Pancreas Clinic - Max Hospital, Saket

We have a team of dedicated & highly competent doctors with rich experiences in the field of clinical practice, research and education. They specialises in diagnosing and managing pancreatic disorders. We are committed to a lifestyle of lifelong learning and we ensure that we provide the latest and most-trusted diagnosis and treatment practices.

With advanced technology, sophisticated imaging tests and comprehensive examinations, a detailed & accurate diagnosis is made. After the evaluation of patient’s condition, the most appropriate treatment is determined.

Our Focus:

• Support groups: We are in process of building support groups that will provide the opportunity for patients suffering from the diseases of Pancreas to share personal experiences and feelings, coping strategies, first-hand information about diseases or treatments. It will be a single platform for the pancreatitis patients and the caregivers where they can ask questions and share support and information with each other.
• Improved Quality care: The Pancreas clinic seeks to identify, implement, and improve standard practices for treating patients with diseases of Pancreas. With the novel concept of patient-provider collaboration and co-facilitation of treatment is designed to lead to enhanced health outcomes, as well as a better quality of life, for patients suffering from pancreatic diseases.
• Research & Education programs: We provide accurate and up-to-date information through printed materials as well as educational videos. We aim to develop a research and information centre to accelerate the development of better treatments and cures.

• Specialised team for treating Pancreatic diseases

Our team expertise in bringing up advanced & recognized experience for managing pancreatic diseases and focuses on holistic patient care for best possible outcomes and an improved quality of life.

• FastTrack solutions to queries

With our integrated care approach, we aim to provide a diagnosis and treatment plan within days. Keeping in mind, the patient centric approach, we can effectively coordinate your care with a group of experts to rapidly get the answers you need, thereby making you an active participant in your healing journey.

• Minimally invasive therapies

Minimally invasive novel endoscopic procedures are effective, that minimizes the length of hospitalization and improve patient outcomes.

• Integrated approach leading to advanced diagnosis and rapid follow-up care

Our integrated approach with other departments under the same roof allows quicker surgical and oncological consultation, which leads to a quicker diagnosis and faster treatment.

• Patient education and ongoing care

We emphasize on the patient education regarding the diagnosis and the problem which helps in understanding of the problem by the individual and better management of the illness.  We believe that, better understanding of the illness by the patient, helps to achieve the goal of complete cure. 

• Nutritional support throughout the wellness journey

A proper dietary counselling and nutritional support to manage the disease and improving the quality of life is provided for a smooth healing. Nutritional management, including risk assessment and individualized nutritional support, is a key component of an effective multimodal therapeutic approach.

• Acute Pancreatitis
• Chronic Pancreatitis
• Necrosis of pancreas
• Pancreas stones
• Pancreatic Cancer
• Pancreatic Pseudocyst
• Cystic neoplasm of pancreas
• Autoimmune pancreatitis
• Neuroendocrine tumor of pancreas
• Pancreas leak
• Pancreas fistula

The Pancreas is an organ of digestive system, located in the upper abdomen and is positioned behind the Stomach and lies next to the Small Intestine. The Pancreas in adults is approximately 6-10 inches long and 2 inches wide. It is divided into three regions: head, body and tail. It performs 2 major functions: exocrine function includes the production of enzymes that help to digest fats, proteins and carbohydrates that helps to digest food and its endocrine function includes making of hormones like insulin, that controls the blood sugar levels. The digestive enzymes made by the Pancreas are carried by pancreatic duct to be released in the duodenum at the ampulla.

When these digestive enzymes are activated prior to the release, it starts attacking and damaging the pancreas leading to swelling of pancreas, a condition known as pancreatitis. Based on various factors, pancreatitis is differentiated as either acute or chronic pancreatitis.

Acute Pancreatitis Treatment

Once diagnosed, most of the patients requires hospitalization for the management. Mild pancreatitis usually resolves with supportive care, which includes analgesics and intravenous fluids. Moderately severe and severe acute pancreatitis can be potentially life-threatening and requires more extensive monitoring and supportive care. A tube through the nose is often placed for the feeding purpose. Infected fluid collecting around the pancreas, sometimes known as pseudocyst, can be drained endoscopically or by placing a percutaneous drain tube.

With the proper treatment and in expert hands, most of the patients with acute pancreatitis recover well. Treatment of underlying cause is essential to prevent the recurrence, alcohol should be stopped and gall bladder surgery is performed in patients with stone disease. Raised lipid or calcium levels are controlled by the medications.

