Diabetes

What is pancreatic lipomatosis and how to treat it?

Lipomatosis of the pancreas is a very rare disease that manifests itself as fatty infiltration or replacement of the glandular tissue of the pancreas with fat cells. Fat change can be both local and complete.

The etiology of the disease is not yet fully understood. The disease is often accompanied by some concomitant diagnoses.

Such diseases may include:

  1. Obesity.
  2. Increased appetite.
  3. Problems with the work of the pancreas.
  4. Frequent viral infections.

It is also known that most often this disease is diagnosed in older patients, the causes of its occurrence can be varied.

Symptoms of the disease can be variable. They mainly depend on the degree of replacement of glandular tissue adipose tissue. The initial degree is usually asymptomatic. However, the occurrence of diarrhea and abdominal pain is a common symptom of the disease.

Often there may be a local obstruction of the duodenal loop. Thus, the doctor usually assesses pancreatic lipomatosis as a possible differential diagnosis in a patient with malabsorption. The use of abdominal CT can establish whether the patient has a lipoma.

Typically, diffuse changes of the pancreas by the type of lipomatosis are characterized by the replacement of cells characteristic of the gland with adipose tissue.

The disease is the most common benign pathological condition of an adult pancreas. Most cases remain asymptomatic, and only some rare, extreme degrees of lipomatosis can lead to exocrine pancreatic insufficiency, and the liver also suffers from this pathology.

To cure a disease, you have to change your diet. Diet in this case is a very effective method of therapy.

What is lipomatosis?

Speaking exactly what it is and how to treat it, it is important to note that the exact etiology of the ailment remains unclear.

At the moment, there are numerous studies, but the exact answer has not yet been received by doctors.

It was found that the occurrence of this condition may be associated with several diseases.

Such diseases are:

  • diabetes;
  • metabolic syndrome;
  • acquired or hereditary pancreatitis;
  • alcoholic hepatitis;
  • cystic fibrosis.

Often, patients are diagnosed with pancreatic fibrolipomatosis - what it is, how to deal with this disease, explains the attending physician. It is important to understand that this is a more dangerous stage of development of the disease, as, for example, lipoidosis. It is accompanied by formations that tend to turn into oncological tumors.

The pancreas is both an endocrine and an exocrine organ. The exocrine constituent is about 80% of the total volume of glandular cells and consists mainly of two different types:

  1. Acinar cells (mainly secreting digestive enzymes);
  2. Duct cells (mainly secreting fluid and electrolytes).

The endocrine component includes typical islets of Langerhans, which contain several types of cells scattered in exocrine tissue.

How is the disease determined?

Lipofibromatosis, lipomatosis, and pancreatic fat replacement are the most common benign pathological processes in the body in adults.

Classically, this phenomenon causes an increase in hypodotension, as can be seen on CT scan and typical hyperechogenicity, which is diagnosed during an ultrasound examination.

Fat accumulation in the pancreas (lipomatosis) and replacement of various parts of the pancreas with fat have been called various synonyms.

The following synonyms are used in medicine:

  • pancreatic lipomatosis;
  • fat replacement;
  • fatty infiltration;
  • fat pancreas;
  • lipomatous pseudohypertrophy;
  • non-alcoholic diseases of the pancreas;
  • hepatosis of the pancreas.

Based on various imaging results, the term "lipomatous infiltration" could be used. This is due to the fact that when the pancreatic glandular islands are dissociated by adipose tissue, diffusional modification of density (CT), echogenicity (ultrasound) and signal (MRI) is observed.

When the islands of the pancreas, disappear or are strongly replaced by fat, we can say a glaring "replacement of fat."

Similarly, the term "lipomatous infiltration" is used, in cases where the process seems reversible.

Pathology treatment methods

A significant degree of deterioration of the pancreas may be associated with a decrease in the functions of this organ, respectively, this may in turn lead to exocrine pancreatic insufficiency. This situation leads to the development of nutrient digestion problems and clinical symptoms, including chronic diarrhea, steatorrhea and weight loss without abdominal pain or diabetes.

It has been suggested that there is a direct link between pancreatic AF and exocrine insufficiency of this organ. Further functional studies are needed to establish the exact degree of AF that can cause symptomatic exocrine insufficiency. After all the tests will be carried out, it is necessary to prescribe an effective treatment of the disease.

It should be noted that in most cases, operational methods of treatment of the disease are used. The use of surgical techniques may further lead to recurrences. Therefore, the first thing that doctors recommend to pay attention to patients who have been diagnosed with this diagnosis is a lifestyle change. You need to follow a strict diet, spend more time outdoors, play sports. With lipomatosis, you can temporarily refuse to eat. Medical fasting for pancreatitis has proven itself well, so with this pathology, this method also works.

It is important to lose weight, it is effective advice in terms of dealing with such a disease. To do this, the patient must adhere to certain rules of nutrition, as well as engage in specific sports. Food should be fractional, it is better to eat about 4-5 times a day. From fatty and fried foods will have to be abandoned. In this case, vegetable food will be very useful.

It is recommended to use more:

  1. Jerusalem artichoke.
  2. Pumpkin.
  3. Squashes.

An accurate diet and the required amount of physical activity prescribed by the attending physician.

Treatment of folk remedies

The above diagnosis can not be called mortally dangerous for a person’s life, but at the same time, if you start the disease, it can lead to negative consequences.

Drugs are used after surgery to restore the functions of the gland.

There are also popular methods of getting rid of the problem. These methods should be used as additional methods in combination with traditional therapy.

Among the most popular recipes that nature presented, the following should be noted:

  1. Using infusion hemlock. It is necessary to use it daily, gradually increasing the dosage. The first day - 1 drop, and so on, until the dose reaches forty drops.
  2. The use of herbal. For this you need nettle, valerian, calendula and St. John's wort. All of this is mixed in equal proportions and filled with boiling water (one cup is enough). This infusion is drunk for an unlimited amount of time, the only thing that needs to be done is a break for a week, every twenty days.
  3. Broth aspen bark. It is drunk about four times a day, about one tablespoon. The course of treatment is a month. Broth helps not only to eliminate the unpleasant symptoms of lipoma, but also to restore the synthesis of pancreatic hormones.
  4. Popular in the treatment of this disease is such a folk remedy, as a mummy. It is applied at 0.2 grams several times a day. The treatment period is two weeks, after that, a short break is taken and therapy resumes again.

As mentioned above, one should not hope that traditional methods of treatment will be able to replace traditional therapy. In any case, without consulting with your doctor is not enough.

In most cases, you will need to resort to surgery. Traditional medicine, rather, helps to avoid repeated relapses. But before applying any of the methods described above, you must first consult with your doctor.

Lipomatosis and pancreatic functions are described in the video in this article.

Watch the video: Diagnosing Pancreatic Tumors and Cysts - Mayo Clinic (September 2019).