Patient with age 53 history of
diabetes hypertension..since 8-10 yrs . History of recurrent acute pancreatitis 7 times in last 15+ years ..mrcp shows pancreatic divisum and psedocyst simple in 2021 . followed by Eus 10 days after shows. Less changes of chronic pancreatitis in head and body calcification pd is prominent. Pancreatitic divisum . No mass or lesion seen..patient was put on creon 25k bd for few months then now on pancreoflat enzyme bd n with other medications. Patient has no pain at all. Only gets pain when there is an attack. Last time she got attack in 2017 then few attacks in 2021( vd no hospital admission required). Plz suggest it that chronic pancreatitis or not .are enzymes necessary. There is difference bw two dm gastros one says it's not chronic other says it is. Both gastro told not to opt or go for ercp. Stent...some says it's since birth heridiaty pancreatitis...so kindly guide us.. thanks...