Pancreatitis

Pancreatitis is inflammation of the pancreas. Pancreas is an organ in abdomen behind the stomach, it secretes digestive juices aiding in digestion, and in addition it helps in maintaining normal glucose level in blood. Two most common causes of pancreatitis are gall stones and alcohol consumption.

Pancreatitis usually present with severe upper abdominal pain with radiation to back. Abdominal pain is accompanied by nausea and vomiting. Usually pancreatitis is mild to moderate in nature. At times it can be severe accompanied by respiratory failure, renal failure and cardiovascular failure. Severe pancreatitis requires treatment in intensive care setting.

Majority of pancreatitis patients are managed medically, however at times surgery is required as lifesaving procedure.

Pancreatitis can be prevented by timely surgery of gall stone disease and avoiding alcohol consumption.

Pancreatic cancer

What is Pancreas?
Pancreas is an organ in abdomen behind the stomach, it secretes digestive juices aiding in digestion, and in addition it helps in maintaining normal glucose level in blood

What are symptoms of pancreatic cancer?
In early stages it has no symptoms. Later on pancreatic cancer usually presents with jaundice, abdominal pain, loss of appetite and weight loss

What are the risk factors of pancreatic cancer?
Smoking, diabetes, chronic inflammation of pancreas, obesity, hereditary of pancreatic cancer in family are risk factors for pancreatic cancer

How the pancreatic cancer is diagnosed?
It is diagnosed with the help of advanced radiological investigations which takes photos of your internal organs, like CECT scan, MRI and Endoscopic ultrasound.

What is the treatment of pancreatic cancer?
Surgery is the only effective treatment to manage pancreatic cancer, it is known as Whipple’s procedure

What is Whipple’s procedure?
In Whipple’s procedure portion of pancreas having tumor is removed along with part of stomach, intestine and gall bladder.

What is the role of chemotherapy in managing pancreatic cancer?
Chemotherapy kills cancer cells. It is given after the Whipple’s surgery for preventing recurrence of cancer.

What is the role of endoscopic stenting?
Stenting only helps in decreasing jaundice, it does not treat cancer.

Esophageal cancer

What is esophagus?
Esophagus is hollow tube running from throat, chest to abdomen and connects to stomach. It transmits swallowed food to stomach.

What are symptoms of esophageal cancer?
In early esophageal carcinoma there are no symptoms. In later stages patients present with complaint of difficulty in swallowing, loss of appetite and loss of weight. Chest pain and hoarseness.

What are the risk factors of esophageal cancer?
Chronic irritation of esophagus due to Smoking, Alcohol, obesity, malnutrition with lack of fresh fruits and vegetables.

How the esophageal cancer is diagnosed?
Endoscopy confirms the diagnosis of esophageal cancer. CECT scan, PET CT scan helps in staging esophageal cancer.

What is the treatment of esophageal cancer?
Esophageal cancer is best managed in a multimodality manner by combination of surgery, radiation therapy and chemotherapy.

What type of surgery is done in esophageal cancer?
Esophageal cancer is removed by Thoracoscopic esophagectomy. Other surgical approaches are Transthoracic and Transhiatal esophagectomy.

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