Chronic Pancreatitis: Surgical Treatment Options
Chronic pancreatitis is a long-lasting inflammation of the pancreas. It can cause constant pain in the upper abdomen, digestive problems, and sometimes lead to diabetes if left untreated. Unlike acute pancreatitis, which happens suddenly and often improves with treatment, chronic pancreatitis develops gradually. Over time, it can permanently damage the pancreas, making it unable to function properly.
Early diagnosis and treatment are very important to control symptoms, prevent complications, and improve quality of life. At GEM Hospital, Chennai, patients can access expert chronic pancreatitis treatment in Chennai under the care of Dr. S. Srivatsan Gurumurthy. With over 17+ years of experience in advanced gastrointestinal and pancreatic surgeries, he provides personalised care using both laparoscopic and robotic techniques for better results and faster recovery.
Understanding Chronic Pancreatitis:
Chronic pancreatitis is different from acute pancreatitis. In this condition, the inflammation does not settle completely. The pancreas becomes scarred and hardened. Digestive enzymes reduce. Insulin production may also decrease.
Common symptoms include:
- Severe upper abdominal pain
- Pain radiating to the back
- Fatty stools
- Weight loss
- Diabetes in advanced stages
Patients often consult a Gastroenterologist in Chennai for diagnosis. Blood tests, CT scans, MRI, and endoscopic ultrasound help confirm the condition.
When Is Surgery Needed for Chronic Pancreatitis?
Not all patients require surgery. In early stages, medicines, enzyme supplements, diet changes, and lifestyle modification can help. However, surgery becomes necessary when:
- Pain is severe and persistent
- Pancreatic duct is blocked by stones
- Repeated hospital admissions occur
- There is suspicion of cancer
- Quality of life is significantly affected
In such cases, surgical intervention offers long-term pain relief and improved pancreatic function
Surgical Treatment Options for Chronic Pancreatitis
The choice of surgery depends on pancreatic anatomy, duct size, presence of stones, and complications. At GEM Hospital, modern surgical approaches are used for better outcomes.
1. Pancreatic Duct Drainage Procedures:
When the main pancreatic duct is dilated due to obstruction, drainage surgery is recommended. This helps reduce pressure and pain.
Puestow Procedure (Longitudinal Pancreaticojejunostomy)
This surgery involves opening the pancreatic duct and connecting it to the small intestine. It allows pancreatic juices to drain freely.
It is commonly used in pancreatic stone treatment in Chennai when stones block the duct.
2. Pancreatic Resection Surgeries:
In patients with disease limited to a specific part of the pancreas, removal of that segment is advised.
- Head of pancreas involvement – Frey’s or Beger’s procedure
- Tail of pancreas involvement – Distal pancreatectomy
These surgeries help relieve pain and prevent further damage.
Dr. S. Srivatsan Gurumurthy is also recognised as a Pancreatic Cancer Surgeon in Chennai, making him highly skilled in complex pancreatic resections.
3. Combined Drainage and Resection Procedures:
Some patients benefit from a combination of drainage and partial resection. This is ideal when both duct obstruction and inflammatory mass are present.
These advanced procedures require high surgical expertise and are best performed at specialised centres like GEM Hospital.
Role of Laparoscopic Surgery in Chronic Pancreatitis:
Laparoscopic surgery has transformed pancreatic care. It uses small incisions and specialised instruments.
Benefits include:
- Less pain after surgery
- Faster recovery
- Shorter hospital stay
- Minimal scarring
As a leading Laparoscopic Surgeon in Chennai, Dr. S. Srivatsan Gurumurthy performs minimally invasive pancreatic surgeries with excellent results.
Robotic Surgery for Chronic Pancreatitis:
Robotic surgery is the latest advancement in pancreatic surgery. It offers superior precision and better visualisation.
Advantages of robotic surgery:
- High-definition 3D vision
- Greater surgical accuracy
- Better preservation of healthy tissue
- Reduced blood loss
Dr. S. Srivatsan Gurumurthy is a trusted Robotic Surgeon in Chennai, trained in the Da Vinci robotic system. His expertise allows safe and effective robotic pancreatic procedures, even in complex cases.
Managing Complications and Associated Conditions:
Chronic pancreatitis can lead to complications such as:
- Pancreatic pseudocysts
- Bile duct obstruction
- Duodenal narrowing
- Diabetes
Surgical treatment addresses these issues and prevents progression. Patients with coexisting gastrointestinal problems may also require care from specialists such as a Colorectal Surgeon in Chennai, especially when digestive symptoms overlap.
Recovery After Pancreatic Surgery:
Post-surgery recovery depends on the type of procedure and patient health. Most patients experience significant pain relief within weeks.
Recovery care includes:
- Gradual diet progression
- Pancreatic enzyme supplements
- Blood sugar monitoring
- Lifestyle changes
Regular follow-up is essential to ensure long-term success.
Why Choose Dr. S. Srivatsan Gurumurthy for Chronic Pancreatitis Treatment in Chennai?
Dr. S. Srivatsan Gurumurthy is one of the most trusted names in pancreatic diseases treatment in Chennai. He has over 17+ years of experience in advanced gastrointestinal and pancreatic surgery. Patients benefit from his expertise in both robotic and laparoscopic surgery, making complex procedures safer and more effective. He completed his MBBS from Chengalpattu Medical College and MS in General Surgery from Stanley Medical College. He further specialised with a DNB in GI Surgery from the National Board of Education and advanced fellowships in Minimal Access and Robotic Surgery.
Patients trust Dr. Srivatsan for his personalized care, ethical advice, and consistently excellent surgical outcomes, making him a top choice for chronic pancreatitis treatment in Chennai.
Dr. S. Srivatsan Gurumurthy
Dr. Srivatsan has published 34 research papers in national and international journals, including the prestigious Coimbatore Summit Statements on laparoscopic pancreatic surgery. He has also received the Travel Grant Award for the best laparoscopic paper presentation at the AHPBA international conference in Seoul, South Korea. Additionally, he has been invited as faculty to perform live laparoscopic surgeries at AMASICON 2020 and the Sri Lankan Surgical Society Annual Conference 2020.
Conclusion:
Chronic pancreatitis is a challenging condition that can significantly impact daily life. While medications and lifestyle changes help in early stages, surgical intervention often provides lasting relief. With advanced options like laparoscopic and robotic surgery, patients can experience effective pain control, improved pancreatic function, and faster recovery.
Booking appointment with Dr. S. Srivatsan Gurumurthy, a leading Robotic and Laparoscopic Pancreas Surgeon in Chennai, ensures personalised care and the best treatment outcomes. Early evaluation and timely surgery can prevent complications and improve quality of life for those suffering from chronic pancreatitis.