Suggest Treatment For Pancreatitis
Do not do surgery for stones if it is not emergency
Detailed Answer:
Hello,
let me explain you in detail as pancreatitis is not your primary problem
1) Portal vein brings blood to liver (80%) and this vein is blocked due to some reason in your case. But to continue supply of blood to liver, small veins are formed around blocked portal vein which supply blood to liver.
2) portal vein is formed by fusion of two veins one brings blood from small intestine and other brings from spleen. The vein which brings blood from spleen also bring blood from pancreas. In your case, these both veins are also blocked. Ultimately, patient develop portal hypertension.
3) In portal hypertension, small veins at lower end of esophagus become enlarged and may cause vomiting with blood.
4) Therefore you should do upper GI endoscopy and clipping of these small esophageal veins to prevent bleeding.
3) This blockage of portal vein is genetic disorder and it is irreversible. Medical treatment is only helpful to prevent damage to liver otherwise ultimate treatment is liver transplantation or surgery for diversion of blood flow from portal vein to other vein of body
4) About gall bladder stone - never do any surgery on abdomen until it is emergency because bleeding is very severe risk for any abdominal surgery in these patients.
High risk for bleeding
Detailed Answer:
Hello,
I apologize for late reply
1) if you ask about bleeding risk during any abdominal surgery, then it is very high.
2) If your concern is about blood in vomiting then risk increase if patient had previous episodes of blood containing vomiting already.
3) I suggest again, never do any abdominal operation until it is life-saving procedure.
4) You can not do anything for bleeding associated with surgery.
5) To prevent blood containing vomiting episodes, patient must do every three month upper GI endoscopy to check status of small esophageal veins and if they are enlarged do band-ligation of them at same time.