Q. What is pancreatic rest?

Answered by
Dr. Ajit Naniksingh Kukreja
and medically reviewed by iCliniq medical review team.
Published on Jan 10, 2017 and last reviewed on: Nov 15, 2019

Hi doctor,

Please find the attachment of the endoscopy report of my wife. She had stomach pain a long time ago, and we did the endoscopy. But, the doctor did not explain the reason to us. Could you please explain to me? What is pancreatic rest? What do you think about the nature of her polyps and the risk of malignancy? Thanks in advance.

Dr. Ajit Naniksingh Kukreja

General Surgery Medical Gastroenterology Medical Oncology Paediatric Surgery Surgical Gastroenterology Surgical Oncology
#

Hi,

Welcome to icliniq.com.

  • I have seen the endoscopy reports of your wife (attachment removed to protect patient identity). She has gastroesophageal reflux (heartburn).
  • A pancreatic rest is a sort of ectopic pancreatic tissue in the gastroduodenal mucosa. It is always better to wait for a biopsy report in these type of cases. Once the report is back with you, please write back.
  • Follow the instructions and get back to me with the medicines prescribed by your doctor, so that there is no duplication.
  • Avoid spicy food, heavy meals, smoking and alcohol.
  • Raise the head end of your bed and do not stoop or lift heavy weight. Try to reduce your weight if you are obese.
  • In the case of stress, manage stress levels by meditation and exercise.

For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hi doctor,

What does exactly the report say? Is that villous adenoma polyps? Do we need any further test like a colonoscopy? Does antral gastric mucosa with mild edema suggest ascites?? If yes, then what is the treatment? What test should we get to rule out ascites?

Dr. Ajit Naniksingh Kukreja

General Surgery Medical Gastroenterology Medical Oncology Paediatric Surgery Surgical Gastroenterology Surgical Oncology
#

Hi,

Welcome back to icliniq.com.

  • The histopathology report (attachment removed to protect patient identity) is suggestive of a non-malignant lesion. So, please continue the medicines that your doctor has prescribed and the tips I have provided.
  • There is no ascites. Edema occurs in gastritis and GERD.

For further doubts consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Hi doctor,

First of all thanks a lot for your interest and your helpful answer. Please let me know if we need to do a colonoscopy. Please suggest medicine for her. She is taking Nexium 40, but there is no improvement. She has terrible pain in the stomach after food, dizziness and feeling like she wants to vomit.

Dr. Ajit Naniksingh Kukreja

General Surgery Medical Gastroenterology Medical Oncology Paediatric Surgery Surgical Gastroenterology Surgical Oncology
#

Hi,

Welcome back to icliniq.com.

  • I suggest her Nexium 40 (Esomeprazole) twice a day before breakfast and before dinner and liquid Sucralfate two tablespoon three times a day.
  • Also, a good probiotic and antacid will help. Consult your wife's specialist doctor, discuss with him or her and take the medicine with consent.

For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

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