Sometimes, when it comes to problems in the abdominal area, an ultrasound is not clear enough for a diagnosis. In such cases, an Endoscopic Retrograde Cholangiopancreatography (ERCP) may be performed. This procedure gives the doctor a clear view of the duodenum, bile duct, pancreatic ducts, gallbladder and papilla of Vater.

This procedure is usually performed under intravenous sedation without general anesthesia. This procedure involves the use of a duodenoscope, which can be described as a thin, long, flexible tube with a camera at one end. It also has a fiber optic bundle that transmits lights to the camera and a chip to transmit video images to a TV screen.

This is inserted through the patient s mouth and sent down the throat through the food pipe to the stomach and duodenum while the patient is lying on his or her back. The air pipe is left undisturbed so as to not interfere with the patient s breathing. Since the patient is not under general anesthesia, he or she can move and turn according to the doctor s needs. The papilla of Vater is a small nipple like structure with an opening to the bile duct and pancreatic duct. Once this has been identified, a small plastic catheter is passed through the duodenoscope into the bile duct or pancreatic duct through the papilla. Dye is then injected into the area and X-rays are taken of the bile ducts and pancreatic duct. In cases where a biopsy is needed, other instruments can also be passed through the endoscope. Plastic or metal stents can also be passed through this to relieve obstructions in the bile ducts and pancreatic ducts.

ERCP can be used to diagnose and treat a number of conditions in the liver, bile ducts, gall bladder, pancreas and papilla of Vater. These include:

  Blockage of the bile duct by gallstones, cancer, scars, tumors or compression from adjacent organs.

  Jaundice due to an obstructed bile duct. This can also cause light stools and dark urine.

  Persistent upper abdominal pain

  Unexplained weight loss and loss of appetite

  Diagnosing a Dysfunctioning Sphincter of Oddi within the Papilla of Vater

ERCP can also be used to confirm pancreatic cancer and cancer of the bile duct. Once the diagnosis is confirmed, the doctors can customize treatment according to the patient s needs.

Endoscopic Retrograde Cholangiopancreatography - Procedure and Results

It is a known and proven fact that eating while consuming alcohol is necessary. One tends to grow hungrier, the more he or she drinks alcohol. This is because alcohol has the attribute to stimulate one s appetite in such a way that one would have you craving for food that is rich in salt and high in fibre. Consuming only alcohol ignoring the hunger would lead to several diseases like pancreatitis and issues with the liver.

Though the appetite of an individual during alcohol consumption tends to incline towards snacks like pizza, french fries, nuts and cheese cubes, it is wise to opt for healthier food choices. Salty food can worsen the dehydration effects of the body. And as the body tends to be dehydrated during drinking, it is better to avoid salty food. High-fibre food items are not good for the health either. It delays the digestion process, which is not a good sign for the body. Also, it is also not advisable to eat food in large portions before going to bed, especially after alcohol intake.

There is a variety of healthy food that one can eat along with alcohol

Soup: A clear soup, like chicken clear soup or vegetable clear soup, which has a broth-like texture, is a healthy choice. Creamy soup with cream of chicken or cream of mushroom should be avoided as it would make one heavy, thus delaying the digestion process.
Rice: Plain rice is said to be one of the best food that is easy to digest, paired up with a light vegetable dish. It is very nutritious as well.
Chicken sandwich: Grilled chicken sandwich without cheese and mayo is a healthy food tip as it contains sodium.
Popcorn: Popcorn does not contain fat, neither is it high-fibre. It is the best low-calorie food to go along with alcohol and it tastes really good too.
Wheat crackers: Wheat crackers contain whole grains. It is full of complex carbohydrates, which help the alcohol to absorb easily. It also consists of Vitamin B, which like potassium, gets reduced with the consumption of alcohol.
Banana: It is rich in potassium. Though an individual would never have a banana along with alcohol, it is healthy as the level of potassium should be taken care of while drinking alcohol.
Wheat bread: Wheat bread toast can be consumed with alcohol without butter or cheese. It is an alternative to wheat crackers for those who do not prefer it.
Oats: Cooked food is easy to digest with alcohol, so a pot of cooked oatmeal can be a healthy accompaniment. It can be spiced up a bit to add flavour.
Salad: Salad is refreshing and healthy at the same time. It can be bland, but it is better to have healthy salad as an accompaniment than having salty food with alcohol.
Milk cereal: Cereal, especially whole grain cooked with low-fat milk, is healthy.
By being aware of the right eatables, the ill effects of alcohol can be mitigated to a large extent.

