Bile duct cancer is a malignant tumor that develops in the bile ducts inside and outside the liver. Although very rare, it is a cancer that progresses quickly and has a poor prognosis.

There are few symptoms in the early stages, but typical later symptoms include jaundice, itching, changes in urine color (dark brown), and weight loss.

The cause is unclear, but factors that have been implicated include liver fluke infection, primary sclerosing cholangitis (PSC), chronic cholestasis, and gallstones.

Diagnosis is made through abdominal CT, MRI, MRCP, PET-CT, and cholangioscopy, and confirmed by tissue biopsy.

If surgery is possible, bile duct resection and hepatectomy are performed, and if complete resection is difficult, chemotherapy and radiation therapy are performed concurrently.

Because the progression is rapid, early detection and regular screening for high-risk groups are important.

Pancreatitis is a disease in which inflammation occurs in the pancreas. It is divided into acute and chronic types, and the representative symptoms are upper abdominal pain and indigestion.

Acute cases are mainly caused by gallstones or alcohol consumption, and chronic cases are caused by repeated inflammation, which causes fibrosis of pancreatic tissue and a decline in function.

Acute pancreatitis is accompanied by abdominal pain, vomiting, fever, and loss of appetite, and in severe cases, it can worsen into multi-organ failure, requiring immediate treatment.

Treatment focuses on fasting, fluid administration, pain control, and removal of the cause (e.g., endoscopic cholangiopancreatography for gallstones).

Chronic disease involves long-term treatment including digestive enzymes, blood sugar management, and abstinence from alcohol, and may require differential diagnosis from pancreatic cancer.