Dr Nitin Jain is an experienced Pancreas Surgeon for Acute Pancreatitis, Chronic Pancreatitis, Pancreatic Necrosis Pseudocyst and Pancreas Cancer. He has performed many pancreaticoduodenectomy, distal pancreatectomy and necrosectomy.
Symptoms of Acute Pancreatitis-
Sudden onset excruciating pain in the abdomen and radiating to the back that makes person to toss is the typical symptom of acute pancreatitis. Alcohol and Gallstones are the commonest cause of acute pancreatitis. This diseases can be life threatening.
Diagnosis is done by
CT Scan abdomen. MRI Scan MRCP
Serum Lipase Amylase Liver Function Test CBC
Treatment can be non surgical and surgical.
Most of the patients of acute pancreatitis require conservative treatment in the hospital, Gallstone induced pancreatitis needs surgery for gallbladder. Complications of acute pancreatitis like necrosis, pseudocyst, abscess and bleeding need surgery but in late stages if not cured by medical management,
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Symptoms of Chronic Pancreatitis -
Chronic Pancreatitis is defined as inflammation > 6 months duration with recurrent episodes of pain and damage to the pancreas leading to insufficiency of enzymes and hormones. Pain in Abdomen spreading to the back , loss of weight, frequent oily stools and Jaundice
Diagnosis is done by
CT Scan abdomen. MRI Scan MRCP
Treatment depends upon the symptoms and changes in pancreas duct and surface.
Lateral Pancreatico-Jejunostomy
Pancreatic Head Resection
Removal and Drainage of Pancreatic Stones
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Symptoms of Pseudocyst of Pancreas-
Pain in Abdomen, Lump in abdomen, Fullness in abdomen, Loss of appetite, Vomiting
Diagnosis is done by
CT Scan abdomen MRI Scan MRCP
Treatment depends upon the size and location of the Pseudocyst.
Laparoscopic Cystogastrostomy
Laparoscopic Cystoenterostomy
Laparoscopic Distal Pancreatectomy
Mini-Laparotomy and Drainage of Cyst
Endoscopic Cyst Cystogastrostomy
Open Surgery
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Symptoms of Pancreatic Cancer-
Jaundice, Pain in Abdomen spreading to the back
Loss of appetite, Loss of weight Vomiting
Diagnosis is done by
CT Scan abdomen. MRI Scan MRCP
Tumour Markers - CA 19-9
EUS Guided Biopsy
ERCP - Brush Cytology
PET CT Scan
Treatment depends upon the stage of the disease.
Curative intent Surgery
Surgery for Jaundice and Gastric Obstruction
Stenting plastic or metal if disease is not operable and patient is not fit for Surgery
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