Alcohol - 10 Healthy Foods that You Can Eat With It!

Pancreas Transplant is a surgical procedure where the damaged pancreas is taken out of the body of the patient and transplanted with the healthy ones from the donor s body.
The pancreas is located in the middle part of the body that helps in the secretion of insulin in the body. Insulin helps in the absorption of sugar in the body and helps in maintaining glucose level. If the pancreas is not producing insulin in sufficient quantity than the patient is likely to suffer type 1 diabetes.

Most of the pancreas transplants are done to cure the extreme conditions of type 1 diabetes. However, the transplants are done only in case of severe diabetic conditions because the pancreas transplant has serious side effects and not always pleasant after surgery recovery.

Why is the Pancreas Transplant Done?
There are several reasons for doctors choosing for pancreas transplantation. One of the most reason is the type of diabetes. However, they are also performed along with the kidney transplantation, when damage to the kidney is done by diabetes.

Following reasons are worth considering for pancreas transplantation:
  Extreme and severe type 1 diabetes
  Kidney damage
  Type 2 diabetes due to a lower level of insulin usage in the body
  Poor blood sugar level

Types of Pancreas Transplantations-

  Pancreas Transplant Alone: The pancreas transplantation is done solely for the diabetic patient whose kidney is unaffected and does not require any surgery along with pancreas transplant.

  Pancreas Transplantation Along with Kidney Transplant: This kind of surgery is done by the doctors when the patient has weak kidney and damaged pancreas. In such a scenario, only kidney transplantation is not sufficient and requires new pancreas for overall development.

  Pancreas-after-kidney Transplantation: For patients who have been waiting long enough for a donor for pancreas and kidney both, this is a better solution. Since the waiting list to get, such donor is long and not probable. Doctors prioritize and perform kidney transplantation first since the condition for kidney transplantation is rather severe and affected. Then after pancreas transplantation is done when a suitable donor is found.

  Pancreatic Islet Cell Transplant: Pancreatic islet cells are responsible for producing insulin into the body. So, doctors perform surgery on the patient and inject the pancreatic islet cells from donor s pancreas to the patient under operation.

Complications of the Procedure-
Some of the common complications of the procedure are:

  Blood clots
  Bleeding
  Infection
  Excess sugar in the blood
  Failure of the donated pancreas
  Transplant rejection
  Urinary tract complications

Conclusion-
Pancreas Transplant is done when the patient is severely diabetic and is not curable with only medication. The doctors suggest the post-surgery rest. The patient is required to be hospitalized for one week at least and keep strict follow-up routine to look after the effects of transplantation.

Pancreas Transplant - When Is It Required?

Diabetes which was earlier called a lazy person's disease does not live up to the name anymore. Owing to the sedentary lifestyle and bad eating habits, diabetes has become an epidemic in the recent years.
As as we all know, diabetes is a condition characterized by an increased concentration of blood glucose level. If not managed and treated on time, the condition can prove to be life threatening. Diabetes is known to trigger a host of health complications and disorders including cancer. In fact, research has established that there is a link between diabetes and pancreatic cancer. The report suggests that people with chronic diabetes for more than 5 years stand at an increased risk of suffering from pancreatic cancer. In some patients, diabetes may be one of the symptoms associated with pancreatic cancer. Whether diabetes triggered pancreatic cancer or was it the precancerous cells that caused the diabetes is difficult to explain.

