How Dr. Rishi Chadha Diagnoses Pancreatic Pseudocyst?
Dr. Chadha follows a step-by-step approach:
Medical History and Physical Exam
He listens carefully to your symptoms, reviews prior pancreatitis or injuries, and palpates your abdomen for tenderness or masses.
Blood Tests
Orders serum amylase and lipase levels to assess pancreatic inflammation and rules out other causes of abdominal pain.
Abdominal Ultrasound
Performs an initial ultrasound to detect fluid collections and evaluate nearby organs.
CT Scan
Uses contrast-enhanced CT imaging to determine the pseudocyst's size, location, and relation to blood vessels.
Endoscopic Ultrasound (EUS)
If more detail is needed, performs EUS for high-resolution images and, when appropriate, guides fine-needle aspiration or drainage.
Frequently Asked Questions
What is the ICD-10 code for pancreatic pseudocyst?
The ICD-10 code is K86.3.
Can a pancreatic pseudocyst go away on its own?
Yes. Small, painless pseudocysts often heal with time and close follow-up.
How is a pseudocyst confirmed?
A CT scan is the most accurate test. Endoscopic ultrasound (EUS) adds extra detail.
When is drainage needed?
If the cyst is large (over 6 cm), painful, infected, or causing problems, drainage may be needed.
Is endoscopic drainage painful?
No. Sedation and local anesthesia are used for comfort during the procedure.
How long is the recovery after drainage?
Most people feel better within 3 to 7 days after drainage.
Will I need surgery?
Surgery is rare and only used if simpler treatments, like endoscopic or percutaneous drainage, don-t work.
What foods help prevent pseudocysts?
A low-fat diet, avoiding alcohol, and eating small, frequent meals can help prevent pseudocyst formation.
Are there risks with stent placement?
Risks include infection or stent migration. Dr. Chadha uses advanced techniques to minimize these risks.
Where can I learn more about the ICD-10 code?
Visit the American College of Gastroenterology website for up-to-date details on coding.