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Whipple’s surgery


What is Whipple’s surgery?

Whipple’s surgery is also called pancreaticoduodenectomy that involves the removal of the head of the pancreas, duodenum, gallbladder and the bile duct.

Why is it carried out?

It is carried out to treat tumors, disorders in pancreas, intestine and bile duct.

What are the diseases that can be treated under Whipple’s surgery?

Following diseases can be treated under whipple’s surgery:

  • 1.Pancreatic cancer
  • 2.Pancreatic cysts
  • 3.Pancreatic tumors
  • 4.Pancreatitis
  • 5.Ampullary cancer
  • 6.Bile duct cancer
  • 7.Neuroendocrine tumors
  • 8.Small bowel cancer

How is the procedure carried out?

The procedure can be performed under two approaches: open approach and minimally invasive approach. Under the open approach which is carried out under the influence of anesthesia, incisions are made in the abdomen region and the pancreas is accessed. Then the affected part is slowly separated. A constant supply of nutrients is maintained with the help of IV to the patient throughout the operation.

Laparoscopic procedure:

A general anesthesia will be administered to the patient and as a result he/she will be asleep during the surgery. Once the patient is asleep the process begins by making incisions near the belly button and a small device is inserted which is called a port; it creates an opening that will be filled with gas (carbon dioxide) in the abdomen region. Through these incisions a Laparoscope (a Laparoscope is a small instrument with a narrow tube which has light source and camera at the end of the tube) is inserted and using the Laparoscope’s video camera the surgeon is able to locate the affected body part and through the other incisions that are made the damaged/affected part is removed with the help of surgical equipment; after this the incisions are sealed using a surgical glue or staples.

How should one prepare for the procedure?

If you have a prior medical condition and you are taking medicines prescribed by a doctor please make sure you inform the surgeon beforehand. The patient may be required to stop eating a few hours before the surgery.

When to call a doctor if complications occur post-surgery?

If one feels nauseated, develops fever, bleeding occurs through the incisions, inability to urinate etc; under these circumstances it is better to get in touch with the doctor who performed the operation.

Frequently Asked Question's(FAQ's)

1. How Do I Find a Bariatric Surgeon?

Clearly, you want a bariatric surgeon who is very experienced in this specialty area. Research shows that the more experienced the surgeon, the lower the risk of death or complications during or after the surgery. To identify an excellent surgeon, collect a list of names. Ask friends and family members. Ask coworkers. You might be surprised -- lots of people often know others who have had weight loss surgery and want to share their doctor's name.

2. How Will My Physical Appearance Change After Weight Loss Surgery?

As you start losing weight, you will likely be thrilled with your new appearance. However, many people who lose a lot of weight often find their skin looks loose and baggy. You may want plastic surgery to remove this excess skin.

3. Will My Social Life and Relationships Change After Weight Loss Surgery?

Your relationships with friends and family may indeed change after weight loss surgery. For many people, food and drink are the basis for socializing. After weight loss surgery, you must find other ways to socialize -- ways that aren't focused on food.

4. Will I Feel Like Myself After I Lose Weight?

Losing a significant amount of weight is no small matter. In fact, the effects are profound and far-reaching. Life may seem disconcerting at times. You may feel odd, not quite like yourself. You may feel overwhelmed by the lifestyle changes you must make for the rest of your life. You may have reached for food as comfort -- and have difficulty giving it up. A therapist can help you get through this complicated period. A support group can also help. Ask your doctor about support groups for people who have had weight loss surgery. It helps to meet people who are making the same adjustments you're making -- and can help keep you on track with your weight loss program.

5. What Lifestyle Changes Are Necessary After Weight Loss Surgery?

Over time, some people regain weight despite bariatric surgery. Some eat high-calorie or high-fat foods instead of healthy foods -- and eat them too often. Some people rely on "soft meals" such as ice cream and milk shakes. The body itself may change over time, too, leading to weight gain. The digestive tract might begin absorbing more calories. Even the size of your surgical stomach can expand gradually over time.

6. How Much Weight Will I Lose After Surgery?

After gastric bypass surgery, most people can expect to lose between 66% and 80% of their extra body weight. Most of this is lost within the first two years. After gastric banding, people lose 40% to 50% of their extra weight, typically within the first two years after the surgery.



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