Treatment FAQ

what is the whipple procedure in pancreatic cancer treatment

by Erika Konopelski Published 2 years ago Updated 2 years ago
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A Whipple procedure — also known as a pancreaticoduodenectomy — is a complex operation to remove the head of the pancreas, the first part of the small intestine (duodenum), the gallbladder and the bile duct. The Whipple procedure is used to treat tumors and other disorders of the pancreas, intestine and bile duct.Jun 3, 2020

Is Whipple surgery worth it?

The Whipple procedure (also called a pancreaticoduodenectomy) is the primary surgical treatment for pancreatic cancer that occurs within the head of the gland. During this procedure, surgeons remove the head of the pancreas, most of the duodenum (a part of the small intestine), a portion of the bile duct, the gallbladder and associated lymph nodes.

What are the long term side effects of Whipple surgery?

The Whipple procedure (also called a pancreaticoduodenectomy) is a surgery to remove a cancerous tumor from the head (right side) of your pancreas to stop it from spreading to other organs (metastasizing). Around 15% to 20% of people with pancreatic cancer are eligible for this surgery. Cleveland Clinic is a non-profit academic medical center.

What is the survival rate after Whipple surgery?

Also known as pancreaticoduodenectomy, the Whipple procedure involves removal of the "head" (wide part) of the pancreas next to the first part of the small intestine (duodenum).

Which hospitals perform the most Whipple procedures?

A Whipple procedure, or pancreaticoduodenectomy, is the most common type of surgery performed to address pancreatic tumors. Named for Dr. Allen Oldfather Whipple, the surgeon who designed and first performed this surgical technique in 1935, the Whipple procedure has continually improved over the years and can potentially enhance outcomes and quality of life …

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What is the life expectancy of the Whipple procedure?

Those who undergo a successful Whipple procedure may have a five-year survival rate of up to 25%.Mar 18, 2021

Why is the Whipple procedure so complicated?

Whipple procedures are complicated because they involve so many different organs, but that's not the only reason. “The pancreas is located in a very difficult spot, deep in the central part of the abdomen,” Reddy explained.Jan 7, 2020

What are the long-term side effects of the Whipple procedure?

What are the long-term side effects?
  • decreased pancreatic function, in which the organ doesn't produce enough enzyme to digest food in the small intestine. This can result in abdominal pain and tenderness, loss of appetite, and weight loss and diarrhea.
  • diabetes.
  • difficulty digesting fatty and/or sugary foods.
Oct 25, 2016

Can you live a normal life after the Whipple procedure?

But, for most people, it takes as long as 2 to 6 months to fully get back to a normal quality of life. Ultimately, patients should be able to do anything after surgery that they could do before. Some patients get back to running marathons after a Whipple procedure.Mar 15, 2021

How many hours does Whipple surgery take?

In some cases, the surgeon may remove the body of the pancreas, the entire duodenum and a portion of the stomach. On average, the surgery takes six hours to complete. Most patients stay in the hospital for one to two weeks following the Whipple procedure.

How painful is Whipple surgery?

There is no doubt that the Whipple procedure is a painful operation. This is largely due to the extent of the organs being removed or rearranged and the proximity of the pancreas to nerves as they exit the spine at the back of the abdomen during the operation.Sep 16, 2021

How much weight do you lose after Whipple surgery?

It is normal to lose up to 5-10% of your body weight after having a Whipple procedure.

Is there an alternative to the Whipple procedure?

Based on this experience, I believe that the duodenum-preserving pancreatic head resection and the Frey procedure both offer better alternatives than the Whipple operation for patients with benign disease.

How long are you in the hospital after Whipple surgery?

Most people stay in the hospital for 6 days after having a Whipple procedure. When you're taken to your hospital room, you'll meet one of the nurses who will care for you while you're in the hospital. Soon after you arrive in your room, your nurse will help you out of bed and into your chair.Apr 21, 2021

Did Steve Jobs Have Whipple surgery?

Jobs finally took medical leave and underwent surgery at Stanford University Medical Center, as physicians performed a modified "Whipple procedure" that removed part of his pancreas.Oct 27, 2011

What is the best hospital to have the Whipple surgery?

Mayo Clinic surgeons are specially trained to provide you with the best care, and they perform over 450 Whipple procedures and related surgeries each year.Jun 3, 2020

What is the Whipple procedure?

The Whipple procedure (also called a pancreaticoduodenectomy) is the primary surgical treatment for pancreatic cancer that occurs within the head of the gland .

What is the treatment for pancreatic cancer?

Pancreatic Cancer Treatment Pancreatic Cancer. The Whipple procedure (also called a pancreaticoduodenectomy) is the primary surgical treatment for pancreatic cancer that occurs within the head of the gland.

How long does it take to remove the pancreas?

In some cases, the surgeon may remove the body of the pancreas, the entire duodenum and a portion of the stomach. On average, the surgery takes six hours to complete. Most patients stay in the hospital for one to two weeks following the Whipple procedure.

What is the Whipple procedure?

Also known as pancreaticoduodenectomy, the Whipple procedure involves removal of the "head" (wide part) of the pancreasnext to the first part of the small intestine (duodenum). It also involves removal of the duodenum, a portion of the common bile duct, gallbladder, and sometimes part of the stomach.

What happens after a whipple?

Immediately after the Whipple procedure, serious complications can affect many patients. One of the most common of these include the development of false channels (fistulas) and leakage from the site of the bowel reconnection. Other possible surgical complications include: 1 Infections 2 Bleeding 3 Trouble with the stomach emptying itself after meals

What are the complications of a pancreas surgery?

Other possible complications include: 1 Weight loss. Most patients can expect to lose weight after the surgery. 2 Diabetes.This condition can develop if too many insulin -producing cells are removed from the pancreas. However, patients who have normal blood sugar before surgery are unlikely to develop diabetes, and those who recently developed diabetes before surgery are even likely to improve.

How many pancreas surgeries are performed per year?

Because the Whipple procedure continues to be one of the most demanding and risky operations for surgeons and patients, the American CancerSociety says it's best to have the procedure done at a hospital that performs at least 15 to 20 pancreas surgeries per year.

How long do you live after a whipple?

Prognosis After the Whipple Procedure. Overall, the five-year survival rate after a Whipple procedure is about 20 to 25%.

How long do you have to be hospitalized after a syringe?

After surgery, patients are usually hospitalized for a week before returning home. Because recovery can be slow and painful, they usually need to take prescription or over-the-counter pain medications. At first, patients can eat only small amounts of easily digestible food.

What is the Whipple procedure?

In a standard Whipple procedure, the surgeon removes the head of the pancreas, the gallbladder, the duodenum, a portion of the stomach and surrounding lymph nodes. The surgeon then reconnects the remaining pancreas and digestive organs. In some cases, patients may undergo a modified version of the Whipple procedure, ...

How long does a patient stay in the hospital after a whipple?

The patient stays in the hospital for 8-10 days after a Whipple procedure. During this time, doctors watch for complications, and the patient slowly begins drinking and eating again. In the days following surgery, doctors run extensive tests to see if all the cancer was removed and if any cancer cells were in the lymph nodes.

Can pancreatic cancer be removed?

If a tumor is in the head of the pancreas, has not spread to other areas of the body and can be removed (resected) surgically, the Whipple procedure may be attempted. Although 20 percent of pancreatic cancer patients may be eligible for surgery, data shows that up to half of those patients are told they are ineligible.

Can cancer be removed during surgery?

In some cases, despite testing before surgery, the surgeon may find during the procedure that the cancer has spread or cannot be removed. Therefore, the planned operation cannot be completed.

How many surgeries per year for pancreatic cancer?

The Pancreatic Cancer Action Network strongly recommends you have a high volume pancreatic surgeon (more than 15 surgeries per year) perform the surgery.

What is the most common surgery to remove a tumor in the pancreas?

The Whipple procedure, or pancreaticoduodenectomy, is the most common surgery to remove tumors in the pancreas. Surgery to remove a tumor offers the best chance for long-term control of all pancreatic cancer types. The Whipple removes and reconstructs a large part of the gastrointestinal tract and is a difficult and complex operation.

How long does it take to get a whipple?

This is called a pylorus-preserving Whipple. Both types of surgery typically take 5-7 hours.

Is Whipple surgery for pancreatic cancer?

This complex surgery is often used to treat pancreatic cancer, but it’s not an option for everyone. To help patients learn more about the Whipple procedure and how it can impact quality of life, we spoke with pancreatic cancer surgeon Matthew H.G. Katz, M.D.

What is the Whipple procedure?

The Whipple procedure is a surgery that removes the head of the pancreas, the distal bile duct, the gallbladder, regional lymph nodes, and the duodenum — the first part of the small intestine that connects to the stomach. For some patients, it may also include partial removal of the stomach, as well as nearby veins and/or arteries.

How long does it take to get back to normal after a syringe?

Patients typically leave the hospital and go home within a week. But, for most people, it takes as long as 2 to 6 months to fully get back to a normal quality of life. Ultimately, patients should be able to do anything after surgery that they could do before.

What is the Whipple procedure?

Whipple procedure - The Whipple procedure is done when tumors are on the right side of the pancreas. It is the most common surgical treatment option for pancreatic cancer, because most pancreatic tumors occur on the right side of the pancreas. During this procedure, the head of the pancreas is removed, along with part of the small intestine, ...

What is the procedure to remove the pancreas?

Total Pancreatectomy - A total pancreatectomy involves the removal of the entire pancreas, spleen, gallbladder, bile duct, and some of the small intestine and stomach. It is the least common pancreatic cancer surgery and is most often done to treat conditions that may turn into pancreatic cancer.

Can pancreatic cancer be removed?

At the time of diagnosis, pancreatic cancer has usually spread or it’s locally advanced to the point where it can’t be removed. Only about 15 to 20 percent of patients are candidates for surgery after a pancreatic cancer diagnosis.

Can pancreatic cancer be treated with chemotherapy?

Nearly every patient who has pancreatic cancer surgery will also be treated with chemotherapy. Whether you have chemotherapy before surgery, after surgery or both depends on the size and location of your tumor.

What is the best treatment for pancreatic cancer?

We offer the following surgical options to treat pancreatic cancer: Whipple procedure - The Whipple procedure is done when tumors are on the right side of the pancreas. It is the most common surgical treatment option for pancreatic cancer, because most pancreatic tumors occur on the right side of the pancreas. ...

What is removed during a pancreatectomy?

During this procedure, the body and tail of the pancreas are removed. The spleen is often removed, as well. Total Pancreatectomy - A total pancreatectomy involves the removal of the entire pancreas, spleen, gallbladder, bile duct, and some of the small intestine and stomach.

What happens when you have a pancreas removed?

When the entire pancreas is removed, your body can no longer produce insulin and enzymes that aid in digestion.

What is the procedure called for pancreatic cancer?

If you or a loved one has been diagnosed with pancreatic cancer, your doctor might recommend a type of surgery called a Whipple procedure. Also called a pancreatoduodenectomy, this is a highly complex operation that requires a high level of expertise. Whipple procedures are one of the most common ways to treat pancreatic cancer if it occurs in ...

What is the most common surgical procedure for pancreatic cancer?

bleeding. slower digestion or other digestive problems. weight loss. changes in bowel habits. higher risk for diabetes. Pancreatic cancer is difficult to treat, and the Whipple procedure is the most common surgical option.

What is the best treatment for pancreatic cancer?

Whipple procedures are one of the most common ways to treat pancreatic cancer if it occurs in the head of the pancreas. “ Surgery represents the mainstay of treatment for pancreatic cancer,” said Sanjay S. Reddy, MD, FACS, a surgical oncologist at Fox Chase Cancer Center. “Removing the tumor gives the best chance for successful long-term control ...

What is the procedure to remove a tumor in the head of the pancreas?

Whipple procedures are often used to treat tumors in the head or neck of the pancreas that have not spread to other areas of the body. In some cases, patients will undergo chemotherapy or radiation beforehand to shrink the tumor before it’s removed. The surgery involves making an incision down the middle of the belly.

What is the procedure to remove the gallbladder?

The surgery involves making an incision down the middle of the belly. First, the surgeon removes the gallbladder, parts of the small intestine, the bile duct, a portion of the stomach, and also the pancreatic head. The remaining organs are then reattached so food can still be digested.

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