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A 40-year-old member asked:

can you explain a whipple procedure?

3 doctor answers6 doctors weighed in
Dr. Mark Hoepfner
General Surgery 39 years experience
Major surgery: Whipple surgery involves removal of a part of the pancreas, small intestine & bile duct with several new surgical connections performed. Best performed by a well experienced general surgeon who has done many of these procedures. Risks of bleeding, infection, poor healing, pancreas leak, diabetes, etc.
Dr. Umut Sarpel
Surgical Oncology 20 years experience
Resect and reconnect: The head of the pancreas, the duodenum, and the bile duct are all tightly connected structures, so that if one of those organs needs to be resected - they all come together. Once the site of disease has been removed, those three organs are reconnected again. It is important to find a surgeon with experience in the field since studies show that case volume is a key factor to patient safety.
Dr. Eric Whitman
Surgical Oncology 36 years experience
Pancreas removal: Surgery to remove head of pancreas along with associated small intestine, usually for a mass in pancreas blocking the bile duct. The bile duct and remaining pancreas are re-attached to small intestine or stomach. The small intestine ends before and after the removal are then either reconnected or otherwise reconstructed. Any variations possible.

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A 34-year-old member asked:

What happens during a whipple procedure? Why is it done?

5 doctor answers10 doctors weighed in
Dr. Pedro Hernandez
Geriatrics 40 years experience
Pancreatic surgery: Whipple procedure is to make secretions from the pancreas drain into the digestive tract by surgery. When there is disease in the pancreas ( tumors benign or malignant, strictures, stones etc. )or nearby structures that blocks the pancreatic ducts this fluid full of secretions like Insulin and glucagon and pancreatic enzymes to digest fat cannot come out should come out.
A member asked:

Is the pancreaticoduodenectomy a risky thing to do?

2 doctor answers5 doctors weighed in
Dr. Arthur Heller
Gastroenterology 43 years experience
Major surgery: "whipple procedure" is major reworking of the plumbing, generally done to treat tumors of head of pancreas, neighboring ampulla of vater (entryway of panc and bile duct into small bowel). This shold be done by a surgeon who does "a lot" of these, in a place where they do "a lot" of these- often a cancer referral center. Can be a lot of perioperative, postoperative complications, longterm problems.
A 41-year-old member asked:

Familiar with the whipple procedure pancreaticoduodenectomy?

3 doctor answers11 doctors weighed in
Dr. Steven Ginsberg
Hematology and Oncology 37 years experience
Yes: This procedure is most commonly done in an attempt to cure pancreatic cancer.
A 45-year-old member asked:

What are long term whipple procedure complications?

3 doctor answers9 doctors weighed in
Dr. Mark Hoepfner
General Surgery 39 years experience
Depends: It depends somewhat on why the surgery was performed. If the pancreas surgery was for cancer, the long term risks are cancer recurrence. If the surgery was for pain from chronic pancreatitis, the long term risk is pain recurrence. Other risks are diabetes, fatty food intolerance, nutritional or dietary changes.
A 38-year-old member asked:

What is the "whipple procedure"?

4 doctor answers10 doctors weighed in
Dr. Peter Denk
General Surgery 20 years experience
Pancreaticoduodenect: Pancreaticoduodenectomy. It's a procedure that removes the head of the pancreas, the duodenum and part of the bile duct. It's performed for problems with the pancreas, bile duct, the duodenum, or rarely for severe trauma to those organs. Most commonly it's done for pancreas masses, cysts, or cancer. It requires 3 re-connections of the bile duct, the pancreatic duct, and the stomach and intestine.

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Last updated Sep 3, 2018

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