Acute pancreatitis is a sudden inflammation of the pancreas. This leads to self-digestion (autodigestion) by the pancreas' own activated enzymes. Mainly the exocrine function is affected, a diabetic metabolic situation is therefore rare.

​

​

Anatomy of the pancreas & description of the endocrine & exocrine function:

Our pancreas consists of a head, a body and a tail.

The main task of the head area is to form enzymes for the utilization of our food and thus nutrients (= exocrine function). These are then released into the small intestine to break down carbohydrates, proteins and fats from our foods.

​

The main task of the tail area of the pancreas is to produce hormones for the metabolism of carbohydrates - insulin and  Glucagon (= endocrine function).

​

Main causes:

• Alcohol abuse

• Gallstones

• Bile reflux

• Duodenal reflux

• increased pancreatic secretion

• Circulatory disorders of the pancreas

• Papilla stenosis (papilla vateri / duodeni major is changed)

• Diverticulitis (duodenal)

• mumps

• Overactive parathyroid glands

• Zollinger-Ellison Syndrome (gastrin-producing tumor)

• Cystic fibrosis

​

Why is nutritional therapy important?

Nutritional therapy supports you in promoting and supporting the healing process / regeneration process by ensuring a wholesome, wholesome food selection - and cooking and kitchen preparation of the dishes. It also counteracts gas, bloating, pressure in the abdomen and pain. You will learn which foods you can safely eat.

The aim is to supply all of the fatty acids, micronutrients (vitamins and minerals) that are important to you, energy and protein in the measure that your body is optimally supplied with. For this purpose, foods that promote inflammation are specifically avoided and plenty of anti-inflammatory foods are consumed. Weight reduction is recommended if you are overweight / obese. An anti-inflammatory diet can improve the state of health.

​

You will learn how to reduce inflammation  can actively counteract this with foods that naturally have antifungal (against fungi), antibacterial (against bacteria), antiviral (against viruses) and antioxidant as well as immune-boosting properties - that is, they are almost natural antibiotics.

​

Symptoms:

• depending on the extent of the inflammatory processes

• Key symptom:

• Abdominal pain that occurs suddenly after eating, radiating in the form of a belt, possibly combined with nausea and vomiting

• Circulatory shock (kidney failure)

• Flushing of face

• The abdominal wall is tight as a board

• Ileus or subileus

​

Complications:

Pneumonia, pericarditis, encephalopathy, abscess formation,  Pseudocysts

​

Therapeutic measures at a glance:

• Often inpatient treatment required

• Fluid and food abstinence in the event of a severe course

• Nasogastric tube

• Infusion therapy

• Stimulation of pancreatic secretion must be avoided

• Pain therapy, shock therapy

• in severe shock: artificial respiration, possibly dialysis therapy for kidney insufficiency.

• strict bed rest (regardless of whether it is mild or severe)

• Diet therapy

• Enzyme substitution within the diet

• Alcohol ban

​

Diet therapy: nutritional principle

• Depending on the severity, course and nutritional status of the patient

• Parenteral nutrition

• Enteral nutrition

• Oral nutrition

• Combination of the above diets

• The duration of the individual nutritional phases depends on the individual course of the disease

• After healing, no more dietary measures are required

​

Classification of your weight - definition and classification of weight in relation to height.

Special percentile curves apply to children and adolescents; the BMI cannot simply be used here.

BMI and interpretation: BMI: body mass index. Formula: Body weight in kg : (body height in m) 2

Underweight: <18.5

Normal weight: 18.5 - 24.9

Overweight = pre-obesity: 25-29.9

Obesity grade I: 30 - 34.9

Obesity grade II: 35-39.9

Obesity grade III:> 40 = per magna

​

Blood count:

It is advisable to have your Omega 3 index checked regularly.

This provides information about the supply of valuable omega 3 fatty acids (alpha-linolenic acid, eicosapentaenoic acid and docosahexaenoic acid), which can significantly counteract inflammatory processes in the body.

​

Nutritional therapy

​

• Anti-inflammatory nutrition as a basis, individually tailored to you

• Holistic therapy - do you have any comorbidities that need to be taken into account during the consultation?

• Overall fat selection, how should it be designed

• How many animal foods (e.g. meat products, milk and dairy products, cheese, fish products, eggs) are recommended?

• What do I have to look out for when choosing animal foods?

• How can I counteract inflammatory processes through diet?

• Body weight: Weight reduction is recommended if you are overweight / obese.

• In the case of insulin resistance and lipid metabolism disorders, also treat them with nutritional therapy

• Avoid micronutrient deficiencies and mineral deficiencies & possibly counteract them with nutrient preparations

• Prevent protein deficiency

• Which nutrients do I need in which ratio?

• Get enough fiber (> 30 g / day) through natural foods, possibly fiber substitution

• Sufficient fluid: total fluid per day: 30 - 35 ml per kg body weight and day. Attention, this is not just a drinking liquid. The liquid from food (approx. 500 - 800 ml) must still be subtracted from this, so that an amount of approx. 1.3 - 2 l of drinking liquid is created.

• add valuable anti-carcinogenic (anti-cancer) secondary plant substances

• A selection of foods tailored to your needs with cooking and technical information (for breakfast, snacks, lunch, dinner)

• Do you like to eat your warm meal in the evening? I am happy to cater to your individual situation and we will create a plan on how you can implement your wholesome diet into your everyday life.

• which oils are good for me? What should I watch out for in relation to the anti-inflammatory diet?

• How much fat spread (butter / margarine / vegetable fat) can I use and which products are recommended?

• Get enough Omgea-3 fatty acids and essential fatty acids

• How can I boost and support my metabolism with natural foods?

• Coordinate sensible meal frequency for your individual case - meal allocation

• Define the desired weight stabilization / normalization & the estimated period for this

• what should be considered with beverages and alcoholic beverages?

• How does exercise affect your body and thus also your diet?

• Avoid blood sugar fluctuations

• Sweetening foods - sweeteners, glucose, fructose, sugar and sugar substitutes, what can I use and in what quantities? How high is the respective sweetness of the different products?

• what should be considered when baking and cooking?

• what are cheap snacks / main meals

• Eating out - what should you watch out for?

• Vacation, boat trip or hospital stay, what should be considered?

• Flatulence, bloating, diarrhea, constipation, vomiting, heartburn, loss of appetite, pain related to eating, what can I do about it?

• Daily plans as an example for practical implementation in everyday life

• Enjoyment training

• Optimizing your eating situation

• long-term maintenance of a jointly defined weight

• Strengthen the stomach and intestines with natural foods

• Additional therapy options

• Dietetic products in support of nutritional therapy

• Food supplements - under certain circumstances, a supplement can be useful

• and other topics

​

Any questions? I look forward to your call or email. To contact form

​

Assistance:

• KISS self-help groups

• Self-help network

• AdP eV pancreas patients - self-help group

​