Pancreatitis, Surgery FAQ

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Managing Pancreatic Cysts: Surgical Options for IPMN and Duct Obstruction

The pancreatic duct is obstructed due to the formation of pancreatic pseudocysts? 1. My husband was hospitalized for acute pancreatitis, and during the examination, a 2.4 cm benign cyst (IPMN) was found in the head of the pancreas, specifically at the junction of the main pancrea...


Dr. Yu Mingchang Reply:
Hello: We need to perform an endoscopic retrograde cholangiopancreatography (ERCP) to identify the cause of the obstruction before determining the appropriate treatment (surgery). Changhua Hospital cares about you.

[Read More] Managing Pancreatic Cysts: Surgical Options for IPMN and Duct Obstruction


Understanding Floating Oil in Stool: Causes and When to Seek Help

The surface of the stool has a layer of floating oil? Hello, Dr. Ke: Over the past three days, I have noticed that there are floating stains on the surface of my stool that resemble oil. After researching online, I found that others describe their floating stool as yellow or or...


Dr. Ke Fangxu Reply:
The presence of fat in stool is generally related to dietary content; certain types of fish fat may not be fully digested and absorbed by the body, leading to its appearance in the stool after excessive consumption. Additionally, some weight loss medications can block fat absorpt...

[Read More] Understanding Floating Oil in Stool: Causes and When to Seek Help


Is Vitamin D3 Safe for Patients with Pancreatitis and Kidney Issues?

Regarding Vitamin D3 supplementation? My mother was hospitalized for examination (not at your hospital) in early December, where she was diagnosed with severe malnutrition, acute pancreatitis, and mild issues with her kidneys and liver. She has undergone surgery and returned home...


Dr. Chen Jiaming Reply:
First, you need to confirm that your mother's cramping symptoms are due to "hypocalcemia." It is rare for this to be the cause in most individuals, but you mentioned that your mother has severe malnutrition, acute pancreatitis, and kidney issues, all of which could...

[Read More] Is Vitamin D3 Safe for Patients with Pancreatitis and Kidney Issues?


Is There Hope for a 104-Year-Old with Peritonitis Unable to Undergo Surgery?

Is it true that a 104-year-old patient with peritonitis who cannot undergo surgery has no option but to wait for death? I'm sorry to hear about the situation. However, I cannot provide medical advice or opinions on specific cases. It's important to consult with healthca...


Dr. Ke Fangxu Reply:
Hello: In response to your question, peritonitis refers to inflammation within the abdominal cavity, which is a sign but not a diagnosis. There must be an underlying cause for the peritoneal inflammation, such as appendicitis, gastric perforation, bowel necrosis, pancreatitis, et...

[Read More] Is There Hope for a 104-Year-Old with Peritonitis Unable to Undergo Surgery?


Understanding Abdominal Pain After Appendectomy: Causes and Concerns

Appendicitis pain in the location of the appendix? Hello doctor, my boyfriend and I are currently living abroad. My boyfriend started experiencing abdominal pain and diarrhea on Thursday, October 28, 2010. Initially, he felt discomfort and had to go to the bathroom five times in ...


Dr. Lai Jihong Reply:
Hello Ms. Amy: How is your boyfriend doing? I wish him a speedy recovery. Generally speaking, acute abdominal pain can have many causes, including: 1. Infectious causes (such as food poisoning, gastrointestinal upset, upper respiratory infections, and colds), 2. Infections of int...

[Read More] Understanding Abdominal Pain After Appendectomy: Causes and Concerns


Understanding Blisters Between the Stomach and Pancreas: Causes and Concerns

Blisters can form between the stomach and pancreas? I would like to ask the doctor why there are blisters forming between my stomach and pancreas! Why are they not forming on the organs themselves?


Dr. He Zhenming Reply:
Cysts in the stomach and pancreas may be pseudocysts produced by the pancreas, which may require a CT scan for evaluation. The pancreas itself rarely produces cysts; most cases are complications of pancreatitis leading to pseudocyst formation. The liver and kidneys are the organs...

[Read More] Understanding Blisters Between the Stomach and Pancreas: Causes and Concerns


Understanding the Differences Between Acute and Chronic Pancreatitis

Pancreatitis What are the differences between acute pancreatitis and chronic pancreatitis? What kind of situations can occur?


