International Journal of Clinical Research

The clinical symptoms of acute pancreatitis are usually acute upper abdominal pain, nausea, vomiting, fever and elevated hematuria amylase, and pain in the low back, and severe patients may experience shock or even death. Acute pancreatitis can be combined with multiple organ damage in the early stage, and gastric damage is one of the common clinical organ damage. In general, as the pancreatitis improves, the abdominal pain will decrease or disappear. However, clinical studies have found that some patients have persistent abdominal pain for a long time after the detection index of acute pancreatitis has reached a normal level. Gastroscopy revealed that these patients had active gastritis or peptic ulcer, and the loss of abdominal pain was slower and significantly different than acute pancreatitis without gastric damage. For the treatment of acute pancreatitis-related gastric injury, the traditional western medicine treatment has good results, mainly involving the eradication of Hp, acid suppressor, prokinetic agent and gastric mucosal protective agent to reduce symptoms. However, in view of the adverse reactions of long-term treatment, it is easy to relapse after drug interruption. TCM drugs have little toxic and side effects, which can reduce the organ function damage caused by the systemic inflammatory reaction, making the overall case fatality rate greatly reduced, but its effect is relatively slow. The combined treatment of traditional Chinese and western medicine can reduce the dosage of western medicine and extend the course of treatment, so it better avoids the adverse reactions of western medicine and the slow effect of traditional Chinese medicine.

Acute pancreatitis; Traditional Chinese and Western medicine treatment; Acute pancreatitis-related gastric injury