The pancreas is an important organ involved in the production and secretion of many important hormones including the insulin (by the Beta cells of the pancreas). A diseased condition, such as pancreatic cancer may bring about changes, affecting the proper functioning of the pancreas. This, in turn, may interfere with the production of insulin. Decreased production of insulin or insulin resistance may result in elevated concentrations of glucose in the blood, a condition that will eventually give rise to Diabetes.

According to another published article (NCBI), in many patients with pancreatic cancer, diabetes was detected almost simultaneously along with cancer or 2 years prior to the diagnosis of cancer. These findings indicate the fact that both diabetes and pancreatic cancer not only occurred concomitantly but were also correlated.

Another experiment suggested that in people with Type-2 diabetes, the pancreas was for long subjected to a condition termed as hyperinsulinemia (increased level of insulin in the blood as compared to the blood glucose level). The experiment shows that insulin does have a role to play in establishing a relationship between diabetes and pancreatic cancer.

Managing Diabetes and Pancreatic Cancer
The conditions of diabetes and pancreatic cancer should be managed well to avoid further complications.

The diet plays a significant role in the proper management. The diet should be well balanced with all the essential nutrients. Include more fruits and vegetables in the diet. Berries such as raspberries, blackberries can go a long way to regularize the blood glucose level. Opt for whole grain cereals and food items. Avoid foods rich in fats and carbohydrates.
A healthy body weight can work wonders, both in the case of diabetes and pancreatic cancer. If you are a couch potato, give up the habit at the earliest. Indulge in more physical activities (not necessarily rigorous or strenuous) such as exercise, jogging, morning walk. In addition to keeping your weight in check, these physical activities are excellent stress busters.
The unhealthy lifestyle habits such as drinking, smoking, substance abuse can harm your body beyond imagination. Give up these unhealthy habits as early as you can.
There may be a strong connection between pancreatic cancer and diabetes. However, to avoid one affecting the other, one should take care of themselves and manage the conditions well.

Pancreatic Cancer - Are Diabetic Patients At A Higher Risk?

The mere thought of biting into a chilled watermelon or sipping chilled watermelon juice during summer is a refreshing thought. What many do not readily realise is that not just they are not just a refresher, but they are also loaded with multiple health benefits. Another surprising fact is that they have been in use since 5000 years ago and are referred to in ancient literature. There are about 300 varieties and are easily available during summer.

Many may think that watermelon is loaded with water. However, there are also multiple compounds including vitamins and minerals; vitamins C, A, B1, B5, and B6; minerals like potassium and magnesium, and compounds like carotenoids and lycopene. These have multiple benefits on the health and so watermelon can be consumed without any second thought in abundance.

Read on to know some of the wonders of this melon.

Hydration: One of the best remedies to avoid the ill effects of summer is to improve hydration levels, and there could be no better way to do this than with watermelon (eat it or drink it!) It is 92% water, and therefore leaves you refreshed and rejuvenated.
Heart health: Lycopene helps reduce cholesterol, reduce thickening of artery walls, and reduces oxidative stress. The various minerals and vitamins also add to the heart health qualities of watermelon. The citrulline in it also increases nitric oxide level in the body, which expands or dilates blood vessels and improves blood pressure.
Anti-inflammatory benefits: The lycopene and vitamin C reduce the levels of C-reactive protein which are responsible for inflammation. The antioxidant levels also lower inflammation, thereby reducing the onset of degenerative diseases like Alzheimer s.
Eye health: Watermelons, through their anti-inflammatory effects, reduce the onset of age-related macular degeneration. Those who already have it can also see the delayed progression of the condition, thereby prolonging vision loss.
Muscle soreness: Those who have muscle soreness should reach out for a slice of watermelon to get instant relief from this soreness. Watermelon also improves exercise endurance and performance, and the added benefit on the heart also improves exercise tolerance.
Skin and hair benefits: These benefits come from multiple sources in the melon. The vitamin A helps improve skin regeneration, vitamin C helps collagen formation and improved skin tone. Lycopene and beta-carotene help control the damage caused by sun exposure and pigmentation.
Digestive benefits: The very nature of watermelon almost completely water and high fibre directly benefits the stomach. It cleanses the stomach and promotes bowel movement. Not just the red portion, even the rind and seeds are beneficial as there is a lot of citrulline and chlorophyll which are also healthy.

