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Doctor insights on: Stone In Pancreatic Duct Symptoms

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Dr. Jeffrey Stevens
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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Is a dilated pancreatic duct at 6MM a problem that needs to be treated? what can happened?

Depends on cause: It sounds like there may be background information that would help a physician provide more valuable advice. The potential cause of the dilation is the important question. If this is an isolated finding, it is entirely possible the duct is dilated after the passing of a gallstone (causing a downstream blockage with bile backing into pancreatic duct), which would not necessitate urgent treatment. ...Read more

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Does high sugar level (116) have connection with dilated pancreatic duct?

Prediatetes: Or diabetes, but his does not have an association with a dilated pancreatic duct. That is a totally separate medical problem. Both need evaluation and possible treatment. ...Read more

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If pancreatic duct continues to become blocked after the stent comes out, what is the surgical procedure needed to correct situation? For cont. pain.

If pancreatic duct continues to become blocked after the stent comes out, what is the surgical procedure needed to correct situation? For cont. pain.

Several: If this is for chronic pancreatitis, there are a number if different procedures that can be done. The names are Peustow, Fry, Beger, and Whipple. Named after surgeons. You could look up the details. The decision making for this is quite complex. Hope this helps! ...Read more

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Can a recent bout of bad coughing from bronchitis dislodge a gallstone and block the pancreatic duct?

Can a recent bout of bad coughing from bronchitis dislodge a gallstone and block the pancreatic duct?

Likely unrelated: Yes, you can have a gallstone leave the gallbladder, enter the bile duct & cause biliary obstruction or pancreatitis. But coughing would be unrelated & not be expected to dislodge a gallstone & cause it to enter into the bile duct. ...Read more

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I had an ultrasound done and it came back that the pancreatic duct is measuring between 2.5 and 3.5 mm. Isn't it considered dilated? Or normal? I'm 36

I had an ultrasound done and it came back that the pancreatic duct is measuring between 2.5 and 3.5 mm. Isn't it considered dilated? Or normal? I'm 36

Borderline: The pancreatic duct on ultrasound in a female of your age would be around 2 mm in diameter. Your measurements are borderline dilated. Any prior history of gallstone pain or possible pancreatitis? The duct can appear larger on x-ray cholangiograms but that reflects the injection of contrast into the duct while ultrasound shows the duct in a baseline state. ...Read more

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Pancreatic duct in tail is 1.8mm, the doc biopsied the tissue around it, but said there were no rumors. If there were no tumors, why the biopsy?

No reason: Slight dilatation of distal pancreatic duct of no significance especially in the absence of any discreet lesion. In situ Ca of pancreas begins in duct system and develops over a 15-20 yr period until an invasive lesion is seen. Slight duct problem could be due to narrowing of duct due to inflammation or rarely the in situ lesion. The only bx would be via ERCP with brushings of the duct. ...Read more

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ERCP done, post procedure was SOD2P w/mild pancreatic duct dilatation. ? Does SOD2P mean? They did a stent also.

Probably : that abbreviation probably refers to sphincter of Oddi dysfunction, type 2, which is an abnormal squeezing of the sphincter at the end of the bile duct. It sounds like your endoscopist treated it with a stent. Hopefully that will help. Good luck. ...Read more

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I have stricture of the pancreatic duct. What additional, I have upper abdominal pn, problems can incur from this?Another ERCP sched to try cannulate

I have stricture of the pancreatic duct. What additional, I have upper abdominal pn, problems can incur from this?Another ERCP sched to try cannulate

Pancreatic stricture: Symptoms that may result from a pancreatic stricture depend mostly on what is actually causing the structure. Certainly more pain and/or pancreatitis can occur from this. It is important to proceed with ERCP both to diagnose what is causing it and to attempt to open the stricture in some way. Good luck. ...Read more

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Pancreas is contracted and ecogenic. Parapancreatic no collection or mass. Main pancreatic duct is not dilated. How can i get rid of this? Please sgst

There is: nothing to get rid of. An echogenic pancreas can be normal, particularly if it is not accompanied by enlargement. I'm not sure what they mean by contracted pancreas. The rest of it is essentially saying there are no abnormalities. ...Read more

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Is a rupture to the pancreatic duct rare? Distal op recommended. Pancreas surgeons say I am to high risk because of internal scaring is tp/iat option?

Rupture is rare: A duct rupture such as this is rare, most often is "iatrogenic" meaning it occurs during some mechanical intervention. Depending on where the rupture is, it can be surgically corrected or stented via an upper endoscopy. "high risk" usually implicates the existence of other medical issues that may pose risk for surgery, an anesthesia consultation is warranted in this situation. ...Read more

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Age 19.mrcp shows pancreatic duct head body tail dilated,abrupt cut in head region,branches & tail narrowing,duct 6mm.DOC on this site said hve cancer?

Possible: (MRCP) an exam uses magnetic resonance imaging to visualize the biliary and pancreatic ducts in a non-invasive manner. It is used to determine if gallstones are lodged in any of the ducts. If narrowing of the duct in the head is present one can suspect an intraductal lesion which has not yet converted to invasiveness and produced painless jaundice of pancreatic Ca. Duct brushings by ERCP needed. ...Read more

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If my surgeon sees a stone in the pancreatic duct or common bile duct during intra-operative cholangiography, can he remove the stone during surgery?

