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Dr AvinashTank, is a super-specialist (MCh) Laparoscopic Gastro-intestinal Surgeon,
CALCIFIC CHRONIC PANCREATITIS
Chronic calcifying/calcific pancreatitis (CCP) is a special form of chronic pancreatitis that is associated with pancreatic stones.
This is also known as Tropical calcific pancreatitis (TCP) as it occurs in children and young adults in tropics and has features that distinguish it from alcoholic calcific pancreatitis (ACP) seen in developed countries of the subtropics. In India, it’s very common in southern part but also seen in other northern & western India.
Risk Factor
Malnutrition, food toxins, deficiency of micronutrients and recently genetic factors are considered the underlying cause of this disease.
Symptoms
The main symptoms were abdominal pain, diabetes mellitus, weight loss, obstructive jaundice and steatorrhea (oily stool). Abdominal pain may be episodic or unrelenting pain that is not relieved by drugs and warranted therapy. On the other hand, patients may experience pain-free episodes for years due to significant damage to pancreas. Some patients may present as uncontrolled diabetes or stool looks like oily and it float over pot despite flush. Both symptoms suggest that damage to pancreas so extensive it doesn’t sufficient enzymes for digestion of food.
Diagnosis
There are no specific blood test. X-ray or Ultrasonography may shows stones in pancreas. CECT pancreas is advised to assess the location of stones and their load and other complications. MRCP is advised if jaundice is also associated.
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Complications
If untreated for long term, following complications may develop
- Cyst
- Cyst with Infection
- Cyst with bleeding (Pseudoaneurysm)
- Pancreatic Ascites or Effusion
- Pancreatico-pleural fistula
- Splenic Vein Thrombosis
- Cancer
CALCIFIC CHRONIC PANCREATITIS
Low fat diet, simple pain killer and supplementation of pancreatic enzyme is initial treatment. Endoscopic therapy is advised there is a single stone and pancreatic duct is dilated. Surgery is advised when there is multiple stones in pancreas, narrowing of pancreatic duct at multiple level or presence of complications. Surgical approach for calcific chronic pancreatitis includes drainage procedure or resectional procedure. This decision is based upon the extend of pancreatic disease.
DR. AVINASH TANK
- Super-specialist Liver, Gastro, Obesity & Cancer Surgeon
- Trained from Best Centres of India: SMS Medical College Jaipur (Rajasthan); Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow (UP). Dr Avinash Tank is the best bariatric surgeon in Ahmedabad, India.
- Rewarded Fellowship in
- Laparoscopic Liver Surgery & Liver Transplantation from South Korea
- Advanced Pancreas Surgery from Japan.
- Bariatric Surgery (IAGES), India.
- Recipient of many National & International Awards for clinical research.
- Awards with Photos
- Best Obesity & Gastro Surgeon: Deputy Chief Minister of Gujarat, 2019
- Heroes 2019: Excellence in Gastro & Obesity Surgery.
- Obesity Doctor of Year 2020, at Vyapaar Jagat Convention & Awards, 2020.
- Top Achievements
- Gall stones: We removed 1070 stones of gall-bladder by laparoscopic surgery. This news is covered in Divya Bhaskar newspaper on 1st April 2019.
- Highest Weight Reduction.
- 80 Kg Weight reduction (167 kg to 80kg) within 1 year after surgery
- Diabetes Free Life
- All blood-sugar levels are normal within 48 hrs of surgery
- All diabetes medicines are stopped after surgery
- Cancer Free Life
- 12 years of Cancer Free Life after Stomach & Colon Cancer Surgery.
- Acidity
- 10 year old acidity (Reflux) problem is solved by 2 hours of surgery.
- Intestine Surgery
- 3 Idiots fame Bollywood Writer Abhijat Joshi’s father was operated for intestine blockage.
- Past Designations
- Ex Founder Head of Department of Liver, Gastro, Obesity Surgery at Shalby Hospital (2010 to 2017).
- Ex Visiting Consultant, Civil Hospital, BJ Medical College, Ahmedabad.
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