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Doctor insights on: Pancreas Treatment

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Biliary dyskinesia--diagnosis and treatment?

Biliary dyskinesia--diagnosis and treatment?

HIDA scan: Diagnosis is made to confirm non function of the gallbladder.An ultrasound will show no stones and be normal. A hida scan will demonstrate decreased function or decreased ejection fraction and most likely produce pain if cck is used. The treatment is gallbladder removal. ...Read more

Dr. Ronald Krauser
3 doctors shared insights

Pancreas (Definition)

Abdominal organ. It is digestive organ: it secretes enzymes into the small bowel which break down food and help its absorption. It is also an endocrine organ: it produces hormones involved in sugar control and control of digestion. Insulin is one of these hormones. Diabetics either lack Insulin (type 1 diabetes) or have inadequate ...Read more


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Are there any effective treatment for pancreatic cancer (pancrease (pancrelipase) head)?

Are there any effective treatment for pancreatic cancer (pancrease (pancrelipase) head)?

Rarely a Whipple: Only 10 % of patients with pancreatic head ca are candidates for a wipple. Following this procedure the 2 year survival rate is about 10%. A vaccine is now being developed to be given post surgery to prevent this problem of recurrence. ...Read more

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What is treatment for pancreatic duct?

What is treatment for pancreatic duct?

Is it blocked?: Treatment depends on the cause--sometimes apparent on imaging, but may well require looking with an endoscope. ...Read more

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Could a pancreas transplant cure diabetes?

Could a pancreas transplant cure diabetes?

Absolutely: Pancreas transplants replace the lost Insulin and other hormones that should be produced by a normal pancreas and halt the complications of diabetes as well as control blood sugar. ...Read more

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Hepatocellular carcinoma.All spleen and partial liver resection.Later,secondary systemic cancer metastasis.any targeted therapy or immunotherapy?

Hepatocellular carcinoma.All spleen and partial liver resection.Later,secondary systemic cancer metastasis.any targeted therapy or immunotherapy?

Yes, for both: Hepatocellular Carcinoma is commonly treated with Sorafenib which is a type of targeted therapy. This is a good choice of treatment in case you have not yet received this drug. Immunotherapy using PD-1 inhibitors has also shown some modest evidence of benefit although it is not yet FDA approved for this indication. Ask your oncologist to guide your treatment further. ...Read more

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Treatment of acute pancreatitis?

Treatment of acute pancreatitis?

It depends: In acute pancreatitis the basic treatment is resting the pancreas, by limiting intake of food. Also you are given IV fluids and pain medication. If the pancreatitis becomes very severe you may need antibiotics and in rare circumstances surgery. The other thing that is done is investigating the cause in order to prevent future attacks. ...Read more

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Which is best treatment for pancreatic cancer?

Which is best treatment for pancreatic cancer?

Depends: Several factors: 1) resectability 2) comorbidities of the patient 3) stage. So depends on the stage. If metastatic, surgery not indicated. If not metastatic, is it resectable? Hope this helps. ...Read more

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What's the treatment for pancreatis? Do a gallbladder sludge cause pancreatis?

What's the treatment for pancreatis? Do a gallbladder sludge cause pancreatis?

Pancreatitis: The treatment will be determined by the cause of the pancreatitis. If only sludge is found and there are on other potential causes then a cholecystectomy (removal of the gallbladder) would be the best definitive treatment. ...Read more

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Can getting a pancreas transplant cure type 1 diabetes?

Can getting a pancreas transplant cure type 1 diabetes?

Yes: But usually reserve for patients who have frequent severe low sugars, other severe complications because risk of pancreas transplants-death, side effects of meds to prevent rejection- are usually worse than diabetes state that is controlled by patient with diet, meds. ...Read more

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Can getting a pancreas transplant solve the problem of pancreatic cancer?

Can getting a pancreas transplant solve the problem of pancreatic cancer?

