieties of meat and fish.
• Sour-milk and dairy products.
• Cereal products, cereals.

Portions should be small, it is recommended to eat more often, but in smaller portions. Food is better for steaming and is strictly forbidden to overeat. The use of salty foods leads to the deposition of salts in the tissues, so it is better to refuse salt, this also applies to sugar. It is forbidden to eat dry, but the drink should be moderate throughout the day.

[48], [49]

Prevention

Prevention of diffuse pancreatic changes consists in the observance of a number of rules.

• Alcohol, smoking, irregular meals and fatty foods - negatively affect the functioning of the pancreas.
• Regular use of herbal teas is an excellent prevention of diffuse organ changes. At the first pain symptoms, it is necessary to refuse fatty, salty and sweet.
• The food should be varied, but healthy. To eat it is necessary fractional - five-six times a day, but in small portions. It is important to observe moderation in food.
• In the presence of any diseases of the gastrointestinal tract, it is necessary to regularly undergo examinations and consult a physician.

Observance of all the above preventive measures will prevent the appearance of DIP and allow the body to function normally.

[50]

Forecast

The prognosis depends on the results of additional tests. So, if the patient has minor, unexpressed or moderate DIPH, then this does not require special treatment. It is enough to follow a diet and regularly undergo examinations to diagnose the condition.

If the diffuse changes, expressed or focal, this indicates a pathological process in the body. Treatment can be both conservative and surgical. For this, the doctor conducts additional diagnostics, which results in a treatment plan. The prognosis of this pathology, as a rule, is positive. Timely treatment and adherence to preventive measures make it possible to maintain the efficiency of the body.

Diffuse changes in the pancreas are not a cause for concern. Since in most cases, changes indicate natural processes in the body. But with pain and other negative symptoms, the doctor conducts additional studies to discover the causes of DIP and solve them.

[51], [52], [53]