Chronic pancreatitis, stone in pancreas, Treatment in Hindi. Is cure possible. Dr Vikas Singla.
Channel: Dr Vikas Singla, Gastroenterologist, Gastron, DGOC
Date: 2021-05-13

Dr Vikas Singla  
Director and Head, Gastroenterology   
Center for Gastroenterology Hepatology and Endoscopy   
Max Superspeciality Hospital Saket New Delhi India  
For Appointment  9968407407 9999507480

If someone is suffering from chronic pain abdomen, it can be #chronicpancreatitis.
Chronic pancreatitis a common disease, requiring specialised treatment.

This video has been made in #hindi language for the better understanding by the majority of indian patients. 

Common issues related to chronic pancreatitis are discussed 

1. What is chronic #pancreatitis. 
                Its #chronic inflammation of #pancreas leading to hard pancreatic gland. Pancreatic duct dilates and stones are formed in the pancreatic duct. 

2. What causes chronic pancreatitis.
         Alcohol : Whiskey, beer, Vodka, wine
        Smoking
        Autoimmune pancreatitis
        Hereditary
        Idiopathic
        Tumor- Of pancreas ampulla, pancreas

3. What are symptoms of chronic pancreatitis.
         Persistent pain or recurrent attacks of pain : Pain radiates to back also
        Exocrine insufficiency: Diarrhoea
        Endocrine insufficiency - Diabetes
        Weight loss

4. How do we diagnose chronic pancreatitis.
          Abdomen X ray- May shows stone in Pancreatic duct
         USG
         CT scan
         MRCP
          Endoscopic ultrasound- Rosemont criteria. #Best test for evaluation for chronic pancreatitis
Fecal elastase

5. How do we treat chronic pancreatitis
        Non dilated duct- Enzyme supplement
        Dilated duct- ERCP
        EUS guided CPB
        SURGERY

6. Is there any cure ? 
                If underlying cause is stopped disease can be cured–After stopping alcohol and smoking, operating, and with steroids in autoimmune pancreatitis, disease can be cured in many patients. Idiopathic chronic pancreatitis is life long illness and requires life long treatment

7. COMPLICATIONS
      Pseudocyst - EUS guided drainage is best treatment
      Malignancy - 4% risk of cancer
      Bile duct obstruction: Can occur due to fibrosis, pancreatic head edema, inflammatory mass, malignancy. ERCP stenting is the treatment of choice. 
      Duodenal obstruction: Can occur due to fibrosis, pancreatic head edema, inflammatory mass, malignancy. Medical therapy and surgery.
      Bleed: Splenic vein thrombosis can cause fundal and esophageal varices. Esophageal varices are treated with EVL. Gastric varices are treated with glue injection. 
       In few patients, splenic artery pseudo aneurysm may develop, and cause GI bleed. This requires angiography and embolization. 
#chronicpancreatitisinhindi #chronicpancreatitisbesttreatment #chronicpancreatitisercp #pancreasstone

# Best treatment of  is available at 
       #DGOC, West Patel Nagar, New Delhi and 
       #Max Superspeciality Hospital, Saket, New #Delhi, #India
         For more information or appointment Please call us +91-9968407407 
          Visit us at: http://www.drvikassingla.com
         mail us at : singlavikas1979@gmail.com

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Language in this video is #Hindi.

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#chronicpancreatitishindi #chronicpancreatitisercphindi #chronicpancreatitissurgeryhindi 
#chronicpancreatitiseushindi #chronicpancreatitispseudocysthindi #pesudocysthindi

Picture credit: https://pixabay.com/

Pancreas Image Source
https://commons.wikimedia.org/wiki/File:Blausen_0699_PancreasAnatomy2.png
https://upload.wikimedia.org/wikipedia/commons/7/7e/Blausen_0699_PancreasAnatomy2.png. 
BruceBlaus. When using this image in external sources it can be cited as:Blausen.com staff 2014. "Medical gallery of Blausen Medical 2014". WikiJournal of Medicine 1 (2). DOI:10.15347/wjm/2014.010. ISSN 2002-4436., CC BY 3.0 https://creativecommons.org/licenses/by/3.0, via Wikimedia Commons

Jaundice image source
https://commons.wikimedia.org/wiki/File:Cholangitis_Jaundice.jpg
https://upload.wikimedia.org/wikipedia/commons/8/8f/Cholangitis_Jaundice.jpg
Bobjgalindo, CC BY-SA 4.0 https://creativecommons.org/licenses/by-sa/4.0, via Wikimedia Commons


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Best wishes

Vikas Singla