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What is whipple's surgery?

Modified on Thu, Mar 16, 2023 at 11:37 AM

Whipple's procedure, also known as pancreaticoduodenectomy, is a surgical procedure used to treat certain pancreatic, bile duct, and small intestine conditions. It is typically used to treat pancreatic cancer, but can also be used to treat chronic pancreatitis and tumors of the bile ducts or duodenum.


During the procedure, the head of the pancreas, the duodenum (the first portion of the small intestine), a portion of the bile duct, and occasionally the gallbladder are removed. The remaining portions of the pancreas, bile duct, and small intestine are subsequently reconnected to restore normal digestion and bile flow. 

The surgery is intricate and may take several hours to perform. Patients are administered general anesthesia, and a large abdominal incision is made. Patients typically spend several days in the hospital following the procedure, although recovery time can vary. Patients may experience pain, fatigue, and digestive issues, such as difficulty digesting certain foods and diarrhea, following surgery. 


It may be necessary for them to adhere to a specific diet or take medication to manage these symptoms. It is essential to note that Whipple's procedure is a major operation that carries risks, such as bleeding, infection, and damage to nearby organs or nerves. 

It is essential for patients to adhere to their healthcare provider's instructions for post-operative care and follow-up appointments, as recovery can be lengthy. Overall, Whipple's procedure can be an effective treatment option for certain pancreatic, bile duct, and small intestine conditions. Before undergoing this procedure, patients should discuss the risks and benefits with their healthcare provider and weigh their options thoroughly.


References

Didier, Raoult. "Whipple’s disease. The Lancet 361 No. 9353.

Robin, S., et al. The American Journal of Surgery 169 No. 1, 1995.

Hiroaki, Ohigashi, et al. Archives of Surgery 129 No. 10, 1994.

Mariano, Palermo. Laparoscopic Whipple Procedure Review of the Literature. Journal of hepatobiliarypancreatic surgery 16, 2009.

STEVEN, M., et al. Gastroenterology 113 No. 3, 1997.

DAVID, W., et al. Annals of Surgery 206 No. 3, 1987.

Steven, M., et al. Journal of the American College of Surgeons 194 No. 6, 2002.

Sherko, Abdullah Molah, et al. The Outcomes and Complications of Pancreaticoduodenectomy Whipple Procedure Cross Sectional Study. International Journal of Surgery 52, 2018.

John, R., et al. The American Journal of Surgery 131 No. 4, 1976.


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