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Nutrition as a risk factor for acute pankreatitis
PECHUŠKOVÁ, Pavlína
Acute pancreatitis or acute inflammation of the pancreas is not one of the most common diseases. Pancreas is a vital organ involved in many important digestive processes and its infliction may be fatal. Patients with acute pancreatitis represent 1-2 % of patients hospitalized at surgical departments (Dobiáš, 2012). The most common ethiological factors of acute pancreatitis are cholelithiasis and excessive consumption of alcohol (Havel, 2004; Lukáš, 2007; Kasper, 2009; Svačina, 2010; Šimek, 2005; Špičák 2005). These factors together make up 80 % of the causes. Most often stated ratio is 3:1 in favor of cholelithiasis. Among rarely occuring causes are abdominal injuries, developmental anomalies of pancreas, drugs, hyperparathyreosis and uremia. This bachelor´s thesis deals with nutrition, eating habits and other factors that might cause acute inflammation of the pancreas. The aim of the thesis is to valorize eating habits of patients with acute pancreatitis and to evaluate how much is the excessive alcohol consumption involved in causing the desease. I set two hypotheses to achieve these goals: Hypothesis 1: The patients with acute pancreatitis followed principles of healthy diet before getting ill. Hypothesis 2: The majority of respondents consumed excessive amount of alcohol before getting ill. Acute pancreatitis as a disease is described and defined in the theoretical part of the thesis. Then its occurence is cleared up, proved and suspected causes, clinical picture and process of treatment of the disease are elucidated. Dietary measures recommended for the patients are described in detail. I also delineate the principles of pancreatic diet and its phases. In conclusion the influence of the eating habits and suitable precautions are described. The results of my research are presented in the practical part of the thesis. The research was to evaluate eating habits of the patients with acute pancreatitis before the disease outbreak. Moreover the consumption of alcoholic beverages, the presence of another illnesses and the probable risk factors causing acute pancreatitis were eximined. I have chosen quantitative research method. The research was conducted by the means of questionnaire survey at the wards of five different hospitals. The research sample consisted of 27 patients, both sexes and different ages, with the diagnosis of acute pancreatitis. The aim was to evaluate probable risk factors causing acute pancreatitis and the role of diet and alcohol consumption. The results showed that the Hypothesis 1 was not confirmed. The patients didn´t follow the principles of healthy diet before getting ill. Hypothesis 2 was not confirmed too. In most cases the patients didn´t consume more than the tolerated amount of alcohol per day. However, in comparison with the other factors, alcohol can significantly contribute to the onset of acute pancreatitis. Futhermore, it was found that another risk factor for acute pancreatitis is cholelithiasis, the presence of gallstones in the gallbladder or bile ducts, either currently or previously. Another interesting finding was that Body Mass Index of the patients is not directly correlated with their eating habits. The thesis brings knoledge about the causes of acute pancreatitis, about the eating habits´ influence and about the impact of excessive alcohol consumption. If causes are clear, prevention measures can be set easily. Nutritional recommendations based on the results could be set down for residents and it could thereby contribute to the reduction of occurence of the disease.
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