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Pancreatic Cysts

At GastroDoxs in Houston, Dr. Rishi Chadha delivers expert care for pancreatic cysts, from advanced diagnostics to tailored treatments. Utilizing state-of-the-art imaging, endoscopic ultrasound, fluid testing and minimally invasive therapies, he creates personalized plans ensuring optimal patient comfort and safety.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Common Causes and Risk Factors

  • Long?term inflammation of the pancreas (chronic pancreatitis)
  • Past injury or surgery in the abdomen
  • Family history of pancreatic disease
  • Smoking or heavy alcohol use
  • Certain inherited (genetic) conditions

Signs and Symptoms

  • Often none in early stages (many cysts are found incidentally)
  • Pain or pressure in the upper abdomen
  • Nausea or vomiting
  • Unintended weight loss
  • Jaundice (yellowing of the skin or eyes) if the cyst blocks bile ducts

How Dr. Rishi Chadha Diagnoses Pancreatic Cysts

Step 1: Detailed Medical History & Physical Exam

Dr. Chadha reviews your symptoms, past pancreatitis or abdominal surgery, family history of pancreatic disease, and lifestyle factors like alcohol or smoking.

Step 2: Imaging Tests

  • CT Scan: Detailed cross-sectional images to identify cyst size, location, and internal features.
  • MRI/MRCP: High-resolution pictures of the pancreas and ducts to see if the cyst communicates with pancreatic ducts.

Step 3: Endoscopic Ultrasound (EUS)

An ultrasound probe on an endoscope delivers high-definition images from inside your digestive tract. This helps visualize cyst walls and surrounding tissue.

Step 4: Cyst Fluid Analysis

During EUS, Dr. Chadha aspirates fluid from the cyst. Lab tests check for infection, mucin content, tumor markers (CEA), and cell analysis (cytology) to assess cancer risk.

Step 5: Blood Tests

Blood work measures pancreatic enzymes, checks for inflammation or infection, and evaluates tumor markers to support the final diagnosis and guide treatment.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs

1. Diet and Lifestyle Tips

  • Eat smaller, low-fat meals
  • Stop drinking alcohol and avoid smoking
  • Stay hydrated and exercise
  • Meet with our dietitian for a custom plan

2. Medications

  • Pain relievers for abdominal discomfort
  • Digestive enzyme supplements (if needed)
  • Antibiotics to treat infections

3. Minimally Invasive Procedures

  • Endoscopic drainage for large or painful cysts
  • EUS-guided aspiration to test cyst fluid
  • Surgery only if the cyst is large, growing, or cancer is a concern
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

Are pancreatic cysts common?

Yes. Many adults have small, harmless cysts found during scans.

What makes cysts grow?

Infection, blocked ducts, or inflammation can cause growth.

Can cysts go away on their own?

Some small cysts shrink or stay the same over time. Dr. Chadha watches them closely.

How often will I need follow-up scans?

Every 6 to 12 months, depending on the type and size of your cyst.

Can pancreatic cysts turn into cancer?

Some types have a small risk. Fluid tests help check for cancer signs early.

Is endoscopic drainage painful?

No. You'll be sedated during the procedure and feel little to no discomfort.

Will I need surgery?

Surgery is only needed if the cyst is large, causes symptoms, or looks suspicious.

How long is recovery after drainage?

Most patients go home the same day or after a short overnight stay.

Can diet changes shrink the cyst?

Eating healthy supports your recovery, but diet alone won�t shrink the cyst.

Where is Dr. Chadha's clinic?

GastroDoxs is located on Westheimer Road, near the Texas Medical Center in Houston.

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