What is Pancreatitis? | Q&A

What is Pancreatitis? | Q&A

[MUSIC] I am Vikesh Singh, I am a
Gastroenterologist at Johns Hopkins. I am the director of the Pancreatitis
Center, and I am the Medical Director of the Eyelid Auto
Transplantation Program. I specialize in inflammatory disorders of the pancreas, as well as interventional
endoscopy. [MUSIC] Chronic pancreatitis is a long-standing
inflammatory disorder of the pancreas which results in gradual and
progressive fibrosis of the gland. And that ultimately results in 3 common
complications which include chronic abdominal pain exocrine
insufficiency, as well as endocrine insufficiency. Chronic abdominal pain is the primary
reason that patients seek medical attention for
this problem. However in the later stages of the diseases, the exocrine insufficiency,
which is typically manifested by voluminous
diarrhea, and endocrine insufficiency which is
commonly know as diabetes often set in, and these
are other conditions that typically need to be managed as part of
the care of these patients. [MUSIC] Acute pancreatitis is a sudden
inflammation of the pancreas, which typically catches
people off guard, and is most commonly manifested by severe abdominal pain which requires
medical attention. These patients typically present to
emergency rooms after the diagnosis which is based on simple blood tests, and
sometimes a CT scan of the abdomen. These patients are usually admitted,
they’re kept nothing by mouth, they’re given IV fluids as well as
pain medication. What typically sets apart acute from
chronic pancreatitis, is that acute pancreatitis usually gets
better from these conservative measures. Chronic pancreatitis is really what sets
in over a longer period of time of continuous bouts
of acute pancreatitis. [MUSIC] There aren’t any other types of
pancreatitis, but there are other forms of pancreatitis that can result in
acute and chronic inflammation. Probably the one we most commonly think of
is autoimmune pancreatitis where the body itself is
attacking the pancreas, and that leads to not only acute inflammation, but
over some period of time, that can also cause the changes
of chronic pancreatitis. But other than that, there are no other
true pathologic forms of pancreatitis. [MUSIC] The diagnosis of chronic pancreatisis involves a combination of testing
modalities. One is often the clinical history, but in,
in addition to that, the Physician might employ, a range of tests including simple
blood tests, stool tests, imaging studies, and
endoscopic procedures. Diagnosing moderate or severe chronic
pancreatitis is actually very, very easy. A simple imaging study typically reveals
changes in the gland which are common for chronic
pancreatitis. In the earliest or mild stages of the
disease, that is really where the most difficulties are
in diagnosing chronic pancreatitis. These are the patients who often have
abdominal pain that’s chronic in nature and maybe quite debilitating, and even to the point where they often require
narcotics. However pursuing simple imaging studies in these patients usually reveals normal
pancreas. It is those patients who I think form the
greatest challenge for their providers. And I think that it’s those patients who
are probably best served by being referred to a
tertiary center where they can undergo more complex testing and
evaluation in order to figure out whether they might really have mild or
early chronic pancreatictitis. [MUSIC]

36 Replies to “What is Pancreatitis? | Q&A”

  1. @ Anil Singh – One of my friend son is having this Pancreatitis Diseases and they have gone to many hospitals and taken consulting from doctors but no hope. is this Diseases is not curable. if yes there is treatment let know the best hospital in APAC or any possibility to get treatment from Jhon hopkins in APAC itself.

  2.   my friend is having Pancreatitis Diseases and they have gone to many hospitals and taken consulting from doctors but no hope.doctors told every thing is ok ans report are aslo fine but he has to much pain in his stomach . is this Diseases is not curable. if yes there is treatment let know the best hospital in india or any possibility to get treatment 
    Reply  ·  

  3. Hi i have acute chronic necrotising pancreatitis and i really need to start to keep fit ,iv not worked out for 3yrs im 38 and spent 3wks in hospital last year in july,but i feel im ready to exercise can i cycle and swim etc please can you help me,thanks

  4. My suffering with chronic pancrise doctor suggest to go for operation and get relief from pain but there no improvement in weight loss please give any suggestion

  5. I had my tail end removed by Johns Hopkins at age 17! Im now 32yrs old and thank GOD for this hospital! They SAVED MY LIFE!!!

  6. My mom just had her 7th knee surgery (holes won’t close up) & get her 3rd spacer. She was dx w/ ILD they think from reflux mos. ago. She was in major pain. Getting CT now. Pain hit after knee surgery, this time w/ skin graft & muscle from calf attached to front of leg. She’s 70. Scary.

  7. I looked it up because my dad came home with pain in his abdomen, and he got diagnosed with pancreatitis. I hope he'll be ok…
    Update: he’s ok! He can no longer drink wine or coffee but he doesn’t mind. He only had acute pancreatitis.

  8. In the Past 3 months I’ve gone to the hospital twice on emergency because lower abdominal pain. CT scans, Ultra sound and nothing. First time I got out I was better within 1 week (with colitis) I did get the green light from doctor to eat normal again and everything was good up until about a month after and I decided to go out and have a few drinks(alcohol) and I was back in the emergency room same thing happened I spent 2 nights there on the IV they diagnosed me with colitis/diverticulitis. Anyways I went to Mexico for my birthday a month later and I had a few drinks since it was my birthday anyways same thing I got the same pain down there and I saw a general doctor and he recommended go to a specialist he knew to get a second opinion. I did now he diagnosed me with chronic pancreatitis I got some treatment and I’m still taking it a month later been eating as healthy as possible no fried food just chicken fish and some veggies and plenty of water. Before I left to Mexico they scheduled a colonoscopy to further examine my stomach here in the states after the exam they said they didn’t find anything as far as what you could see with the naked eye but im still waiting on a phone call because they took a sample of the lining of the Colon. Anyways I’m 25 years old just turned 25 and this really sucks.

  9. Sir my grandmother(84) is suffering from acute pancreatitis, her serum amylase and lipase was 3306 and 480 but after hospitalisation her amylase and lipase is 197 and 78 respectively and serum creatinine is 5.2. As I am from India its not possible for me to brought her to your clinic please suggest me further course of action within India and also the chances of her survival. One month before her creatinine was 0.91 and she is not a diabetic patient.

  10. Please speak a bit slower. You have a lot of terrific things to say so slow down. (you get paid by the hour right?)

  11. I Decided to look this up cause my mom died a few months ago from a panc attack 😔 im sorry to anyone who has to go through this, I underestimated how horrible it really is.

  12. I had pancreatitis about 6 months ago now. I was in such severe pain in the ER my veins shrunk and collapsed the IV I was given. This was after being given Morphine. After years came back I was admitted for 4 days. I've been in a coma for 5 weeks, and been in a car accident flipping over a bridge before so I can handle a little pain but I can not stress to you how painful acute pancreatitis is! I was 29 years old at the time and was ready to go ahead and pass on just to get out of that pain. You don't want to go through it.

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