Impact of Yoga and Naturopathy-Based Lifestyle Modification on Ultrasonographic Changes in Patient with Peripancreatic Pseudocyst and Chronic Pancreatitis: A Case Report

Chronic pancreatitis (CP) is a persistent, long-term pancreatic inflammation that causes irreversible loss of exocrine and endocrine pancreatic function as well as permanent structural damage characterized by ductal strictures and fibrosis with the global prevalence ranges from 13.5 to 163 cases per 100,000 individuals. Pancreatic pseudocysts are fluid collections surrounded by fibrous and granulation tissue, rich in pancreatic enzymes, and are a complication of acute pancreatis or CP, forming a heterogeneous group of cystic pancreatic lesions. Previous literature suggests that increasing use of complementary and alternative medicine (CAM) including yoga and acupuncture therapy for the pain management in patients with CP. However, no studies reported the impact of yoga and naturopathy (YN) in patients with peripancreatic pseudocyst and CP. Hence, the objective of this study was to report the impact of YN on pain and ultrasonographic changes in a 23-year-old female diagnosed with peri-pancreatic pseudocysts and CP. She visited our hospital with complaints of pain in the abdominal area and lower back, gradual weight loss, numbness in both legs, and oily stools for the past 6 months. She underwent 20-days of YN-based lifestyle modification. Compared with the baseline, the post-intervention assessments showed reduction in pain and improvement in the ultrasonographic changes in the pancreas and liver. However, as this is a single case report, more studies are recommended to validate the results of this study.