Doctor insights on:
Pancreatitis After Whipple Procedure
When you get pancreatitis from ercp procedure will you get it again? Or are you prone to get it again from other things?
When is Longitudinal Pancreaticojejunostomy (Puestow Procedure) necessary for pancreatitis patient.?
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) 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.
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
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.See 2 more doctor answers
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.See 4 more doctor answers
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.See 4 more doctor answers
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.See 2 more doctor answers
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.See 3 more doctor answers
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.See 1 more doctor answer
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.See 3 more doctor answers
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.See 1 more doctor answer
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.See 1 more doctor answer
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.See 2 more doctor answers
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