Stone of pancreas

It is situated in deep area in our abdomen.Its structure is very complex and it is a mixed gland hence it has an exocrine and endocrine part.Endocrine part creates various types of hormone,insulin is one of them.and exocrine part creates various types of enzymes that digest our food what we are taking regularly.

So if it is affected any kinds of disease,then two parts of it will be damaged.Insulin will not be created if endocrine part of pancreas is damaged.So a person will be attacked by diabetes;Again enzyme will not be created if exocrine part of it is damaged.So many symptoms of digestive disorder will be appeared.

Chronic pancreatitis is creating due to if stone appears in pancreas and simultaneously endocrine part and exocrine part will be damaged gradually.Patients will be attacked by diabetes and digestive power will be hampered.Patients will be suffering due to abdominal pain and many symptoms will be appear due to digestive problem and vitamin deficient.

The stones of this pancreas stuck with major pancreatic duct which obstruct normal flow of enzyme of body as a result,duct will be dilated and also somewhere or some area of the duct can become narrow which creates obstruction.

Causes of stone:
No definite reason but some risk factor works at a time.The risk of stone increases due to pancreatitis of any reason such as alcoholism,smoking,excessive fatty food or low or excessive protein intake or infection etc can damage pancreatic tissue directly which turn into pancreatitis next time gradually.Sometime due to obstruction of normal of normal pancreatic enzyme can create stone in it.



Again also sometime due to born faulty of pancreas can lead to stone in pancreas.But diabetic patients are more risky of this disease.

Symptoms:
Pain is major symptoms of this disease;pain creates from navel area,it radiates to back,then gradually it spreads out whole abdomen.Very often patients feel pain and digestion problem,even though the patient have no diabetes;sometimes diarrhea also appear.In some cases excessive fat and oil will be appear in stool that is called steatorrhea.As a result,weight loss,breaking body,deficiency of vitamin and antibody power decreases gradually and diabetes appear and sometime it is out of control.If stone appear head of pancreas,then below duct of bladder may be damaged and even patients can be affected by hepatitis which will be cause of secondary biliary cirrhosis that can lead to a fetal death of the patient.

Due to this stone,repeated and chronic pancreatitis can damage peripancreatic nerve plexus.In this stage,pain will be severe and do not cure by using NSAID medicines.




Complexity:
Pancreatic cyst may be appeared due to stone and even pancreas will be rotten which is called necrotizing pancreatitis ;patient will be attacked by diabetes due to damaged of endocrine part which lead to a serious complication of a patient.On the other hand,damaging of exocrine part digestive problem and vitamin deficient  will be appeared.Even fetal anemia or irritation may also appear.Besides this,if anyone lead to his life with pancreatic stone,cancer will increase that is 4%-8%.For this reason,if someone feel an experience above symptoms,he/she should consult with doctor immediately.

Diagnosis:
Firstly,there is no need to apply any complicated method to detect the disease.It can be found out by a normal x-ray and ultrasonograpy.To detect stone situation of pancreas total condition of pancreatic duct -especially how much dilated of duct,an ultasonograpy is needed.If a dotor can not understand the condition of duct ,ERCP is suggested.But ERCP is not getting popularity due ti what dye is used to during ERCP,that dye can escape outside due to complicated stricture of pancreatic duct;next time it can create chemical irritation which lead to acute pancreatitis so that patient may deceased.

Treatment:
Treatment plan will be decided after diagnosis.

If stone is situated in head or papilla of pancreas and if stone is small in size,then it can be out by ERCP machine.It is saying that pancreas stone does not float like bladder stone rather it stick to firmly of pancreatic duct -so it is difficult to snatching and because of its hardness it does not break.So ERCP does not bring success always.

It is possible to snatch stone lithotripsy machine.But this method do not bring success always due to hardness of stone .Lithotripsy is not possible if several stricture exists in pancreatic duct.Although stones are possible to separate by above two methods but biopsy is not possible.So operation is appropriate if doctor doubt a tumor in pancreas with stones.

There are several methods of operation in case of pancreatic stones.


But pues operation or lateral pancreato-jejonostomy is almost popular.After a successful operation,obstruction of enzyme becomes free-so pancreatic irritation and pain will remove and also relieve digestive problem and physical condition improves.So there is a question come that will diabetes disease cure after operation?No,diabetes will not cure but hence pain will be removed,improving digestion and after all,physical condition of the patient will have been improving.So it is possible to control diabetes.

Besides this,pancreatitis and pancreatic cancer risk will be eradicated.