Expert Treatment for Cyst of Pancreas by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Physical Exam
He would enquire of you when your epigastric pain started, whether it is sharp or dull, whether you have nausea or early satiety, whether you have gained or lost weight, whether you take alcohol, whether you have had any previous pancreatitis, inflammatory gallbladder, family history of pancreatic disorders.
Blood Tests
He requests pancreatic enzymes (amylase, lipase) and liver tests, and where necessary, tumor markers (CEA and CA 19-9) to differentiate among the benign cysts and the ones at risk.
Imaging Studies
- Abdominal Ultrasound: A first look to detect cysts, estimate size, and assess nearby organs.
- CT Scan or MRCP: A detailed cross-sectional image: the cyst morphology, the thickness of the walls, and the septations, and ductal communication.
- Endoscopic Ultrasound (EUS): Fine images of the pancreas; works well with small or indeterminate sutures.
Advanced Testing (if needed)
During EUS, he could take fine-needle aspiration (FNA) to obtain cyst fluid to do cytology, biochemical analysis, and tumor marker assay-and give final results of type of cyst and risk of malignancy.
Frequently Asked Questions
Risks Associated with Pancreatic Cysts
Many pancreatic cysts are harmless. However, some may develop into cancer over time. Frequent imaging tests and regular follow-up help monitor and control any potential risks.
Symptoms to Observe
Warning signs include abdominal pain or pressure, feeling full quickly, unexplained weight loss, nausea or vomiting, and yellowing of the skin or eyes (jaundice).
How to Differentiate Between a Cyst and a Tumor
The size, location, and characteristics are evaluated using CT and MRI scans. Endoscopic ultrasound and fluid sampling allow for cellular examination to distinguish cysts from tumors.
Available Treatment Options
Some cysts only require regular imaging. Others may need endoscopic drainage or laparoscopic/robotic surgery depending on their size, symptoms, and cancer risk.
Role of Lifestyle Changes
Lifestyle modifications can help preserve pancreatic health, including a low-fat diet, eating smaller meals more frequently, staying hydrated, avoiding alcohol and tobacco, and taking prescribed enzyme supplements.
When to See a Specialist
If you experience alarming symptoms or imaging reveals a pancreatic cyst, consult a gastroenterologist for individualized assessment and treatment.
Safety of Endoscopic Drainage
Endoscopic drainage is minimally invasive, performed by an experienced endoscopist, allows for fast recovery, and effectively relieves pain or pressure from larger cysts.