Severe pancreatitis: a month in hospital, a full recovery
A woman in her 40s with severe acute pancreatitis — organ dysfunction, weeks in hospital, and a family told to prepare for the worst elsewhere.
Presentation
Admitted with severe upper-abdominal pain radiating to the back, vomiting and a rapid pulse. CT showed extensive pancreatic necrosis; kidney function was deteriorating.
Approach
Aggressive fluid resuscitation and ICU care, early enteral feeding through a tube to protect the gut, antibiotics only when infection was proven, and patient watchful management of the necrosis rather than early surgery. Endoscopic drainage was planned for a collection that later organised.
Outcome
Discharged after about a month, eating normally, with the cause (gallstones) addressed by planned cholecystectomy. Back to routine within three months.
Where it was managed
PSRI Hospital, Sheikh Sarai (procedures, admission) and the Gut Liver Obesity Clinic, Chittaranjan Park (consultations and follow-up).
The lesson
Severe pancreatitis is won by patience and protocol — feeding early, operating late (if at all), and not over-treating. The family's words were that Dr Paliwal 'treats the patient and gives moral support to the family'.
Representative case based on real outcomes; personal details changed to protect privacy. Individual results vary.
Related conditions & procedures
Why patients choose Dr Paliwal for complex cases
- Trained at India's best: MD from Lady Hardinge, DM Gastroenterology & Hepatology from SGPGI Lucknow, SCE Gastroenterology (UK), advanced endoscopy training in Japan.
- 22+ years at Medanta, Artemis and PSRI — the complex cases other doctors refer.
- Delhi's first luminal GI & motility lab — breath tests, manometry, pH studies and biofeedback done in-house, not outsourced.
- No unnecessary tests. The phrase patients use most in 265+ Google reviews.
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