Appointment Timing - 9am to 6pm


Chronic Pancreatitis

This refers to a continuous ongoing low-grade inflammation of the pancreas. Because of the continuous inflammation, scar tissue develops within the pancreas. At first this may result in loss of part of the enzyme producing part of the pancreas. After a variable period of time (which could be after some weeks or months but is usually after many years), the insulin-making part of the pancreas may become destroyed.

For reasons that are not understood, many patients with chronic pancreatitis develop calcium deposits in the pancreas tissue and may form calcium stones in the pancreatic tissue & main pancreatic duct or its side branches. Blockage of the ducts by scar tissue (stricture) or stones will stop enzymes being delivered to the gut and impair digestion. The pancreatic duct may enlarge if it is blocked.

patients with chronic pancreatitis are more likely to develop pancreatic cancer, as they become older. The risk is greatest amongst smokers. The risk appears to increase with age and with the duration of symptoms. The risk is lowest in those under 30 years old and highest in those over 70 years of age. The overall risk is increased about twenty times in patients with ordinary chronic pancreatitis compared to the general population.

The overall risk in those with hereditary pancreatitis is about seventy times in patients compared to the general population. It is recommended by the International Association of Pancreatology that all patients with hereditary pancreatitis be under the care of a specialist pancreas center. Patients with hereditary pancreatitis will receive advice at their specialist center on the best form of screening for pancreatic cancer so that it can be detected early. Screening will not normally commence before the age of 40 years as the cancer nearly always occur after that age. These risk factors of smoking and inheritance are ‘independent’ and therefore all patients are recommended not to smoke – at all.

Chronic Pancreatitis Causes

The cause of chronic pancreatitis is usually due to alcohol drinking in seven out of ten individuals. In three out of ten people there are other causes such as narrowing of the pancreatic duct and hereditary causes. In many cases, the cause remains unknown. If alcohol is thought to be the cause, it is essential that all alcohol drinking be stopped.

Chronic Pancreatitis Symptoms & Signs

The main symptoms of chronic pancreatitis are pain, weight loss, poor digestion, and sugar diabetes. There are no specific signs of chronic pancreatitis. Usually patients are emaciated due to malnutrition & have tenderness in the epigastrium. There are many causes for abdominal pain so that it is essential to establish a diagnosis of chronic pancreatitis by investigation.

Chronic Pancreatitis Treatment

Many patients can be treated by medical treatment only, but a few will require surgery.

Surgery is necessary if the pain becomes severe and cannot be properly treated by simple painkillers or if there are complications of chronic pancreatitis. Not all patients with pain and all complications require a surgery. There can be different views regarding treatment amongst specialists treating the patients.


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Case Study - Cancer of the pancreatic body

Pancreatic cancer

Cancer of the pancreatic body

64 year old male patient presented with abdominal and back pain for 6 months, anorexia, loss of weight and new onset uncontrolled diabetes. During investigations for the same, PET-CT showed a 2cm tumor in the body of pancreas in a very tricky location (between important artery supplying the spleen and the vein draining towards liver. An endoscopic ultrasound (EUS) guided biopsy confirmed it as a pancreatic cancer.
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Chronic Pancreatitis Specialist in Mumbai, India

Dr.D.R. Kulkarni - Hepato Pancreato Biliary Surgeon

Dr. D. R. Kulkarni is an eminent Chronic Pancreatitis doctor in Mumbai, India - He is a Consultant HPB Surgeon at many renowned hospitals in Mumbai for last 12+ years.


Chronic Pancreatitis doctor in mumbai india

He earned his medical degree from Mumbai University and began his surgical career at B. Y. L.Nair Municipal Hospital, Mumbai. After post-graduation in General Surgery, Dr. Kulkarni worked in the capacity of Lecturer with the same department and then proceeded for advanced training in HPB Surgery and Liver Transplantation to Hong Kong and later to Paris. Read more >>

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Click here to check chronic pancreatitis treatment cost in india. The cost of treatment depends on the medical facilities that you get.

Recent blog posts

Acute Pancreatitis

What Is Acute Pancreatitis?

Acute pancreatitis is sudden inflammation of the pancreas that may be mild or life threatening but usually subsides. Gallstones and alcohol abuse are the main causes of acute pancreatitis. Severe abdominal pain is the predominant symptom.
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For Consultation Available At:

Lilavati Hospital and Research Centre, Mumbai, India.

Timing: Monday To Friday - 9am To 5pm & Saturday 9am To 2pm
(Consultation Only by Appointment)

Address: Lilavati Hospital, A-791, Bandra Reclamation Rd, Bandra West, Mumbai, Maharashtra 400050

Asian Cancer Institute - Cumballa Hill, Mumbai

Timing: Saturday 9am To 10am
(Consultation Only by Appointment)

Address: August Kranti Rd, Kemps Corner, Cumballa Hill, Mumbai, Maharashtra 400036


S L Raheja Hospital - A Fortis Associate, Mumbai

Consultation Only by Appointment)

Address: Raheja Rugnalaya Marg, Mahim West, Mahim, Mumbai, Maharashtra 400016


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What’s app video consultation - Rs. 3000

Only after 6 pm

In view of the ongoing COVID problems, we have started the facility of consultation on what’s app (video / chat) for the benefit of patients who are not in a position to travel immediately in COVID times or those who are stable at home. This is a temporary arrangement. This form of consultation has its limitations since physical examination is not possible and this fact should be noted. The consultation charges are Rs 3000/- . The charges are to be transferred to the account details given below after the appointment is confirmed but before the consultation begins.


Account Details

Name: Dattaprasanna Kulkarni
Account Number: 315602011003180
Bank: Union Bank Of India
Branch: Hill Road Branch Bandra West Mumbai 400050
IFSC: UBIN0531561

For appointment send a request on what’s app number

9821046391

For more information on Gastrointestinal Surgery work done by Dr. D.R.Kulkarni,

Visit: www.gastrointestinalsurgeonmumbai.com


For more information on Gastrointestinal Surgery work done by Dr. D.R.Kulkarni,

Visit: www.gastrointestinalsurgeonmumbai.com


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