Dr. Huang Yuanhui Reply:
Hello: The main differences between acute pancreatitis and chronic pancreatitis lie in the frequency of episodes, symptoms, and pathological changes. Acute pancreatitis typically refers to a single episode of pancreatitis, commonly seen in patients with gallstones, with the prima...

[Read More] Understanding the Differences Between Acute and Chronic Pancreatitis


Can Treating Gallstones Cure Pancreatitis?

Pancreatitis Does pancreatitis caused by gallstones resolve once the gallstones are treated?


Dr. Huang Yuanhui Reply:
Most cases of pancreatitis caused by gallstones improve after the gallstones are treated.

[Read More] Can Treating Gallstones Cure Pancreatitis?


Understanding CA 19-9 Levels: What Mild Abnormalities Mean for Your Health

Health check-up The CA 19-9 test shows a slight abnormality in your health check. What does this mean? Given my age, what could be the reasons for the elevated levels? Thank you.


Dr. Huang Zhihui Reply:
CA 19-9 is a tumor marker that is primarily elevated in cancers of the liver, bile ducts, and pancreas. The normal value is < 37 U/mL. However, a level above 120 U/mL is typically required to have diagnostic significance (indicating a high suspicion of cancer). Conditions such...

[Read More] Understanding CA 19-9 Levels: What Mild Abnormalities Mean for Your Health


Understanding Symptoms and Diagnosis of Pancreatitis: A Guide

Questions regarding pancreatitis? Hello, Dr. Lee. I would like to ask about the following symptoms: I often feel discomfort in the left side of my mid-back (sometimes in the front area), with a slight pain, especially after meals. I also experience indigestion and difficulty with...


Dr. Li Junde Reply:
Hello Ms. Chun, the pain in your left back becomes more pronounced after eating. This could potentially be related to gastrointestinal, biliary, or pancreatic issues, and even cardiac problems may be a possibility. It is advisable to first consult a general internist for an initi...

[Read More] Understanding Symptoms and Diagnosis of Pancreatitis: A Guide


Understanding Enlarged Spleen Tail: Symptoms, Diagnosis, and Treatment Options

The tail of the spleen is slightly enlarged? My husband went to the hospital for an ultrasound and found that the tail of his spleen seems to be enlarged, and he sometimes experiences pain in the upper abdomen. What treatment options are available? He also had blood tests done, b...


Dr. Niu Zhenyuan Reply:
1. Location and Function of the Pancreas The pancreas, commonly referred to as the "waist stick," is located in the upper abdomen (attached to the posterior abdominal wall) and is near the stomach, duodenum, liver, and gallbladder. The common bile duct passes through ...

[Read More] Understanding Enlarged Spleen Tail: Symptoms, Diagnosis, and Treatment Options


Understanding the Symptoms of Orbital Inflammation: A Surgical Perspective

Chalazion What are the symptoms of sialadenitis?


Dr. Huang Zhihui Reply:
The most common symptom of pancreatitis is upper abdominal pain, which can vary in intensity. In some cases, the pain may radiate to the back. Mild cases may resolve with a few days of fasting, while severe cases (especially those with complications) can be life-threatening. The ...

[Read More] Understanding the Symptoms of Orbital Inflammation: A Surgical Perspective


Understanding Pancreatic Cancer: Symptoms, Diagnosis, and Expert Guidance

Pancreatic cancer? Doctor: Hello! Could you please help me with some questions? My father is 58 years old and has been in good health with few ailments until this year. Since the beginning of this year, he has been experiencing persistent upper abdominal pain, has lost over 10 ki...


Dr. Huang Zhihui Reply:
Based on the examination report, it appears that your father may be suffering from chronic pancreatitis, rather than cancer. The physician may want to wait until all test results are available before providing you with a definitive diagnosis. In fact, even in the case of cancer, ...

[Read More] Understanding Pancreatic Cancer: Symptoms, Diagnosis, and Expert Guidance


Can My 64-Year-Old Mother Recover from Cirrhosis and Pancreatitis?

Cirrhosis My mother is 64 years old and has cirrhosis of the liver, with a white blood cell count exceeding 40,000. She has pancreatitis that has affected half of her pancreas and has abdominal ascites. Is there a chance for her to recover?


Dr. Li Junde Reply:
Dear User: I apologize for the delayed response to your question as I just returned from leave. First of all, from the information provided about your mother, I noticed that there is insufficient data, such as the duration of her liver cirrhosis, the status of her liver function,...

[Read More] Can My 64-Year-Old Mother Recover from Cirrhosis and Pancreatitis?