If my surgeon sees a stone in the pancreatic duct or common bile duct during intra-operative cholangiography, can he remove the stone during surgery?

CBD stones: It depends on the surgeon. If intra-operative cholangiogram is done and showed a stone most would defer it to the GI specialist to do a procedure called ERCP to remove the stones. ...Read more

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7mm periampullary lesion, 3 liver lesions, total beta hCG is high, anion gap-10, monocytes-1.1, chloride high, erc low, cbd & pancreatic duct dilation?

7mm periampullary lesion, 3 liver lesions, total beta hCG is high, anion gap-10, monocytes-1.1, chloride high, erc low, cbd & pancreatic duct dilation?

Your question?: I appreciate your sharing this, but no one here will be able to make the call. Unless your HCG is extremely high, it means nothing. The other labs are not helpful. Your periampullary lesion has hopefully been biopsied, as will your liver lesions if the radiologist cannot certify them as benign. Hoping celiac sprue has been ruled in or out, along with whipple's and common lactose intolerance. ...Read more

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Pancreas stones how dangerous are they been at the head of the pancreas . Can the stones move to the duct area .Can healthy diet reduce the pain.

Pancreas stones how dangerous are they been at the head of the pancreas . Can the stones move to the duct area .Can healthy diet reduce the pain.

Can be dangerous: The pancreatic duct joins with the biiary tract with different pattern. At time pancreatic stone give severe pain but might cause jaundice (yellow skin) and be very dangerous. ...Read more

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Will a nuclear hida scan show pancreatic stones or bile duct stones?

No: Hida scan is a functional exam to reveal if the bile duct is blocked by a stone or tumor. If blockage is suspected by the results, an MRI of the bile ducts (mrcp) is frequently the next step to visualize the blockage. ...Read more

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Why when a stone obstructs in bile duct can trigger pancreatitis? Is it somehow related to activation of pancreatic enzyme to become active? Tha k

Why when a stone obstructs in bile duct can trigger pancreatitis? Is it somehow related to activation of pancreatic enzyme to become active? Tha k

Anatomy: The bile duct passes through the head of the pancreas and is connected to the pancreatic duct. If a stone obstructs the bile duct where it passes through the pancreas it will cause inflammation of the pancreas as well as liver problems. ...Read more

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How do doctors know if a stone is lodged in the common bile duct and/or the pancreatic ducts? Is ercp the only way to know for sure?

Maging studies: Liver function studies and history can give a strong indication that the pt has a common duct stone. At surgery for cholecystectomy, a cholangiogram can show a cbd stone. Magnetic resonance cholangiopancreatography (mrcp) is being done as a noninvasive test to find cbd stones prior to ercp. Sometimes only ERCP gives the answer. ...Read more

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Pain up abdomen and back. Dual phase ct nomral. Eus bile duct to ampulla normal. Alt 71 No stones found Worried pancreas. Docs says ibs. correct?

Pain up abdomen and back. Dual phase ct nomral. Eus bile duct to ampulla normal. Alt 71 No stones found Worried pancreas. Docs says ibs. correct?

Panc Ca discussion: If there is a VERY strong family history of panc Ca, some might consider dynamic contrast MRI to find TINY lesions. But this is overkill just to exclude a panc. lesion that would be symptomatic as contrast CT and EUS are really good tests. There can be diagnostic challenges w/ abd. and back pain. Most are benign under 40 yo. An internist will have all your info and can try to put it together. ...Read more

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GB like symptoms.US-distal dilation of CBD 7.7mm.MRCP-mild prominence of pancreatic duct.Dense adhesions between GB & abdominal wall. Pls. interprete?

Need context...: ...for which your test was ordered. Also, your question is ideally & confidentially answered in the Concierge forum of HealthTap--would suggest you consider that route to your query. ...Read more

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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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What are symptoms of a stone in bile duct?

What are symptoms of a stone in bile duct?

Varies: Some cause no symptoms. Others can be associated with right upper abdominal, flank, back or epigastric pain. Nausea and vomiting may occur especially if the stone blocks the bile duct and/or inflames the pancreas. You may notice yellowing of the eyes, darkened urine or light / clay colored stools. ...Read more

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Had my gallbladder removed in 2008. Had a bile duct stone removed 2009.Still having the same symptoms of gallbladder/stone pain.Tests so nothing.Sos!?

You could: Still have common bile duct stones, or other obstructions of your biliary system. You need blood tests and possible sonogram, ct scan with contrast, and possibly an ercp. ...Read more

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What causes pancreatic ductal dilation?

Pancreatic duct dila: This can happen in chronic panceatitis, or if there is a pancreatic neoplasm ( tumor) . Sometimes there are benign tumors in the duct that can eventually become malignant so it is important to check them out. Technically gallstones that are stuck at the spincter of Vater causing pancreatitis can result in pancreatic duct dilatation as can inflammation post ERCP. ...Read more

Duct (Definition)

Is a channel leading from a gland or an organ, for example lactiferous duct leads from mammary gland to ...Read more