Diffuse parenchymal changes of the pancreas, detected by ultrasound (U.S.), can be observed in various diseases, and the only doctor on the basis of a comprehensive survey and examination of the patient, his analysis of complaints can make a definitive diagnosis.
All the internal organs of man are divided into parenchymal and hollow. Parenchymal organs stuffed inside the parenchyma, that is the basic fabric. These organs include, for example, pancreas, and liver, the abdominal cavity. The main tissue in the pancreas is a glandular tissue, it is divided into lobules by connective tissue septa and covered in the same capsule. The functions of the pancreas, liver and bleary tract are inextricably linked, as these organs have a single duct through which derived pancreatic juice and bile. Therefore, any violation of the liver affect the condition of the pancreas, and vice versa.
By the hollow organs of the abdominal cavity include the esophagus, stomach, intestine, gall bladder.
As the ultrasound scan of the pancreas
Ultrasound of the pancreas and adjacent organs, especially the liver and bleary tract, is fairly simple, safe for the patient, but informative method of investigation. The ultrasound scan is usually in the morning on an empty stomach (twelve hours after eating). Sometimes bloating before the research is done enema (on the border fabric – the air is fully reflected ultrasound signals). To improve the visibility of the pancreas just before the study, patients sometimes asked to drink one or two glasses of water.
The research is usually carried out with the patient lying on his back with a raised head end. Applied to the skin a special paste or liquid paraffin to improve the contact between the transducer and the skin.
What can be seen on ultrasound
The unchanged pancreas has the shape of a comma, a horseshoe or harness. The fabric on the sonogram of her uniform, dense loops, the density is not very different from the surrounding tissue. Iron or part of pulses passing over her large blood vessels.
Based on the ultrasound doctor patient can have an idea about the location of these bodies, their relationships, and in the presence in them of a pathological process, to know its depth and length.
It is established that the presence of pancreatic parenchyma lesions in some way affect the value of the absorption coefficient of ultrasonic radiation, which decreases swelling in tissues and increases as a result of filling (infiltration) of their cellular elements, proliferation of connective tissue or fatty degeneration. It is also shown that malignant tumors have higher absorption coefficient of ultrasonic energy that distinguishes them from benign tumors.
As changes occur parenchyma
Diffuse changes pancreatic parenchyma often develop in various metabolic and degenerative diseases of the body, leading to replacement parenchyma fat or connective tissue.
Often diffuse changes in the pancreatic parenchyma observed in the elderly, diabetics, in various diseases of the cardiovascular system, leading to blood circulation in the pancreas. Diffuse parenchymal changes of the pancreas can also cause liver and bleary tract, the gastrointestinal tract, as well as long flowing infectious and inflammatory diseases of any of the internal organs, which over time can lead to metabolic disorders.
In young people and middle-aged people are also often identified diffuse parenchymal changes of the pancreas. Most often they are the result of suffering a non-severe acute pancreatitis, of which the patients themselves sometimes do not remember, though, he called the substitution of pancreatic parenchyma tissue connective tissue.
As far as diffuse changes of pancreatic parenchyma affected its function, and whether the patient treatment, determined by the attending physician based on the patient’s complaints, his story about how the disease was leaking, data, physical examination, and the relation of all this additional survey data, including by the ultrasound.