i had acute pancreatitis in 2018 as a 34 year old male. I recovered in 2 months at home with minimal hospital stay. Since then had multiple episodes but lipase was never elevated to the extent of it being diagnosed as AP. Recently got the symptoms again and doctor found out low fecal elastase and did MRCP.
mrcp showed
The pancreas is small in size presumed due to previous pancreatitis mentioned in the clinical history. There are no focal lesions seen. The pancreatic duct is nondilated. It is not clearly visualized in the neck likely due to the small caliber but there is no definite evidence of interruption or dilation in the body or tail of the pancreas.
2 weeks later i went for EUS which showed
Indication
Recurrent Abdo pain
History of Pancreatitis
IgG4 normal.
Pancreatic atrophy in the body and tail with lobulation and stranding in the head suggesting inflammation; PD appears non dilated with conventional anatomy. No cyst or mass seen in the Pancreas.
GB contains multiple stones with wall thickness on the higher 2.8mm
No Peri-portal LNs seen.
Diagnosis
Microlthiasis
Mild chronic pancreatitis.
Recommendation
Plesae consider Cholecystectomy.
doctor says cholecystectomy might make things better . I am super confused about it and wondering if i should be hopeful and excited to get the gallbladder out
