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What Causes Severe Upper Abdominal Pain After Gallbladder Removal?
Hi, my 35 yr old wife had her gall bladder removed 5 weeks ago. One week after surgery she had severe upper abdominal pain and was rushed to the ER. A HIDA scan indicated a bike leak and an ERCP was conducted to insert a stent in her bile duct. She has had a burning pain radiating to her back constantly for four weeks now. All symptoms point to pancreatitis. She is having blood work done tomorrow. If pancreatitis is confirmed, what are treatment options and prognosis?
Mon, 16 Mar 2020
Hello,
If there is confirmed pancreatitis issue, management depends upon the underlying clinical symptoms, severity indicated by the lab data, pancreatic enzyme levels, extent of damage to pancreatic parenchyma in CT scan results and else. General guidelines for pancreatitis management:
- Hospital admission
- Intravenous fluid support
- Electrolyte maintenance
- Control of liver function, clotting parameters
- Intravenous antibiotics as ceftriaxone, metronidazole with others
- Proton pump inhibitors as pantoprazole or esomperazole intravenously
- Analgesic and antispasmodic as dicyclomine intravenously
- Anti-emetic in case of vomiting
- Regular CT evaluation for progress and check for necrosis development if any
- Rare cases do require surgery of pancreas as well
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon
If there is confirmed pancreatitis issue, management depends upon the underlying clinical symptoms, severity indicated by the lab data, pancreatic enzyme levels, extent of damage to pancreatic parenchyma in CT scan results and else. General guidelines for pancreatitis management:
- Hospital admission
- Intravenous fluid support
- Electrolyte maintenance
- Control of liver function, clotting parameters
- Intravenous antibiotics as ceftriaxone, metronidazole with others
- Proton pump inhibitors as pantoprazole or esomperazole intravenously
- Analgesic and antispasmodic as dicyclomine intravenously
- Anti-emetic in case of vomiting
- Regular CT evaluation for progress and check for necrosis development if any
- Rare cases do require surgery of pancreas as well
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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