Doctor insights on:
Pancreatitis After Whipple Procedure
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. ...Read moreSee 2 more doctor answers
Weird upper stomach feeling 6weeks post laparoscopic gallbladder surgery & ercp pancreatitis. 3 months post Csection. Uncomfortable. No pain. NORMAL?
Possibly: Residual symptoms of pancreatitis can include some fullness and discomfort, depending on severity and cause. During the period of recovery, abstinence from alcohol, limiting fatty food intake, may limit the stress on the pancreas. Your doctor should check pancreatic enzymes to make sure they are normalizing. If there are any concerns, additional blood testing and further imaging may be necessary ...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
When is Longitudinal
Procedure) necessary for pancreatitis patient. ?
Gastric bypass : About 2-3 weeks.Get a more detailed answer ›
I'm having RUQ pain after gallbladder removal. I'm scheduled for exploratory surgery next week. Will this show a sphincter of oddi dysfunction?
I do not think so.: In present time , GI work up is less invasive . Considering your age Expl Surgery is not standard of care for sphinctre dysfunction , which is rare and can create more problems in future . ...Read more
Bile induced IBS after gallbladder removal?? True?? Best med for diarrhea cholestyramine after gb removal ?
Yes but will resolve: After gallbladder surgery, some people have ongoing abdominal symptoms, such as pain, bloating, gas, and diarrhea (postcholecystectomy syndrome). Following cholecystectomy, bile which was once stored in the gallbladder and released only after meals, now flows continuously into the intestines and cause irritation. Cholestyramine absorbs bile, but these symptoms will often resolve over time. ...Read more
Unusual: Should see and ask your surgeon. Fluid intraperitoneally may just be from fluid (irrigation) used during surgery . But other possibilities include bile leak or bleeding or pancreatitis, if you are not improving, get followup and find out what the ascites is and why you have it- underlying liver disease , heart failure etc. ...Read moreSee 1 more doctor answer
After a nissen fundoplication takedown, should the normal esophagal motility priorto.Surgery return?
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. ...Read moreSee 4 more doctor answers
10%: If a patient is a candidate for a Whipple, meaning no nodes or spread of tumor at the 1-2yr interval the survival is 10%. This may change since new immunothrapeutics are being developed. It will require a vaccine which turns on humoral immunity to produce the necessary monoclonals to prevent recurrent. The vaccine has been developed for tumor specific protein and not GVAX ...Read more
Healthy: Though many patients don't have much problem with their usual diet after gb surgery, many found themselves intolerant of certain foods (fried, rich food...), with varying symptoms (bloating, loose bm, flatulence...). Take the opportunity to adopt a more healthy dietary selection. ...Read more
What causes elevated bilirubin and liver enzymes after gallbladder removal with ERCP and stent placement after?
ERCP: Many laboratory values can be elevated after manipulation of your biliary tract with ERCP and stent placement since it is an invasive procedure. Your laboratory values are all relative and your provider can trend them. The important thing is to have close followup with your gastroenterologist regarding these lab values and/or any new symptoms like abdominal pain or nausea/vomiting after ERCP. ...Read more
Depends: Immediately after surgery i find patients who eat greasy or fatty food have a lot of abdominal pain and cramping with diarrhea and urgent trips to the bathroom. It takes a while for the body to get used to not having a large input of bile with each meal to help digest the fat. While almost everyone goes back to eating a normal diet. I recommend my patients avoid high fat foods for the first 4 wk. ...Read moreSee 1 more doctor answer
Very controllable: The pain usually relates to the incision. These types of incisions are usually treated with IV narcotic pain medications. I typically use a patient controlled analgesia (pca) system which means that the patient has a button that controls when doses are given. There are built in safety mechanisms to make sure too much narcotic is not delivered. ...Read more
2-4 weeks: It depends on how bad the inflammation was, laparoscopic or not?, how long you waited prior to surgery . Whether there was perf or not? Still, in most cases you will go home in 1 -2 days, be in pain the first week, sore the second and then return to activities the 3rd or 4th week. I know a surgeon who had it out and was back at work the next day. Depends on how u deal with pain. ...Read more
Very rare: Complications from cholecystectomy include wound infection, bleeding/hematoma, bile duct injury with bile leak and intra-abdominal abscess. Late complications include retained gallbladder stones, bile duct stricture and incisional hernia. Death is very rare, and is mostly related to overall physical condition of the patient (e.g. Other medical problems and whether surgery was an emergency). ...Read moreSee 1 more doctor answer
Can you tell me about lap radical subtotal gastrectomy w/ en-bloc distal pancreatectomy & transverse colectomy?
Performed for cancer: Radical subtotal gasstrectomy is usually performed for mid to distal stomach cancers. Upper stomach lesions have an Ivor Lewis procedure. To require pancreas body and tail removed means the lesion performated into the lesser sac to involve body of pancreasa and invade gastrocolic ligament to hit the transverse colon. If all tumor out, regardless of approach, chemo may still be needed. ...Read more
- Talk to a doctor live online for free
- Whipple procedure pancreatitis
- Pancreatitis after whipple
- Pancreatitis after whipple surgery
- Ask a doctor a question free online
- Nutrition after whipple procedure
- Recovery after whipple procedure
- Life after whipple procedure
- Recommended diet after the whipple procedure
- Talk to a hepatologist online for free