Pancreatitis & Gall Stone Treatment in Ahmedabad - Biliary and Pancreatic Care at EPIC Hospital

Gallstone disease and pancreatitis are closely linked – gallstones are the most common cause of acute pancreatitis in India, and their management overlaps significantly. Both conditions can range from mild and self-limiting to severe and life-threatening. Getting the diagnosis right, identifying complications early, and applying the correct treatment pathway at the right time are what determine outcomes.

At EPIC Multispecialty Hospital, Ahmedabad, our gastroenterology, general surgery, and interventional radiology teams work together to manage the full spectrum of gallstone disease and pancreatitis – from straightforward symptomatic gallstones managed with laparoscopic cholecystectomy, to complex acute pancreatitis with necrosis requiring intensive care management, to chronic pancreatitis with pancreatic duct strictures managed endoscopically.

Patients come to us from across Ahmedabad and Gujarat – from Vadodara, Surat, Rajkot, Gandhinagar, Anand, Nadiad, and Mehsana – with conditions that range from first-presentation biliary colic to recurrent pancreatitis that has been inadequately managed elsewhere. At EPIC Hospital Ahmedabad, the full diagnostic and therapeutic pathway is available in one place.

Pancreatitis – Acute and Chronic – and How EPIC Hospital Ahmedabad Manages Both

Acute pancreatitis ranges from mild (80 percent of cases) – where patients recover with supportive treatment in a few days – to severe with pancreatic necrosis, infected necrosis, organ failure, and mortality that reaches 20 to 30 percent in the most serious cases. The severity cannot always be predicted at presentation, and the first 24 to 48 hours of care – adequate IV fluid resuscitation, pain management, early enteral nutrition, and monitoring for developing complications – are critical.

At EPIC Multispecialty Hospital, Ahmedabad, patients admitted with acute pancreatitis are managed according to current evidence-based guidelines. Severity assessment using the CTSI (CT Severity Index) or modified Ranson’s criteria guides the intensity of monitoring. Patients with predicted severe pancreatitis are managed in our high-dependency or ICU setting. CT-guided drainage of infected pancreatic collections, endoscopic debridement of walled-off necrosis through a transgastric route (endoscopic ultrasound-guided drainage, step-up approach), and surgical necrosectomy where endoscopic management is insufficient – all these options are available at EPIC Hospital Ahmedabad.

Chronic pancreatitis is a different condition – progressive, irreversible inflammation and fibrosis of the pancreas causing recurrent abdominal pain, exocrine insufficiency (malabsorption, steatorrhoea), and endocrine insufficiency (pancreatogenic diabetes). In Gujarat, chronic pancreatitis is seen in the context of alcohol use, tropical pancreatitis (idiopathic, often in younger patients), and hereditary pancreatitis. Management at EPIC Multispecialty Hospital, Ahmedabad, includes pain management (analgesics, pancreatic enzyme supplements, coeliac plexus block where appropriate), nutritional support, pancreatic enzyme replacement therapy for exocrine insufficiency, insulin therapy for pancreatogenic diabetes, and endoscopic or surgical decompression for ductal hypertension from pancreatic duct strictures.

Pancreatic cysts – including intraductal papillary mucinous neoplasms (IPMNs) and mucinous cystic neoplasms – are increasingly identified incidentally on CT scans across Ahmedabad and Gujarat. Not all pancreatic cysts need surgery, but some carry a significant risk of malignant transformation and require resection. Endoscopic ultrasound with cyst fluid analysis – measuring CEA, amylase, and cytology – helps risk-stratify cysts and guide surveillance versus surgical management. Our gastroenterology and surgery teams at EPIC Hospital Ahmedabad review these cases in multi-disciplinary meeting before making recommendations.