Chronic Pancreatitis – Chronic pancreatitis is long standing disease resulting in reduction in size of pancreas, dilatation of duct of pancreas and formation of stones in ducts. Alcohol consumption, smoking and genetic factors are leading cause of chronic pancreatitis. Patients with chronic pancreatitis can have continuous pain or recurrent attacks of pain in upper abdomen. Patients with long standing illness can develop diarrhoea due to lack of pancreatic enzymes required for digestion of food and diabetes due to lack of insulin. Patients with chronic pancreatitis need specialized investigations and care. Endoscopic scarless procedures plays important role in diagnosis and management of patients with chronic pancreatitis.

Chronic Pancreatitis Treatment

MRCP, and Endoscopic Ultrasound (EUS) are the special test to study the pancreas and its duct. EUS provides the excellent information about the pancreas gland and the duct.

Endoscopic Retrograde Cholangio Pancreatography (ERCP) is a special endoscopic technique to treat narrowing in pancreatic duct known as stricture and limited number of small stones. For the large stones in pancreatic duct, a small scope known as pancreatoscope is introduced in the pancreatic duct and ElectroHydraulic Lithotripsy (EHL) energy is used to break the stones.

Extracorporeal Shock Wave Lithotripsy (ESWL) is a technique, where ultrasound and X-ray are used to focus on the stone, which is broken by the use of shock waves. Few patients with chronic pancreatitis may form a fluid collection around the pancreas known as pseudocyst, which may lead to fever, pain abdomen, jaundice and vomiting. EUS guided cystogastrostomy is a safe technique, during which pseudocysts are drained inside the stomach obviating the need of surgery.

In few patients with chronic pancreatitis, a mass may form in pancreas, which may be due to inflammation or tumor formation. Such lesions require extensive evaluation with CT, PET scan and endoscopic procedures. Sometimes sample is obtained through endoscopic ultrasound. Many of these lesions may regress after stopping alcohol and smoking, few of such lesions may require surgery.

Pancreatic Tumor – Smoking, diabetes mellitus, chronic pancreatitis and obesity are the common underlying risk factors of pancreatic cancer. Most common symptoms of pancreatic cancer are upper abdomen pain, jaundice, loss of appetite and weight loss. In patients with high suspicion, CT scan is obtained first, and in case of equivocal results, EUS and tissue sampling may be performed. Around 20% of the cancer are localized and can undergo surgery, rest of the patients are managed by chemotherapy. After chemotherapy, few lesions may regress and become resectable and can undergo surgery. Prior to chemotherapy, ERCP and stenting is often performed to treat the jaundice. During ERCP, stent is placed in the bile duct, to remove the blockade caused by the tumor. Few patients with pancreatic cancer have severe pain, EUS guided CPN (Celiac Plexus Neurolysis) is performed in these patients for the pain relief. Few selected unresectable/ surgically unfit pancreatic tumors can be ablated by a special minimally invasive EUS guided Radio Frequency Ablation (RFA) technique.

Emergence of specialized pancreatic care teams equipped with better understanding of the disease & experience in performing complex endoscopic pancreatic procedures is likely to change the outcome of pancreatic diseases in favourable direction.

Modern pancreatic treatment is based on principle of utilising minimally invasive techniques and can aptly be described as being safe acceptable for the patients.

• Dr Vikas Singla - Director & Head – Gastroenterology (Pancreatic-Biliary, Luminal Gastroenterology & Endoscopy Division)
• Dr Kaushal Madan - Principal Director & Head - Clinical Hepatology
• Dr Pankaj Singh - Senior Consultant – Gastroenterology, Hepatology & Endoscopy
• Dr Sawan Bopanna - Senior Consultant - Gastroenterology, Hepatology & Endoscopy
• Dr Muzaffar Rashid Shawl - Consultant - Gastroenterology, Hepatology & Endoscopy
• Dr Pallavi Garg - Senior Consultant – Gastroenterology 
• Dr Jatin Agrawal –Associate Consultant - Gastroenterology, Hepatology & Endoscopy
• Dr Bhaskar Kante – Fellow - Gastroenterology, Hepatology & Endoscopy
• Ms Meetu Sharma (Nutritionist & Program Manager)
• Ms Roopam Negi (Nutritionist)
• Mr Amit Morya (Patient Care Executive)

Pancreas Clinic

East block, Basement -1, Max Super speciality Hospital, Saket, New Delhi
Phone: 9968407407, 999507480
For any queries, Write to us at: pancreascareclinic@gmail.com