pancreatic duct narrowed, now have elevated liver enzymes

[tld1973]

Hi, I've been suffering from pancreatitis for years, and in April of this year I was hospitalised again for an acute attack, they removed my gallbladder and confirmed that I had a derformity in my bile duct called a choledochocele wich is a dialation of the bile duct, I was then referred to a specailist for an ERCP {endoscopic procedure} they went down and cut the choledochocele and widened the end of my bile duct, they then found I had a narrowing in my pancreatic duct and did a biopsy, it came back normal, but there were cellular changes. I recently went back to the specailist because I still suffer pain, diarrhea and nausea, they did some more bloodwork to test for a possible pancreatic tumor, amylase and liver function test, my amylase is still elevated, the tumor test came out normal but the liver test came out elevated, they then set me up for a catscan,which came out normal, besides the pancreatic duct narrowing. They now want me to have another ERCP to look at the pancreas duct and bile duct and to have another biopsy, my doctor told me that a narrowing in the pancreatic duct either indicates carcinoma or chronic pancreatitis and it's sometimes hard to distinquish between the two, I'm on pancreatic enzymes to help in digestion and some mild painkillers for the pain, does anyone have any info? I'm kind worried and confused at the moment!
Thanks, Tanya

[TazLady]

Tanya,
Just wondering where you got your info on differating between cancer of the pancreas and chronic pancreatitis? I have been diagnosed at a well known univercity with chronic pancreatitis and SOD and never once did they tell me I could have cancer of the pancreas, or that they couldn't tell if it was.  All they said is that there is a higher chance of getting cancer of the pancreas with any form of pancreatitis.  But also that chance isn't really that much higher than with a healthy pancreas.  Looking forward to what you have to say.
Sandy