Only 2 cases had postoperative pancreatitis, which were diagnosed in the immediate postoperative period because of increased abdominal pain. Both patients did not have intraoperative cholangiogram during laparoscopic cholecystectomy.
Pancreatitis resolved spontaneously and patients did not require any subsequent surgical intervention. Results: Acute pancreatitis is a relative rare complication after elective laparoscopic cholecystectomy 0.
After spraying a solution to numb the patient's throat, the doctor inserts an endoscope-a thin, flexible, lighted tube-down the throat, through the stomach, and into the small intestine. The doctor turns on an ultrasound attachment to the scope that produces sound waves to create visual images of the pancreas and bile ducts. Magnetic resonance cholangiopancreatography MRCP. MRCP uses magnetic resonance imaging, a noninvasive test that produces cross-section images of parts of the body.
After being lightly sedated, the patient lies in a cylinder-like tube for the test. The technician injects dye into the patient's veins that helps show the pancreas, gallbladder, and pancreatic and bile ducts. Treatment for acute pancreatitis requires a few days' stay in the hospital for intravenous IV fluids, antibiotics, and medication to relieve pain. The person cannot eat or drink so the pancreas can rest.
If vomiting occurs, a tube may be placed through the nose and into the stomach to remove fluid and air. Unless complications arise, acute pancreatitis usually resolves in a few days.
In severe cases, the person may require nasogastric feeding-a special liquid given in a long, thin tube inserted through the nose and throat and into the stomach-for several weeks while the pancreas heals.
Before leaving the hospital, the person will be advised not to smoke, drink alcoholic beverages, or eat fatty meals. In some cases, the cause of the pancreatitis is clear, but in others, more tests are needed after the person is discharged and the pancreas is healed.
Soon after a person is admitted to the hospital with suspected narrowing of the pancreatic duct or bile ducts, a physician with specialized training performs ERCP.
After lightly sedating the patient and giving medication to numb the throat, the doctor inserts an endoscope-a long, flexible, lighted tube with a camera-through the mouth, throat, and stomach into the small intestine. The endoscope is connected to a computer and screen. The doctor guides the endoscope and injects a special dye into the pancreatic or bile ducts that helps the pancreas, gallbladder, and bile ducts appear on the screen while x rays are taken.
Using a small wire on the endoscope, the doctor finds the muscle that surrounds the pancreatic duct or bile ducts and makes a tiny cut to enlarge the duct opening. When a pseudocyst is present, the duct is drained. Gallstone removal. The endoscope is used to remove pancreatic or bile duct stones with a tiny basket.
Gallstone removal is sometimes performed along with a sphincterotomy. Stent placement. Using the endoscope, the doctor places a tiny piece of plastic or metal that looks like a straw in a narrowed pancreatic or bile duct to keep it open. Balloon dilatation. Some endoscopes have a small balloon that the doctor uses to dilate, or stretch, a narrowed pancreatic or bile duct.
A temporary stent may be placed for a few months to keep the duct open. People who undergo therapeutic ERCP are at slight risk for complications, including severe pancreatitis, infection, bowel perforation, or bleeding.
In cases where you may not be able to eat for a long time, you may fed through a special tube and sometimes into your vein. Healthcare providers will also treat your pain and nausea, if any, with IV medicines.
Often this will be enough to get your stone to pass through your body and resolve your pancreatitis. In more severe cases of gallstone pancreatitis, your surgeon will likely remove your gallstone. This will be done through a surgical procedure or with an endoscope.
Depending on your condition, you may need to have your gallstone removed right away. You might be able to wait until after about 48 hours of receiving fluids directly into your vein. This allows your inflammation to ease first. Your healthcare provider may recommend surgical removal of your gallbladder after your pancreatitis has resolved.
This will greatly reduce your chances of getting gallstone pancreatitis in the future. If gallstone pancreatitis goes untreated, the complications can be very serious. Digestive fluids from the liver, gallbladder, and pancreas, may back up into your body and lead to an infection known as cholangitis.
You may also develop yellowish eyes and skin which is called jaundice. The tissue of your pancreas itself can even begin to die off in a condition called pancreatic necrosis. Ultimately, gallstone pancreatitis can be fatal if not treated. However, you can take steps to reduce your gallstone risk. This page has been produced in consultation with and approved by:.
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The State of Victoria and the Department of Health shall not bear any liability for reliance by any user on the materials contained on this website. Skip to main content. Actions for this page Listen Print. Summary Read the full fact sheet. On this page. Causes of pancreatitis The dual roles of the pancreas Acute pancreatitis Chronic pancreatitis Diagnosis of pancreatitis Treatment for pancreatitis Treatment for acute pancreatitis Treatment for chronic pancreatitis Where to get help Things to remember.
Pancreatitis is inflammation of the pancreas, which can either be acute sudden and severe or chronic ongoing. The pancreas is a gland that secretes both digestive enzymes and important hormones. Heavy alcohol consumption is one of the most common causes of chronic pancreatitis, followed by gallstones. Pancreatitis is one of the least common diseases of the digestive system.
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