Watermelon - One Fruit, Many Benefits!

A great alternative to refined sugar, honey is packed with essential nutrients and is really delicious to eat. There are many health benefits of honey. It can be easily added to any diet as a topping, say for fruit salads, ice-creams or as a spread. But are you aware that the jars of this tasty golden liquid can sometimes not be honey at all but syrup that tastes exactly like honey? So, How do you evaluate if you are buying real honey?

In order to boost profits, honey manufacturers dilute their product with adulterants such as flour, syrup or molasses and even sand and chalk. If you want to get the most out of this tick liquid, you should buy only pure honey.

What Is Pure Honey?
Real honey is not produced in factories but from bees. Usually, organic and natural honey are referred to as pure honey. However, it is not always feasible to tell if the honey is pure by just looking at it. Natural honey is made only by honey bees and when these bees are fed only at organically grown flowers, the honey they produced is classified as organic.

What Is Fake Honey?
Also known as artificial, adulterated or impure, fake honey contains additives including corn syrup, glucose, molasses, sugar syrup, dextrose, invert sugar, flour or starch apart from the floral nectar.

How To Find Fake Honey?
Listed below are a few simple tips that you can carry out at the comfort of your home to determine whether the honey you are buying is genuine or fake.



Read The Label: In addition to buying well-known and reputed brands of honey, ensure that you check the label for the logo and brand name. This will guarantee that the jar you pickup is not only good quality but also genuine. The label on the jar should list only one ingredient, honey, no additives, or flavourings.
The Warm Water Test: Add a teaspoon of honey to a glass of warm water. If the honey is pure, then it will sink to the bottom of the glass as a lump or stick to the spoon when the mixture is stirred. If the honey is adulterated with any kind of syrup, it will dissolve in the water.
The Thumb Test: Put a drop of honey on your thumb. If it spreads or spills, then it is not pure. Pure honey is thick in texture and would remain intact on your thumb.
The Flame Test: Honey is inflammable and easily catches fire. Dip a dry matchstick in honey, then strike the matchbox. If the matchstick lights with ease and continues to burn, then the honey is pure. Due to the moisture present as an adulterant in fake honey, a matchstick dipped in fake honey will not light easily.
The Foam Test: Add 2-3 drops of vinegar essence to the honey and mix well. If it becomes foamy within 2-3 minutes, then the product you have purchased is not pure and contains additives.
The Tissue Paper Test: Put a drop of honey on a piece of tissue paper. If it gets absorbed and leaves the paper wet or a watermark on the paper, then it is adulterated and not pure honey.
The Heat Test: If the honey is pure, then on heating, it will caramelize. However, fake honey tends to form bubbles on heating and does not caramelize.
The Bread Test: Pure honey when spread on the bread, makes the bread hardened within a few minutes. On the other hand, the slice of bread remains soft and moisturized if there are any additives present in the honey.
The Crystallization Test: Pure honey has a natural tendency to crystallize over time because of the presence of glucose oxidase, an enzyme that removes water/moisture from honey. Fake honey does not become thick, when stored.
The Egg Yolk Test: When honey is mixed will egg yolk in a bowl and both are blended together, the yolk looks like it is cooked. However, fake honey does not produce this effect on the egg yolk.
You might sometimes be able to spot fake honey by its taste and smell, though not always. Honey being a natural product and produced from the nectar of different flowers, it does not always taste or smell the same. It is also not possible to taste honey before buying it if as the product comes in a sealed bottle or jar. Therefore, it is recommended to only pick branded or organic honey to ensure that the honey you are buying is pure and genuine.

Honey - How To Spot If It Is Fake Or Not?

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