Pancreases with ca 19-9  is  65.1u/ml

 (Normal less than 37 u/Ml) 

Pancreatic sphincterotomy done and 7 Fr, 9 cm Pancreatic Stent is placed 

any suggestion please 

E-mail me

shiv45@gmail.com

Shiv Khandewal, Age 45, Male Height 168 cm,  Weight 68 kg.

Blood test -CA 19-9  65.1 (normal range Less than 37u/ml) Other blood test are normal range

Chief  Complain.- Calculi in Pancreatic duct, Diabetic,

 1^st Pain attack on the month of July 1987-pancreas head was detected mild bulky and amalyse -125 (normal 9-50), And the pancreatic duct was slightly prominent. But diabetic is not found.

 2^nd Pain Attack on month of may 1995. same previous medicine was taken but there is no sugar at all

 3^rd  Pain attack on month of July 2004 treated with saline for 3day and brought in to normal position by same medicine but there is no sugar

 4^th attack of pain on may 2005 with mild pain followed with some medicine and get  relief.

 November 16 2005 – Diabetes detected due to weight loose.

 Jan 3^rd 2006 seveir pain in abdomen CT Scan and endoscopic  done and found multiple stone detected in the pancreatic duct. Few stone removed through ERCP process in  Few stone remain there. Appolo Hospital , Kolkata by dr. Mahesh Goenka and  stent was placed on 13^th Jan 2006 .Medicine  recomended and insulin is Creaon 10000 and Pantocid 40for continue . Still I am feeling little bit pain in my abdomen.

 Please send your advise or any good advise  to me .What to do now

E-mail  shiv45@gmail.com

Cannulation

Sphinctrotomy

Stent

Indication-Chronic Pancreatitis.

Papilla- Duodenal ampulla is normal in appearance no. peri-ampullary diverticulum seen. Cannulation of pancreatic duct carried out.

Bile Duct and Gall Ballder is found normal

Pancreatic Duct-Multiple intraductal stones noted at head region with deformed anatomy at head region. Panreatic duct in body and tail region is dilated.

Prcedure.-Pancreatic sphincterotomy done and 7 Fr, 9 cm Pancreatic Stent is placed 

Impression:

Chronic Pancreattis, severe-ERCP, sphincterotomy and stenting done

Sugggested-Stent removal after 2 months.