SERVICES OFFERED
ENDOSCOPY
- Diagnostic & Therapeutic Upper GI Endoscopy
- Diagnostic & Therapeutic Colonoscopy
- Capsule Endoscopy
- ERCP & Cholangio-pancreatoscopy
- Endoscopic Ultrasound [EUS]
GI MOTILITY LAB
- 24 Hrs Esophageal pH-Impedance study
- Esophageal & Anorectal Manometry
BREATH TESTS
- Hydrogen Breath Test for small intestinal bacterial overgrowth
- Urea Breath Test for H. pylori infection
SURGERY
- Esophageal & Gastric Surgery
- Hepatectomy & Liver Surgery
- Pancreato – Billiary Surgery
- Colorectal Surgery
- Hernia Surgery – Laparoscopic & Open
- Minimally Invasive & Laparoscopia Surgery
- Gl Oncology Surgery
- Surgery for Piles, Fistula & Fissure
RADIOLOGY
- Digital X-Ray
- Ultrasound with Colour Doppler
- Liver Elastography [Fibroscan] for liver fibrosis and steatosis.
PATHOLOGY
CRITICAL CARE TAIL
- State of Art Intensive Care Unit & Expert Team for management of GI and hepato-pancreato-biliary diseases
ADVANCED SERVICES OFFERED
ERCP & CHOLANGIO-PANCREATOSCOPY
- Complex Pancreato-biliary Procedures
[Multiple biliary stent placement for hilar strictures;
mechanical lithotripsy for CBO stones] - Laser Lithotripsy Treatment for CBD / pancreatic stones
- CBD Stricture evaluation
- Ampullectomy
THIRD SPACE ENDOSCOPY
- Endoscopic Mucosal Resection [EMR] & Endoscopic Submucosal Dissection [ESD] for early gastrointestinal cancers
- Peroral Endoscopic Myotomy [POEM] for Zenker’s Diverticulum,
Achalasia Cardia, Gastroparesis, Hirschsprung’s disease - Submucuosal Tunneling & Endoscopic Resection [STER]
& Endoscopic Full-Thickness Resecton (EFTR] for subepithlial tumors
ANTIREFLUX TREATMENT [FOR GERD]
- Antireflux Mucosal Ablation [ARMA]
- Endoscopic Funcoplication
ENDOBARIATRICS [FOR WEIGHT LOSS]
- Gastric Balloon placement
- Endoscopic Sleeve Gastroplasty
ENDOSCOPIC ULTRASOUND [EUS]
- EUS & EUS – guided FNAC / Biopsy for diagnosis
- EUS – guided Pancreatic Cysto-gastrostomy / Choledocho-jejunostomy / Hepatico-gastrostomy
- EUS – guided Gastric Variceal Glue & Coil treatment
Pancreatic surgery encompasses a range of highly specialised surgical procedures performed on the pancreas to treat conditions including pancreatic tumours, pancreatic cancer, pancreatic cysts and chronic pancreatitis complications that require surgical intervention. The pancreas is a vital organ that plays a central role in both digestion and blood sugar regulation. Pancreatic surgery is among the most complex surgical procedures in abdominal surgery and requires a high level of specialised expertise and advanced facilities to ensure safe and effective outcomes. At LGI Hospital, Nagpur, our experienced surgical gastroenterologists provide comprehensive pancreatic surgery with a focus on surgical precision, patient safety and optimal long term outcomes.
What Is Pancreatic Surgery?
Pancreatic surgery refers to surgical procedures involving partial or complete removal of the pancreas, drainage of pancreatic cysts or pseudocysts, repair of pancreatic injuries or surgical management of complications arising from chronic pancreatitis. The most well known pancreatic surgical procedure is the Whipple procedure, also known as pancreaticoduodenectomy, which involves the removal of the head of the pancreas, the duodenum, part of the bile duct and sometimes part of the stomach. Other procedures include distal pancreatectomy involving removal of the tail of the pancreas and total pancreatectomy in selected cases. A surgical gastroenterologist with pancreato-biliary expertise will conduct a thorough assessment to determine the most appropriate surgical approach for each individual patient.
Conditions Treated With Pancreatic Surgery
Pancreatic surgery is recommended for a range of conditions affecting the pancreas that require surgical intervention. Common conditions treated with pancreatic surgery at LGI Hospital in Nagpur include:
- Pancreatic cancer requiring surgical resection
- Pancreatic tumours including neuroendocrine tumours
- Pancreatic cysts causing symptoms or at risk of malignant transformation
- Chronic pancreatitis with complications including ductal strictures or pseudocysts
- Pancreatic pseudocysts requiring surgical drainage
- Pancreatic trauma or injury requiring emergency surgical repair
- Ampullary tumours at the junction of the bile duct and pancreatic duct
- Distal bile duct obstruction caused by pancreatic conditions
Common Symptoms That May Indicate a Pancreatic Condition Requiring Surgery
Several symptoms may indicate a pancreatic condition that requires surgical evaluation. These include:
- Persistent upper abdominal pain that radiates to the back
- Unexplained and progressive weight loss
- Yellowing of the skin and eyes indicating obstructive jaundice
- Dark urine and pale stools
- New onset diabetes or worsening of existing diabetes
- Loss of appetite and persistent nausea
- A palpable mass in the upper abdomen in some cases
- Recurrent episodes of pancreatitis
- Abnormal findings on imaging prompting further evaluation
Any persistent or progressive combination of these symptoms should be evaluated by a gastroenterologist or surgical gastroenterologist for accurate diagnosis and appropriate management.
When Is Pancreatic Surgery Recommended?
