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Doctor insights on: Pancreatitis After Whipple Procedure

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When you get pancreatitis from ercp procedure will you get it again? Or are you prone to get it again from other things?

When you get pancreatitis from ercp procedure will you get it again? Or are you prone to get it again from other things?

No: Post Ercp pancreatitis is a common self-limited complication of this procedure that should resolve. Gallstones and alcohol are the most common causes of recurrent pancreatitis.

Dr. Ralph Layman
1,362 Doctors shared insights

Pancreatitis (Definition)

An inflammation or infection of the pancreas, causing abnormal secretions or leakage of the digestive enzymes ...Read more


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When is Longitudinal Pancreaticojejunostomy (Puestow Procedure) necessary for pancreatitis patient.?

When is Longitudinal Pancreaticojejunostomy (Puestow Procedure) necessary for pancreatitis patient.?

RX for CRAP: When a person has Chronic Recurrent Acute Pancreatitis it is caused by scarring and stricturing of the main pancreatic duct of Whirsung usually caused by alcohol abuse. The pancreas if fillet open and allowed to drain into the small bowel and relieves pain and symptoms

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Is Longitudinal Pancreaticojejunostomy (Puestow Procedure) BEST for idiopathic recurrent acute pancreatitis boy of 19 age pain is weekly once if start?

Is Longitudinal Pancreaticojejunostomy (Puestow Procedure) BEST for idiopathic recurrent acute pancreatitis boy of 19 age pain is weekly once if start?

Need ERCP / MRI: See gastroenterologist and if these test show strictures of the Dust of Wirsung and pancreatic inflammation then I would say yes. Have it done at major university where the do hundreds a year (ie. UCLA)

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IS Longitudinal Pancreaticojejunostomy (Puestow Procedure) safe for 19 yrs boy with idiopathic chronic pancreatitis. Bearable pain and is reducing.

IS Longitudinal Pancreaticojejunostomy (Puestow Procedure) safe for 19 yrs boy with idiopathic chronic pancreatitis. Bearable pain and is reducing.

For intractable pain: This procedure is performed to treat intractable pain in patients with chronic pancreatitis who have pancreatic ductal dilatation. The rationale for this operation is to relieve the ductal hypertension, and thus pain. It's a relatively safe procedure. Majority of patients remain pain-free or have significantly improved pain following the operative procedure. Some data shows slow progression after.

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Is Longitudinal Pancreaticojejunostomy (Puestow Procedure) compulsary for a idiopathic chronic pancreatitis 19yrs boy who has less pain history 5times?

No: A puestow procedure is a very involved operation and not without risk. It is designed for pancreatitis symptoms that are resistant to conventional medical treatments. Once these are exhausted then one can consider surgical options. If you have questions about risk and percentage of success tthen talk directly with a surgeon who has plenty of experience with pancreatic surgery, it is an uncommon su

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Can you explain a whipple procedure?

Can you explain a whipple procedure?

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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What is life like after whipple procedure?

What is life like after whipple procedure?

Can be difficult: Not for everyone, but the whipple procedure has a 40% morbidity rate. That means 40% of people have a major complication such as pneumonia, abscess, wound infections and most notably delayed gastric emptying. However, unfortunately if you aor someone you know is in need of a whipple the alternative is not attractive either.

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What is the medical term for the whipple procedure?

What is the medical term for the whipple procedure?

Whipple: The medical term for a whipple is a pancreaticoduodenectomy. In this operation, the head of the pancreas, the duodenum, and the bile duct are all removed, and the areas are reconnected. A whipple is usually done for a tumor involving the head of the pancreas, the bile duct, or the duodenum.

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

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

For pancreas cancer: Whipples are majorly done for cancer of the head of the pancreas. It offers the only curative option for this. It removes the pancreatic head, duodenum and frequently part of the stomach too.

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Familiar with the whipple procedure pancreaticoduodenectomy?

Familiar with the whipple procedure pancreaticoduodenectomy?

Pancreas cancer surg: This procedure is most often used to treat cancer in the "head" of the pancreas. It involves removing about half of the pancreas then reattaching the liver (bile ducts) and remaining pancreas to the intestines. There are multiple ways to actually do the surgery in terms of how the various organs are re-attached.

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What is a whipple procedure and is it related to pancreaticoduodenectomy?

What is a whipple procedure and is it related to pancreaticoduodenectomy?

Same thing: A whipple procedure (pancreaticoduodenectomy) removes the head of the pancreas, the lower bile duct, gallbladder, and usually part of the stomach (and associated lymph nodes). The GI tract is the reconstructed in a variety of ways.

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Is it safe to exercise 3-4 times a week 3 months after having a whipple procedure?

Is it safe to exercise 3-4 times a week 3 months after having a whipple procedure?

Yes: Your incisions should be completely healed by now and you should be able to return to your exercise routine. Listen to your body and go slow at first. As always, you should consult your physician first though.

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What is the "whipple procedure"?

What is the "whipple procedure"?

Pancreas resection: The whipple procedure is an operation where the head of the pancreas is removed. In doing this the duodenum, gallbladder, distal bile duct and sometimes part of the stomach is removed. All theses structures are closely linked to the head of the pancreas. The gut then has to be reconstructed. The small intestine is attached to the stomach, remaining pancreas and bile duct.

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Is the whipple procedure dangerous?

Is the whipple procedure dangerous?

Any: Operation has risks, but also benefits. This operation is a radical pancreatico-duodenectomy, done usually for malignant tumors of the head of pancreas, distal bile duct, or duodenum. It is a big operation, but in experienced hands can be performed with minimal morbidity and mortality. The underlying condition for which it is being performed, on the other hand, is usually fatal if not resected.

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What happens during a whipple procedure?

What happens during a whipple procedure?

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.

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What to expect from a whipple procedure?

What to expect from a whipple procedure?

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.

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What can I expect from a whipple procedure?

What can I expect from a whipple procedure?

A cure (we hope): A whipple operation involves removal of a part of the pancreas and duodenum and then re-routing the stomach, bile, and pancreatic enzymes back into the intestine. All this re-wiring has risks that favor doing this operation only at "centers of excellence" with surgeons very proficient (volume matters). Even in the best of hands, convalescence may take weeks or longer w/complications.

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What are long term whipple procedure complications?

What are long term whipple procedure complications?

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.

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