Pancreas is an organ situated behind the stomach inside the abdomen. It is composed of two main components, namely the exocrine and the endocrine pancreas.The exocrine pancreas is responsible for secretion of digestive enzymes that are primarily responsible for digestion of fat, protein and carbohydrate consumed in our diet. The endocrine pancreas produces insulin, which is responsible for the control of blood glucose.The pancreas could be afflicted by specific diseases, namely, Acute pancreatitis, Chronic pancreatitis, Pancreatic cancer, Pancreatic neuroendocrine tumours, cystic tumours of the pancreas and Autoimmune pancreatitis. Out of these, Acute and Chronic pancreatitis are common in India; and the incidence of pancreatic cancer also appears to be rising.Acute pancreatitis results most commonly from excessive alcohol intake and small stones in the gallbladder. Other causes are high triglyceride and calcium in the blood, certain drugs and genetic abnormalities. In acute pancreatitis, there is sudden onset of swelling in the pancreas and could be associated with life-threatening situations such as organ failure and infections.Chronic pancreatitis in India is most commonly idiopathic, meaning definite cause cannot be identified on routine testing. Many of these patients have different genetic abnormalities that could contribute to the development of chronic pancreatitis. Other important causes include alcohol and smoking. It is characterised by a decrease in the size of the pancreas, increase in size of the pancreatic duct, the formation of pancreatic duct stones or narrowing (called stricture), calcium deposits in the pancreatic tissue, and development of diabetes. A small proportion of patients with chronic pancreatitis could progress to develop pancreatic cancer, especially those who have disease onset at an early age. The predominant clinical symptom of chronic pancreatitis is a recurrent abdominal pain.

Dr Gautham Morupoju is specifically trained to diagnose and manage liver diseases. His experience, backed up by the state-of-the-art diagnostic and interventional support renders a very comprehensive care in the field of liver diseases. The team is well versed with the up-to-date standard of care regimens in liver diseases for the critically ill patients. Hepatology services we provide are:1. Management of Acute Liver Failure2. Medical Management of Cirrhosis of the Liver3. Management of Viral Hepatitis and Alcoholic Hepatitis4. Management of Non Alcoholic Fatty Liver Disease (NAFLD)5. Management of Budd-Chiari Syndrome6. Management of Liver Tumours including Hepatocellular Carcinoma7. Liver Biopsies8. Endoscopic Variceal Ligation and Glue Injection9. Argon Plasma Coagulation (APC)10. Management of Non-Cirrhotic Portal Hypertension and EHPVO

ERCP enables the Gastroenterologist to diagnose problems in the gallbladder, bile ducts, and pancreas. ERCP is primarily used by the best Gastroenterologist in Hanamkonda & best Gastroenterologist in Warangal as a therapeutic procedure for treatment of diseases of:Bile Duct:1. Extraction of bile duct stones by balloon/basket2. By crushing large bile stones and retrieving them (mechanical lithotripsy)3. Relieving jaundice due to bile duct narrowing by dilating passage with balloon (balloon dilation)4. Treatment of bile duct infection (cholangitis) by draining pus by cutting open bile duct opening (biliary sphincterotomy) and placing stents /catheter in bile duct for free drainage of bile into duodenum (plastic stent/ENBD placement)5. Stopping leakage of bile in bile duct injuries as a result of trauma and surgery6. Metallic stent placement for relief of itcing and jaundice in bile duct, pancreatic, gallbladder cancers (metallic stent placement)Pancreas:1. Relief of pain in chronic pancreatitis by removal of pancreatic duct stones dilating the narrowed pancreatic duct2. Placing of stents to facilitate drainage of infected fluid collection in pancreatitis (Pseudocyst drainage)How Is ERCP Performed?Before undergoing a ERCP, you should know the Best ERCP Doctor in Hanamkonda & best ERCP Doctor in Warangal. Dr Gautham Morupoju has an impeccable experience in performing ERCP procedures. ERCP combines the use of X-rays and an endoscope. Through the endoscope, the Gastroentrologist inject dyes into the ducts in the biliary tree and pancreas so they can be seen on X-rays.