Innovative Treatment Options Tailored to the Patient
When it comes to pancreatitis and other gastrointestinal conditions, expert
evaluation is vital to accurately diagnose the nature of the condition,
and then determine the best course of treatment for the individual patient.
At Hoag, our
USC-affiliated multidisciplinary team of experts includes academic-level pancreatic surgeons, hepatologists and
radiologists who work together to thoroughly review and determine the
best treatment option suited to each individual patient.
The Hoag-USC team then carefully tailors a personalized treatment plan
to effectively achieve the best possible outcome for the patient. This
emphasis on a collaborative, comprehensive approach to patient-centered
care is why Hoag patient outcomes rank among the nation’s best.
Treatment of Acute Pancreatitis
Treatment options for acute pancreatitis include: Supportive care including
admission to the hospital, intravenous fluids and IV antibiotics in order
to ease patient discomfort and aid in recovery while carefully evaluating
the patient’s condition. When the pancreas is severe, advanced critical
care is necessary for survival. Patients often develop multiple organ
failure and require advanced critical care for input for survival.
Treatment of Severe Acute Pancreatitis (Pancreatic Necrosis)
Surgical treatment options for severe acute necrotizing pancreatitis include:
- Pancreatic Debridement (and drainage of fluid collections) either laparoscopically,
percutaneously, or via open drainage. In this surgery all dead or necrotic
pancreas and any dead tissue outside of the pancreas is removed. Dead
fatty tissue outside of the pancreas occurs in areas around the stomach
around the kidneys, and sometimes the dead fat tissue may be found in
the lower abdomen.
Treatment of Chronic Pancreatitits
The advanced surgical treatment options for chronic pancreatitis include:
Puestow Procedure (lateral pancreaticojejunostomy) is a complex operation in which the pancreatic
duct is opened all the way from head to tail. The small intestine is then
brought up to the pancreas and is sutured to the pancreatic duct. The
pancreatic juice is therefore drained directly into the small intestine.
Hoag-USC pancreatic surgeons perform a number of Peustow’s procedures
utilizing a minimally invasive laparoscopic approach. Patients who are
candidates for a Peustow’s operation include patients with severe
pain who are diabetic, have markedly increased pancreatic duct and who
have documented abstinence from alcohol abuse.
The Whipple Operation may be recommended for select patients with chronic pancreatitis who have
documented abnormalities in the head of pancreas. The Hoag-USC surgical
team performs a majority of Whipple Operations utilizing a minimally invasive
Celiac Plexus Denervation involves injection of a chemical agent into the celiac axis area, which
contains sensory nerves that return from the pancreas. Using endoscopic
ultrasonography (EUS), physicians essentially ablate (or block) the nerve
fibers that transmit pain signals, thereby helping to lessen pain in patients
with chronic pancreatitis.
The Most Advanced Treatment Options Are Now Available in Orange County!
When it comes to seeking out the most advanced, academic-level hepatobiliary
and pancreatic care, there is no longer any need to travel long distances.
The Hoag Digestive Disease Center, in alliance with Keck Medicine of USC,
offers the latest in state-of-the-art diagnosis and leading-edge treatment
options that may not be readily available at other centers.
In fact, the
Hoag-USC surgical team performs more complex pancreatic surgeries than any other surgical program
in Southern California. Being a high-volume hepatobiliary and pancreatic
surgical program enables the gastrointestinal experts at Hoag to achieve
a technical skill level not all facilities can match.
Perhaps the most distinguishing aspect of Hoag’s advanced treatment
of hepatobiliary and pancreatic conditions is that in each and every case,
treatment is always specifically tailored to the meet the unique needs
of the individual patient.
Expert Care You Can Trust!
The Hoag Digestive Disease Center, in alliance with USC Norris Comprehensive Cancer Center, continues to
lead the way in complex hepatobiliary and pancreatic care, providing access
to a highly specialized surgical team that works collaboratively with
Hoag-affiliated gastroenterologists and medical oncology specialists to
provide academic-level care. Hoag’s committed to accurate
diagnosis, combined with
progressive therapeutic options enables Hoag patients to achieve some of the highest clinical outcomes
in the nation.
To schedule a comprehensive diagnostic evaluation, or a second-opinion
consultation with a Hoag pancreatic care expert, visit Meet the Team,
or call us at: 949-764-5350.