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Ebooks about digestive tract diseases: https://poradnikgastrologiczny.pl/sklep/ Constant diarrhea and weight loss? It doesn't have to be IBS! The role of EUS. When tests reveal nothing: How to diagnose a diseased pancreas? Many patients struggling with chronic diarrhea, weight loss, or abdominal pain are quickly diagnosed with irritable bowel syndrome (IBS). Sometimes, however, the cause of the symptoms lies elsewhere, and standard tests don't provide clear answers. Is it possible that pancreatic insufficiency is behind your problems? In this educational material, I present the story of a 45-year-old patient. Step by step, I discuss the diagnostic process, which, after many treatment attempts and numerous imaging studies, led us to the correct diagnosis using endosonography (EUS). In this practical video, you will learn: ✅ What symptoms may suggest exocrine and endocrine pancreatic insufficiency? ✅ Why fecal pancreatic elastase is a key test when pancreatic problems are suspected. ✅ What is an EUS (endosonography) scan, how does it work, and why can it be more effective than an MRI? ✅ What are the most common causes of chronic pancreatitis (CP) according to the TIGAR-O classification? ✅ Why not every case of diarrhea in young people is irritable bowel syndrome (IBS) or SIBO? ✅ What does health education look like regarding diet, digestive enzyme supplementation, and vitamin deficiencies (A, D, E, K, zinc, magnesium)? This is important material for anyone looking for the causes of their chronic gastric problems, struggling with fatty diarrhea, or wanting to better understand the functioning of the pancreas. 🔔 Subscribe to the channel to stay up to date with reliable gastroenterology knowledge and tummy-friendly education! ⚠️ Important: Please remember that this material is for educational and informational purposes only. It does not replace a professional diagnosis or visit to a doctor. Each health case requires an individual consultation with a specialist, and food tolerance and treatment are individual matters. ----- You can support the channel's development even with a small cup of coffee. ☕️☕️☕️☕️☕️ https://buycoffee.to/poradnikgastrolo... You can also support the channel's development by donating to PayPal: https://www.paypal.com/donate/?hosted... ----- 00:00 - Introduction: The story of a 45-year-old patient with diarrhea and weight loss 01:40 - Important introductory information (Health education) 02:13 - What is an EUS scan and when is it used? 02:46 - Initial patient diagnosis: Ruling out Clostridium and Helicobacter 04:17 - Parasites and hydrogen SIBO – did the treatment help? 04:47 - Results of MRI, gastroscopy, and colonoscopy 06:44 - Additional laboratory tests before the first consultation 08:09 - Suspected pancreatic insufficiency and initiation of therapy 09:12 - Effects of enzyme treatment and fecal elastase results 10:55 - Referral for advanced diagnostics (EUS) 11:49 - What does an endosonographic (EUS) examination look like and how is it performed? 12:44 - Description of the EUS examination – diagnosis: chronic pancreatitis (CP) 13:21 - How is chronic pancreatitis diagnosed? 15:03 - Exocrine and endocrine pancreatic insufficiency 15:49 - Further treatment: Diet, supplementation, and follow-up tests 16:43 - TIGAR-O classification – searching for the causes of chronic pancreatitis 17:06 - Toxic-metabolic factors (alcohol, tobacco, kidneys) 17:24 - Idiopathic causes of chronic pancreatitis 18:28 - Genetic factors (PRSS1 tests and others) 19:03 - Autoimmune pancreatitis and inflammatory bowel disease 20:19 - Recurrent episodes of acute pancreatitis (AP) 20:58 - Obstructive causes (obstructed fluid outflow) 22:03 - Summary: Why isn't every diarrhea in a young person a sign of irritable bowel syndrome? 22:56 - Conclusion and recommended educational materials (PZT and diverticula) ----- Patients with chronic diarrhea, weight loss, and abdominal pain are often misdiagnosed with IBS. In this educational video, gastroenterology and internal medicine specialist Marta Dobras shares a case study of a 45-year-old patient whose symptoms actually stemmed from chronic pancreatitis. After routine tests proved inclusive, a stool elastase test and endosonography (EUS) revealed both exocrine and endocrine pancreatic insufficiency. You will learn about the role of EUS in diagnosing hidden conditions, the TIGAR-O classification of pancreatic diseases, and practical health education on managing pancreatic insufficiency through proper nutrition and enzyme supplementation. #PancreaticHealth #Gastroenterology #Pancreatitis ----- #reflux #Crohn's disease #diverticula #SIBO #IBS #diet #education #health #stomach #bloating #intolerances #dietetics #prevention #microbiota #diabetes #pancreatitis #CP #EUS #endosonography #diarrhea #elastase #ultrasound #colonoscopy #gastroscopy #abdominalpain #AP