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Complications After Whipple Surgery
Pancreaticoduodenect: After a whipple procedure, the most common complication is delayed gastric emptying, a condition in which the stomach takes too long to empty its contents. The most serious potential complication is abdominal infection due to leakage where the pancreas is connected to the intestine. This occurs in approximately 10% of patients and is usually managed by a combination of draining and antibiotics. ...Read more
Whipple type: Pancreatectomy, or radical pancreatico-duodenectomy) is an extensive operation. Besides infection, hemorrhage, and possible injury to adjacent organs (there are many organs and vital structures adjacent to duodenum and pancreas), some complications include pancreatic fistula, intestinal obstruction, liver failure, diabetes, malabsorption, progression of malignancy, and even perioperative death. ...Read more
Many: A pancreatoduodenectomy has many sites of reconstruction that can cause problems. The CD is implanted into the jejunum. If there is a leak, bile accumulates in a cavity. Using a T tube and drains minimizes this problem as well as picks up ascending cholangitis from ERCP. The pancreas duct on the transected body should be implanted into the jejunum to assure pancreas function, but can also leak. ...Read more
It's complex surgery: Whipple surgery is a fairly complex surgery. You can expect a slow and somewhat painful recovery. Medicines will be available to help you through the recovery. Blood tests will be needed on a regular basis. Your surgeon should have a handout and other information to help you through the process ...Read more
About a month: ...Until you feel up to par again, assuming no complications develop. ...Read more
Gastroparesis: Not including the most common causes of nausea and vomiting which accompany any type of surgery (anesthesia, pain, etc.) one of the most common complications of the whipple procedure is delayed emptying of stomach contents into the intestines. This can lead to dilation of the stomach and vomiting. ...Read moreSee 1 more doctor answer
I am 5 weeks into recovery from whipple surgery. Yesterday, I woke up having itchy calf area, should I be concerned ?
Whipple Surgery and Pain: If one choses a PCEA for postop pain, the person would really need to sleep on one's side vs. a PCA approach. Mostly right?
Actually no...: Patient Controlled Epidural Anesthesia (PCEA) is an excellent method to deliver local and narcotic anesthesia at the spinal cord levels involved in the procedure. Laying on one side or the other will tend to accumulate the anesthetic over time to the side you are laying on so you will want to lay flat. Because it is localized, PCEA can have fewer side effects of the IV narcotics in the PCA. ...Read more
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