Pancreatic surgery is recommended when the pancreatic condition requires surgical intervention for effective treatment and cannot be adequately managed through non surgical approaches. A surgical gastroenterologist will conduct a comprehensive evaluation before recommending surgery. Common indications for pancreatic surgery include:
- Confirmed pancreatic cancer or tumour suitable for surgical resection
- Pancreatic cysts with features suggesting malignant potential
- Chronic pancreatitis complications including ductal obstruction or symptomatic pseudocysts
- Pancreatic trauma requiring emergency surgical repair
- Ampullary tumours requiring surgical removal
- Recurrent pancreatitis with an identifiable and surgically correctable cause
Pancreatic Surgery Options in Nagpur
The type of pancreatic surgery recommended depends on the specific condition, its location within the pancreas, the extent of disease and the patient's overall health and fitness for surgery. Common surgical approaches include:
Laparoscopic pancreatic surgery is performed in suitable cases and offers the advantages of smaller incisions, reduced post operative pain and faster recovery compared to open pancreatic surgery.
What Happens During Pancreatic Surgery?
The specifics of pancreatic surgery vary significantly depending on the procedure and approach selected. The general surgical process involves the following steps:
- A comprehensive pre operative assessment including blood tests, advanced imaging, endoscopic evaluation and nutritional assessment
- Administration of general anaesthesia to ensure complete patient comfort throughout
- For laparoscopic surgery, small incisions are made and a laparoscope and instruments are inserted
- For open surgery, a larger abdominal incision is made to access the pancreas directly
- The affected portion of the pancreas and any associated structures are carefully removed or treated
- Reconstruction of the digestive tract is performed as required following resection
- Drains are placed near the surgical site to remove any fluid after surgery
- Incisions are closed and the patient is transferred to the recovery area
Pancreatic surgery is a complex and technically demanding procedure performed by surgical gastroenterologists with specialised pancreato-biliary expertise at LGI Hospital.
Recovery After Pancreatic Surgery
Recovery after pancreatic surgery is a carefully managed and monitored process given the complexity of the procedure and the vital functions of the pancreas. General recovery guidelines include:
- A hospital stay of seven to fourteen days or longer following major pancreatic surgery
- Close monitoring of pancreatic function, blood sugar levels and fluid balance in the post operative period
- Nutritional support and dietary guidance during the recovery period
- Enzyme replacement therapy may be required if pancreatic digestive function is affected
- Blood sugar monitoring and management if insulin production is affected
- Avoiding heavy lifting and strenuous physical activity for the recommended period
- Attending all scheduled follow up appointments for monitoring and imaging
- Full recovery timelines vary significantly depending on the extent of surgery and individual healing
The surgical team at LGI Hospital provides comprehensive and personalised post operative care, nutritional support and monitoring to support every patient through a safe and effective recovery following pancreatic surgery.
Why Choose LGI Hospital for Pancreatic Surgery in Nagpur?
- Specialised Pancreato-Biliary Surgical Expertise: LGI Hospital in Nagpur has a dedicated team of surgical gastroenterologists with focused and extensive expertise in pancreato-biliary surgery, having performed more than sixty pancreatic resections with excellent outcomes.
- Advanced Surgical and Diagnostic Capabilities: From pre operative endoscopic ultrasound and advanced imaging to complex open and laparoscopic pancreatic surgery, LGI Hospital in Dhantoli, Nagpur is equipped with the expertise and infrastructure needed for safe and effective pancreatic surgery.
- Integrated Medical and Surgical Pancreatic Care: With both gastroenterology and surgical gastroenterology expertise under one roof, LGI Hospital provides a fully integrated approach to pancreatic disease management from diagnosis and medical management through to surgery and long term follow up.
- Commitment to Patient Safety and Excellence: Pancreatic surgery demands the highest level of surgical skill and post operative care. The surgical team at LGI Hospital is committed to the highest standards of patient safety, surgical excellence and compassionate care at every stage of the pancreatic surgery journey.
FAQ
Q1. Is pancreatic surgery painful?
Pancreatic surgery is performed under general anaesthesia and patients do not experience pain during the procedure. Post operative discomfort varies depending on the type and extent of surgery. The surgical team at LGI Hospital provides comprehensive pain management and support throughout the recovery period to ensure patient comfort.
Q2. How long does pancreatic surgery take?
The duration of pancreatic surgery depends significantly on the type of procedure. The Whipple procedure typically takes five to eight hours. Distal pancreatectomy may take two to four hours. Laparoscopic pancreatic procedures may have varying durations depending on complexity. The surgical team will provide a realistic estimate based on the individual pre operative assessment.
Q3. What happens after pancreatic surgery?
After pancreatic surgery, patients are closely monitored in the recovery area and ward with particular attention to pancreatic function, blood sugar levels, fluid balance and wound healing. Nutritional support is provided and dietary intake is reintroduced gradually. The surgical team provides detailed post operative instructions and schedules regular follow up appointments to monitor recovery.
Q4. Recovery after pancreatic surgery in Nagpur — what to expect?
Recovery after major pancreatic surgery such as the Whipple procedure typically requires a hospital stay of seven to fourteen days. Full recovery and return to normal activities may take two to three months depending on the extent of surgery and individual healing. Nutritional support and blood sugar management are important aspects of recovery. The surgical team at LGI Hospital provides personalised and comprehensive recovery guidance for every patient.
Q5. Which hospital is best for pancreatic surgery in Nagpur?
LGI Hospital in Dhantoli, Nagpur is a dedicated single speciality gastroenterology hospital with experienced surgical gastroenterologists who have specialised expertise in pancreato-biliary surgery including complex procedures such as the Whipple procedure and laparoscopic pancreatic resection. The hospital provides integrated pancreatic care under one roof with a strong track record in pancreatic surgical outcomes.