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Suggest Treatment For Pancreatitis

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Posted on Tue, 20 Dec 2016
Question: I HAD AN ATTACK OF PENCREATITIS AND AFTER INVESTIGATION PVT WAS DISCOVERED WITH HUGE CAVERNOMA FORMATION. THERE WERE SEVERAL STONES IN THE GALL BLADDER TOO. SURGERY HAS HIGH RISK . WHAT IS THE REMEDY.
doctor
Answered by Dr. Dr. Happykumar Kagathara (2 hours later)
Brief Answer:
Do not do surgery for stones if it is not emergency

Detailed Answer:
Hello,
let me explain you in detail as pancreatitis is not your primary problem
1) Portal vein brings blood to liver (80%) and this vein is blocked due to some reason in your case. But to continue supply of blood to liver, small veins are formed around blocked portal vein which supply blood to liver.
2) portal vein is formed by fusion of two veins one brings blood from small intestine and other brings from spleen. The vein which brings blood from spleen also bring blood from pancreas. In your case, these both veins are also blocked. Ultimately, patient develop portal hypertension.
3) In portal hypertension, small veins at lower end of esophagus become enlarged and may cause vomiting with blood.
4) Therefore you should do upper GI endoscopy and clipping of these small esophageal veins to prevent bleeding.
3) This blockage of portal vein is genetic disorder and it is irreversible. Medical treatment is only helpful to prevent damage to liver otherwise ultimate treatment is liver transplantation or surgery for diversion of blood flow from portal vein to other vein of body
4) About gall bladder stone - never do any surgery on abdomen until it is emergency because bleeding is very severe risk for any abdominal surgery in these patients.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Happykumar Kagathara (21 hours later)
AT PRESENT NO ABDOMENAL PAIN. BUT HOW MUCH IS THE RISK OF BLEEDING. WHAT PRECAUTIONS CAN BE TAKEN TO AVOID BLEEDING.


doctor
Answered by Dr. Dr. Happykumar Kagathara (14 hours later)
Brief Answer:
High risk for bleeding

Detailed Answer:
Hello,
I apologize for late reply
1) if you ask about bleeding risk during any abdominal surgery, then it is very high.
2) If your concern is about blood in vomiting then risk increase if patient had previous episodes of blood containing vomiting already.
3) I suggest again, never do any abdominal operation until it is life-saving procedure.
4) You can not do anything for bleeding associated with surgery.
5) To prevent blood containing vomiting episodes, patient must do every three month upper GI endoscopy to check status of small esophageal veins and if they are enlarged do band-ligation of them at same time.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
Answered by
Dr.
Dr. Dr. Happykumar Kagathara

General Surgeon

Practicing since :2006

Answered : 444 Questions

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Suggest Treatment For Pancreatitis

Brief Answer: Do not do surgery for stones if it is not emergency Detailed Answer: Hello, let me explain you in detail as pancreatitis is not your primary problem 1) Portal vein brings blood to liver (80%) and this vein is blocked due to some reason in your case. But to continue supply of blood to liver, small veins are formed around blocked portal vein which supply blood to liver. 2) portal vein is formed by fusion of two veins one brings blood from small intestine and other brings from spleen. The vein which brings blood from spleen also bring blood from pancreas. In your case, these both veins are also blocked. Ultimately, patient develop portal hypertension. 3) In portal hypertension, small veins at lower end of esophagus become enlarged and may cause vomiting with blood. 4) Therefore you should do upper GI endoscopy and clipping of these small esophageal veins to prevent bleeding. 3) This blockage of portal vein is genetic disorder and it is irreversible. Medical treatment is only helpful to prevent damage to liver otherwise ultimate treatment is liver transplantation or surgery for diversion of blood flow from portal vein to other vein of body 4) About gall bladder stone - never do any surgery on abdomen until it is emergency because bleeding is very severe risk for any abdominal surgery in these patients.