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At AIG, we see over 2000 patients with acute pancreatitis (new and follow-up) and a similar number of patients with chronic pancreatitis every year. We also see a substantial number of patients with pancreatic cystic tumours, pancreatic tuberculosis, pancreatic cancer and occasionally autoimmune pancreatitis.
Most of the new patients with pancreatic diseases are directed to the PANCREAS CLINIC where the preliminary assessments are done. Depending on the patient symptoms, laboratory results and imaging (USG, CECT, MRI/MRCP, EUS findings), individualized treatment is planned for each patient. Patients requiring endoscopic treatment or surgery are then directed to the respective departments for specific treatment. After interventions, the patients return to the PANCREAS CLINIC where they are followed on a regular basis.
For complex problems, a collective decision is taken in a MULTIDISCIPLINARY PANCREAS MEETING, which is conducted every Thursday morning and is attended by pancreatologist, medical gastroenterologist, pancreatic surgeons, interventional radiologists and nutritionist.
The PANCREAS CLINIC is also linked with the research laboratories, and many of the eligible patients are enrolled in research protocols if they provide informed consent to participate. Currently, the PANCREAS CLINIC is involved in research projects on the gut microbiota in pancreatic diseases, diabetes related to pancreatitis (Type 3c DM), development of treatment for inflammation in acute pancreatitis and pain in chronic pancreatitis, to name a few.
The PANCREAS CLINIC works closely with the advanced endoscopy team, surgeons, interventional radiologists, nutritionists, and the basic sciences research team.
For patients requiring endoscopic treatment, we offer ESWL and ERCP for pancreatic stones, ERCP and pancreatic duct stenting for pancreatic duct strictures, EUS guided drainage or walled of pancreatic necrosis. Many patients with walled pancreatic necrosis are treated by percutaneous catheter drainage by the interventional radiologists, and some of them require surgical drainage.
Patients with chronic pancreatitis requiring surgery are offered Whipple’s operation, Frey’s procedure, lateral pancreaticojejunostomy, distal pancreatectomy, depending on the primary diagnosis and patients clinical condition.
For pseudoaneurysms associated with pancreatitis, patients are usually treated with angioembolization by the interventional radiologists’ team, while occasionally patients require surgical intervention.
A specific subgroup of patients who undergo removal of part of the pancreas for chronic pancreatitis are offered islet transplantation, and eligible patients with chronic pancreatitis and related diabetes are offered mesenchymal stem cell transplantation. Details of these two procedures are available in the REGENERATIVE MEDICINE section of this website.