What are the Chronic Pancreatitis Treatment Options in Chennai?

Your Guide to Managing Chronic Pancreatitis in Chennai

Chronic pancreatitis is a long-lasting condition that causes inflammation and damage to the pancreas, a small organ situated behind the stomach, which plays a crucial role in digestion. This damage can lead to symptoms like belly pain, weight loss, and digestive problems, which can deteriorate the quality of life.

With early diagnosis, chronic pancreatitis can often be managed through medications, diet changes, and avoiding alcohol. However, in more serious cases or when treatments are ineffective, surgery may be necessary. Continue reading to learn about the treatment options for chronic pancreatitis in Chennai.

What are the Treatment Options for Chronic Pancreatitis in Chennai?

Chronic pancreatitis treatment may include medications, dietary adjustments, endoscopic procedures, surgical intervention, or nerve blocks, depending on the severity and progression of the condition:

1. Medication Management

For patients with chronic pain that is not adequately controlled through conservative means, medication may be recommended, such as:

• Analgesics (Pain Relievers) : Pain management typically begins with the lowest effective dose of analgesics. Doses may be adjusted under close medical supervision to ensure optimal relief with minimal side effects.
• Pancreatic Enzyme Therapy Enzyme supplements may be prescribed to:
• Improve nutrient absorption
• Reduce diarrhea
• Promote healthy weight gain
• Nutritional Support : Chronic pancreatitis can lead to protein-energy malnutrition. Treatment includes:
• Correction of malabsorption
• High-protein, high-calorie diets
• In severe cases, total parenteral nutrition (TPN) may be required to meet nutritional needs.

2. Surgical Intervention

Surgery is considered when medical and endoscopic therapies fail to provide relief. Surgical options vary based on the patient’s symptoms, disease severity, and overall health.

• Puestow Procedure (Longitudinal Pancreaticojejunostomy) : This procedure relieves pain by draining a blocked pancreatic duct. It is often effective for patients with ductal dilatation.
• Whipple Procedure (Pancreaticoduodenectomy) : A complex surgery in which the head of the pancreas, duodenum, part of the bile duct, gallbladder, and sometimes part of the stomach is removed. The digestive tract is then reconstructed. It should be performed by highly experienced surgeons in specialized centres.
• Total Pancreatectomy with Autologous Islet Cell Transplantation (TPIAT) : Total Pancreatectomy with Autologous Islet Cell Transplantation (TPIAT) is a specialized procedure available in select international centres. It may be considered for patients with intractable pain, but access in India is limited and should be discussed with a tertiary care specialist.
• Distal Pancreatectomy : In this procedure, a portion of the pancreas is surgically removed. It is typically used when the disease is localised in the body or tail of the pancreas.

3. Celiac Nerve Block

In advanced cases, oral medications may not be sufficient for pain control. A celiac plexus block, an injection of anaesthetic around the nerves that transmit pain from the pancreas, may offer temporary relief. Repeat injections may be necessary.

4. Endoscopic Therapy

Endoscopic procedures offer a minimally invasive alternative for managing symptoms and complications of chronic pancreatitis, such as:

• Endoscopic Pancreatic Sphincterotomy : This procedure reduces ductal pressure and allows access for:
• Placement of pancreatic stents
• Biopsy collection
• Stricture dilation
• Stone removal
• Stricture Management  : Endoscopic dilation of strictures (narrowed areas in the duct) can relieve pain and improve pancreatic drainage. Multiple sessions may be required for lasting results.
• Stone Extraction : Pancreatic duct stones can obstruct the flow of enzymes and cause pain. Endoscopic stone removal may be combined with extracorporeal shock wave lithotripsy (ESWL) to break up larger stones for easier extraction.

Without proper treatment, chronic pancreatitis can lead to serious complications like constant pain, poor digestion, weight loss, and even diabetes. Managing the condition in Chennai usually involves lifestyle changes, medications, and regular check-ups to prevent further damage and improve quality of life.