Transplant for ca: No. Pancreas transplantation is for type 1 dm, usually with a kidney transplant.. If you have pancreas cancer and are a candidate for resection, then this can be accomplished and the pancreas does not need to be replaced. The last thing you would want while dealing with a pancreas cancer is the requirement for immunosuppression, which would encourage cancer growth. ...Read more

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Can radiation treatment and chemotherapy cure esophageal cancer?

Can radiation treatment and chemotherapy cure esophageal cancer?

Sometimes: The two main types of esophageal cancer are adenocarcinoma and squamous cell carcinoma. Cure with chemotherapy and radiation alone is much more likely with squamous cell carcinoma. The exact cure rate is dependent on the stage of the cancer, but cure with just chemotherapy and radiation is rare. ...Read more

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Primary biliary cirrhosis:best treatment options, what to do?

Primary biliary cirrhosis:best treatment options, what to do?

Liver trasplant: See a liver specialist will manage initially medical treatment , and enroll you in the program ...Read more

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How is pancreatic cancer with liver metasis treated?

How is pancreatic cancer with liver metasis treated?

Chemotherapy: Generally chemotherapy. If the cancer has spread to the liver, it probably has also spread to other organs in amounts too small to be seen by even the highest quality scans. Since chemo enters the blood stream, that's why this is the best treatment. After chemo, if there is only 1 or 2 liver spots, sometimes these can ablated (radiation or heat probes). ...Read more

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What is the most emergent treatment for gallstone pancreatitis?

What is the most emergent treatment for gallstone pancreatitis?

ERCP: Most cases of pancreatitis are mild & self-limiting. However, if severe (or with a strong suspicion of common bile duct stones), endoscopic removal of the cbd stone (endoscopic retrograde cholangiopancreatography) may improve the outcome. Eventually, a cholecystectomy will be necessary to prevent future episodes. ...Read more

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Can a pancreas transplantation surgery cure a patient from type 2 diabetes ?

Can a pancreas transplantation surgery cure a patient from type 2 diabetes ?

Not usually: Type 2 diabetes is due to a combination of inadequate insulin production by the pancreas, but also a problem with insensitivity to insulin in the other tissues around the body. Patients with type 1 diabetes typically only have the insulin production problem, and therefore transplantation is used for these patients. Medications and lifestyle modifications are generally effective for type II. ...Read more

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What treatment for common duct cyst? Elevated liver enzymes, abd. Pain

What treatment for  common duct cyst? Elevated liver enzymes, abd. Pain

May need surgery: This needs careful study by a gastroenterologist and depending on the details of the workup may require surgery. It would also depend on the overall medical condition and whether or not there is underlying liver disease. The precise location of the cyst is also important, as involvement of the pancreas would have a large impact on treatment and decision making. ...Read more

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A friend w/ advanced pancreatic cancer. Chemo helped. Tumors in pancreas & liver. Intrathecal pump. Digestion problems. Released to go home. Hospice?

A friend w/ advanced pancreatic cancer. Chemo helped. Tumors in pancreas & liver. Intrathecal pump. Digestion problems. Released to go home. Hospice?

Advanced cancer: It seems reasonable and sensitive to engage hospice; hospice can help at home or he can go to a facility; hospice team can engage for many weeks. It is a good service. ...Read more

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What is multi drug cocktail treatment for peptic ulcer ?

What is multi drug cocktail treatment for peptic ulcer ?

Several: Common is a ppi, e.g. Prevacid, (lansoprazole) and 2 antibiotics, e.g. Amoxicillin and clarithromycin. Others can include different antibiotics (if allergic or second rx), bismuth, e.g. Pepto bismol, and ppi. Take for 10-14 days. Other rx also. ...Read more

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How to treat fatty pancrease (pancrelipase)?

How to treat fatty  pancrease (pancrelipase)?

Usually no need: Dr. Kim is correct. As an autopsy pathologist, i see this frequently and unless there is obvious disease already, it's a normal variant. Different people deposit fat in different places (look around you!) and many people store some in their pancreas. ...Read more

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Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more