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Acute Pancreatitis Due To Gallstones

Posted on Mon, 21 Nov 2022

Question: My wife had gone through acute pancreatitis due to gallstones and got admitted for 3 days to clear pancreas infection as amylase serum was too high..Now same has cleared but doctor is telling laproscopic surgery need to be done to remove gall blader as mulitple stones are there.
In LFT alkaline phosphate value is 148 and doctor is telling surgery can only be done if value of same would be less than 98(within limits) but value of alkaline phosphate is not coming within limits since last 3 weeks , 3 weeks before value was 165 and till today its 148 only.
Doctor advised to have Udiliv 300 at time of discharge and same is continued.

Answered by Dr. Dr.P.Ratnakar Kini (46 minutes later)

Brief Answer:
MRCP

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

Was MRCP done?
Please upload the MRCP report.

Was ERCP done?

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (34 hours later)

Hi Sir,
MRCP has already done.
I am attaching reports herewith.

Answered by Dr. Dr.P.Ratnakar Kini (7 hours later)

Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for uploading the reports.
MRCP not showing any stone or obstruction in the common bile duct.

You need not wait for alkaline phosphatase to come to baseline.
The value of 148 is not significantly high.

Your wife can go ahead with surgery on a planned date. It is not an emergency.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (6 hours later)

Hi Sir..
Thanks for your valuable suggestion.
Yesterday i had consulated with Dr.Pooran XXXXXXX MD,DM Gastro.of Fortis XXXXXXX and he suggested to go for Endoscopic Ultrsound(EUS) as Alkaline Phosphate is almost on same level and not reducing significantly since last 3 weeks so suspecting for still having some bile duct blockage.

So kindly suggest whether we may go for EUS and same test may cause any complication.

Answered by Dr. Dr.P.Ratnakar Kini (7 hours later)

Brief Answer:
Yes

Detailed Answer:
Hi,
Yes, you can for EUS.
It is a valuable tool.
No, it does not cause any complication.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (3 hours later)

ok..thanks Sir for your valuable suggestion..

Answered by Dr. Dr.P.Ratnakar Kini (4 days later)

Brief Answer:
Thanks

Detailed Answer:
Thanks for consulting me online. If you do not have more doubts, please close the thread and rate the answer.
Dr Kini

Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj