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The Whipple procedure is a procedure that is used to treat tumours and other conditions in the pancreas, small intestine, and bile ducts. It involves the complete removal of the head of the pancreas, the initial part of the small intestine, the gallbladder, and the bile duct. This process is also called Pancreaticoduodenectomy. This is a complex operation that involves serious risks but saves lives. This surgery is useful for the treatment of pancreatic cancer, pancreatic cysts, pancreatitis, ampullary cancer, neuroendocrine tumours, pancreatic tumours, bile duct cancer, small bowel cancer, and other types of cancer that involve the pancreas, duodenum, and bile duct. With our expert lineup of general surgeons, we offer you the pancreatic surgery Whipple procedure in Bhubaneswar
Discover how our expert team at Manipal Hospitals in Bhubaneswar performs the Whipple Procedure, a life-saving pancreatic surgery.
This is a surgical procedure that involves removing the head of the pancreas, which is about 50% of the organ, the first portion of the intestine (duodenum), the gallbladder, a part of the bile duct, and sometimes a small portion of the stomach, as well as a section of nearby blood vessels. The goal of this procedure is to stop the spread of the cancer by removing tumour cells and surrounding lymph nodes. Once the procedure is done, the surgeon will reconnect the pancreas, bile duct, and intestine to restore function in the digestive tract.
This procedure has two different surgical variants: the classic Whipple Procedure and the pylorus-preserving Whipple procedure. Both of these procedures involve resection of the pancreatic head, neck, and some parts of the duodenum.
Any patient who is diagnosed with pancreatic cancer or a related disease that involves the pancreas, small intestine, and relative organs is eligible for Whipple Surgery. After careful consideration of your medical condition, medical history, and pathological conditions, surgeons will decide whether Whipple Surgery is right for you or not.
This is an open method that requires an incision down the middle of the patient's belly. Patients usually recover from this surgery in the hospital for seven to 10 days. This surgery needs a high level of surgical training and excellent technical skills.
Once the surgery is done, you might experience pain at the site of the incision. You can start eating and drinking with the doctor's advice.
Most of the patients do not need a feeding tube. The doctor advises eating a bland diet for several weeks after your surgery. Nutritional supplements help improve your strength and maximise the healing process. Some patients may need to take enzyme pills; that is what the pancreas makes normally. The patient is provided with a proper diet chart before getting discharged.
For a complete recovery from the Whipple process, patients need about two months; it can increase to six months as well. Patients usually need to take vitamin and iron tablets to reduce stomach acid production. Some might have trouble regulating their blood glucose level. Your doctor will check on you and determine what type of medication you need for the long-term maintenance of your normal body functions. Patients who are overweight and have diabetes often require insulin after their surgery.
Patients who are undergoing Whipple Surgery are initially given Chemotherapy for about six months to reduce the size of the tumour and treat the entire body. If the patient receives less than six months of Chemotherapy, the rest of the Chemotherapy is given after the Whipple Surgery is done.
This is a major surgery, but usually patients survive the surgery in almost all cases. About one-third of the patients may have complications from the operation, depending on their medical history, procedure, and entire operation. Complications may include bleeding, infection, blood clots, pneumonia, and sometimes a heart attack. Your surgeon will manage these problems, and you have to cooperate with your care team.
Previously, it was called Pancreaticoduodenectomy, and now it is called the Whipple Procedure after the name of the surgeon, Allen Oldfather Whipple, who refined this procedure in the mid-1930s. This process is frequently recommended if the cancer is located in the head of the pancreas.
The Whipple Procedure is associated with a few complications that include pancreatic fistula, post-surgical haemorrhage, postoperative pancreatitis, portomesenteric venous thrombosis, hepatic infarction, delayed gastric emptying time, and anastomosis strictures.
The goal of the Whipple Procedure is to remove the cancer cells and prevent them from growing and spreading across the adjacent organs. For most of the cancers related to the pancreas, the Whipple process is the only option for survival.
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