Confused about CP diagnose: i had acute... - Chronic Pancreati...

Chronic Pancreatitis Support

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Confused about CP diagnose

danials profile image
2 Replies

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

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danials
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madonbrew profile image
madonbrewPioneer

Hi, I had my gallbladder out when I was 22...it had been chronically inflamed and no gallstones but causing problems. It definitely seemed to help having it out. The main thing after was just not eating highly fatty food. Hope some things get sorted for you soon!

Susaberry profile image
Susaberry

Since you have stones, I would go ahead with the surgery. Best wishes.

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