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Suggest Latest Treatment of Calculi at

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

Shiv Khandelwal

Shiv Khandelwal

any suggestion please 

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shiv45@gmail.com

 

 

 

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

Chief  Complain.- Calculi in Pancreatic duct, Diabetic,

 1st 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.

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

 3rd  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

 4th 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 3rd 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 13th Jan 2006 .Medicine  recomended and insulin is Creaon 10000 and Pantocid 40for continue . Still I am feeling little bit pain in my abdomen.

 

Date

Fasting Suger

PP suger

16.1.06

 

342

17.1.06

177

473

18.1.06

143

479

19.1.06

164

415

20.1.06

168

179

21.1.06

 

306

22.1.06

139

230

23.1.06   224
24.1.06 120  
25.1.06 128 349
26.1.06 114 226

   

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

E-mail  shiv45@gmail.com

 

 

www.doctorhelpme.com/shiv.htm

 

 

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.