{"id":2897,"date":"2026-01-17T13:34:23","date_gmt":"2026-01-17T08:34:23","guid":{"rendered":"https:\/\/doctoraklohana.com\/?p=2897"},"modified":"2026-02-24T20:29:23","modified_gmt":"2026-02-24T15:29:23","slug":"pancreatic-conditions","status":"publish","type":"post","link":"https:\/\/doctoraklohana.com\/?p=2897","title":{"rendered":"Pancreatic Conditions"},"content":{"rendered":"<p><strong>Pancreatic Divisum<\/strong><\/p>\n<ul>\n<li>Definition: A congenital variation where the dorsal and ventral pancreatic ducts fail to fuse, altering pancreatic juice flow.<\/li>\n<li>Symptoms: Recurrent upper-abdominal pain, acute or chronic pancreatitis in adulthood.<\/li>\n<li>Diagnosis: MRCP or secretin-enhanced MRCP confirms ductal anatomy.<\/li>\n<li>Management: Pain control and enzyme supplementation; endoscopic minor papilla sphincterotomy for drainage; surgery rarely.<\/li>\n<li>Follow-Up: Monitor for pancreatitis flares and nutritional status.<\/li>\n<\/ul>\n<p><strong>Pancreatic Cystic Neoplasms<\/strong><\/p>\n<ul>\n<li>Intraductal Papillary Mucinous Neoplasm (IPMN)<\/li>\n<\/ul>\n<ul>\n<li>Mucin-secreting lesion involving main or branch ducts; risk of malignancy.<\/li>\n<li>Surveillance MRI\/EUS; surgical resection if high-risk features (nodules, duct dilation).<br \/>\n\u2022 Mucinous Cystic Neoplasm (MCN)<\/li>\n<li>Multiloculated cyst with ovarian-type stroma in body\/tail; pre-malignant.<\/li>\n<li>Early surgical removal; no surveillance if resected.<br \/>\n\u2022 Serous Cystic Neoplasm (SCN)<\/li>\n<li>Microcystic, benign lesion often asymptomatic.<\/li>\n<li>Observation with periodic imaging; resect if symptomatic.<br \/>\n\u2022 Solid Pseudopapillary Neoplasm (SPN)<\/li>\n<li>Rare low-grade malignant tumor in young women.<\/li>\n<li>Complete surgical excision; excellent prognosis.<\/li>\n<\/ul>\n<p><strong>Pancreatic Neuroendocrine Tumor (PNET)<\/strong><\/p>\n<ul>\n<li>Definition: Tumors from islet cells; functional (hormone-secreting) or nonfunctional.<\/li>\n<li>Symptoms: Insulinoma (hypoglycemia), gastrinoma (ulcers), or nonspecific mass effects.<\/li>\n<li>Diagnosis: EUS with FNA, somatostatin-receptor imaging, hormone assays.<\/li>\n<li>Treatment: Surgical resection for localized disease; somatostatin analogs, PRRT, targeted therapy for advanced cases.<\/li>\n<\/ul>\n<p>Follow-Up: Imaging and hormone levels every 3\u20136 months<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pancreatic Divisum Definition: A congenital variation where the dorsal and ventral pancreatic ducts fail to fuse, altering pancreatic juice flow. Symptoms: Recurrent upper-abdominal pain, acute or chronic pancreatitis in adulthood. Diagnosis: MRCP or secretin-enhanced MRCP confirms ductal anatomy. Management: Pain control and enzyme supplementation; endoscopic minor papilla sphincterotomy for drainage; surgery rarely. Follow-Up: Monitor for [&#8230;]<\/p>\n","protected":false},"author":1,"featured_media":3029,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[60],"tags":[],"class_list":["post-2897","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blogs"],"_links":{"self":[{"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/posts\/2897","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2897"}],"version-history":[{"count":1,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/posts\/2897\/revisions"}],"predecessor-version":[{"id":2898,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/posts\/2897\/revisions\/2898"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=\/wp\/v2\/media\/3029"}],"wp:attachment":[{"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2897"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2897"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctoraklohana.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2897"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}