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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Elevated Lipase After Undergoing ERCP For CBD Stone Removal?

About 6weeks ago I had an emergency ERCP to remove a stone from my CBD which had caused acute pancreatitus. Thet also cleaned out an impacted diverticuli that was putting pressures on the CBD. My liver and pancres were in danger of shutting down. Now all my metabolic levels are normal with the exception of Lipase. My Gastroenteroligist seems conserned and is having it checked regularly. If it s still high next time I was told he wanted me to come in for a visit. They have checked for all types of HVA,HVB,HVC, ANA, ferite, CT, ultrasound, x-ray. My physical symptoms(pain,vomiting,jaundice,brown urin)has all be remedied. What else could it be? I m worried about cancer, shouldn t the scans have found that? A little background info that may or may not be relevant: I had mestastised melanoma 3B 10 yrs ago, Gallstones and gallbladder removed 6yrs ago, sissel serrated polyps removed 1yr ago.
Thu, 6 Mar 2014
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General Surgeon,  's  Response
Hi. Thanks for an elucidate history.
Scans should have really found the cancers you had and the past history dates back to 10 years , so I do not think this has to do with any cancers.
An increase in lipase after the ERCP may take a long time as there still can be a 'sub-clinical ' pancreatitis. These glands take a lots of time to heal and lipase can be more than normal for a few days to some weeks.
I hope this will settle with time.
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What Could Cause Elevated Lipase After Undergoing ERCP For CBD Stone Removal?

Hi. Thanks for an elucidate history. Scans should have really found the cancers you had and the past history dates back to 10 years , so I do not think this has to do with any cancers. An increase in lipase after the ERCP may take a long time as there still can be a sub-clinical pancreatitis. These glands take a lots of time to heal and lipase can be more than normal for a few days to some weeks. I hope this will settle with time.