What Is Pancreatic Cancer?
A malignancy of the pancreas often diagnosed at an advanced stage.
Why Do I Need Evaluation/Treatment?
Symptoms include abdominal pain, weight loss, or painless jaundice.
How Should I Prepare?
- Imaging: CT/MRI pancreatic protocol; fasting 6 hours for CT.
- Laboratory: CA 19-9 tumor marker; liver/pancreatic enzymes.
What Happens During Treatment?
- Resectable: Whipple procedure (pancreaticoduodenectomy) or distal pancreatectomy.
- Borderline: Neoadjuvant chemotherapy ± radiation followed by surgery.
- Unresectable: Palliative chemotherapy; EUS-guided celiac plexus neurolysis for pain.
What Can I Expect Afterwards?
- Hospital stay 7–10 days post-Whipple; 5–7 days for distal pancreatectomy.
- Gradual diet progression; enzyme supplementation if required.
Risks & Possible Complications
- Pancreatic fistula (10–20%)
- Delayed gastric emptying (20–30%)
- Infection, bleeding
Follow-Up
- CA 19-9 and imaging every 3 months for 2 years.
- Nutritional and glycemic monitoring.
Emergency Contact
Dr. AK Lohana Clinics & Endoscopy Services
