Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Hi everyone, On Monday, the 15th, I have an appointment with my GI and the surgeon. I would like to ask the appropriate questions regarding the Whipple (which the surgeon says I should have done). So far I have considered asking: How many of these surgeries he has performed What type of anesthesia is used What is the recovery period Will it cure or cause continued CP Will it cause diabetes Anyone with suggestions of what else I should consider asking the Doc and surgeon? Thanks for your input it will be most helpful Joan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Thanks, Chuck These are questions I would not have thought about. They are removing the head since this is where the cysts are located. Joan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Thanks, Chuck These are questions I would not have thought about. They are removing the head since this is where the cysts are located. Joan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Thanks, Chuck These are questions I would not have thought about. They are removing the head since this is where the cysts are located. Joan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Chuck, Was your Whipple strictly for CP or did you have psuedocysts? Joan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Chuck, Was your Whipple strictly for CP or did you have psuedocysts? Joan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Chuck, Was your Whipple strictly for CP or did you have psuedocysts? Joan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Which method are they using? Will the incision be vertical (preferred) or horizontal? How many -Pratt drains will there be and for how long? How much of the pancreas do you intend to remove? Will you be removing the head (yay) or the tail (boo, because that's where the alpha and beta cells (insulin and glucagon producers) are most highly concentrated)? How long will I be in Surgical ICU? Will you insert a central line rather than a simple IV? Chuck At 12:49 PM 4/12/2002 -0400, you wrote: >Hi everyone, > >On Monday, the 15th, I have an appointment with my GI and the surgeon. I >would like to ask the appropriate questions regarding the Whipple (which the >surgeon says I should have done). So far I have considered asking: > >How many of these surgeries he has performed >What type of anesthesia is used >What is the recovery period >Will it cure or cause continued CP >Will it cause diabetes > >Anyone with suggestions of what else I should consider asking the Doc and >surgeon? > >Thanks for your input it will be most helpful > >Joan > Chuck Sullivan " When in command, Take charge. When faced with a decision, do what is right. Nothing else matters. " - Gen. Norman Schwarzkopf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Which method are they using? Will the incision be vertical (preferred) or horizontal? How many -Pratt drains will there be and for how long? How much of the pancreas do you intend to remove? Will you be removing the head (yay) or the tail (boo, because that's where the alpha and beta cells (insulin and glucagon producers) are most highly concentrated)? How long will I be in Surgical ICU? Will you insert a central line rather than a simple IV? Chuck At 12:49 PM 4/12/2002 -0400, you wrote: >Hi everyone, > >On Monday, the 15th, I have an appointment with my GI and the surgeon. I >would like to ask the appropriate questions regarding the Whipple (which the >surgeon says I should have done). So far I have considered asking: > >How many of these surgeries he has performed >What type of anesthesia is used >What is the recovery period >Will it cure or cause continued CP >Will it cause diabetes > >Anyone with suggestions of what else I should consider asking the Doc and >surgeon? > >Thanks for your input it will be most helpful > >Joan > Chuck Sullivan " When in command, Take charge. When faced with a decision, do what is right. Nothing else matters. " - Gen. Norman Schwarzkopf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Pancreaticoduodenectomy or Whipple resection has been recommended for treatment of chronic pancreatitis primarily involving the head of the pancreas. The procedure has a mortality rate of less than 5% and a 25-30% . Morbidity The procedure is indicated for patients who have failed previous duct drainage procedures, those with multiple small pseudocysts located in the head of the pancreas and/or uncinate portions of the gland, those with symptomatic gastric or biliary obstruction associated with extensive fibrosis or multiple pseudocysts, and those with hemorrhage from inflammatory aneurysms involving major peripancreatic vessels. Standard pancreaticoduodenectomy involves resection of the head of the pancreas, duodenum, gallbladder, distal common bile duct, and antrum. In chronic pancreatitis, preservation of the antrum and proximal 1-2 cm of duodenum is a necessary modification in preserving the and minimizing severe endocrine insufficiency. Pain relief is achieved in 60-80% percent of patients in the first several years after surgery. (Figure 23). Mark E. Armstrong www.top5plus5.com NW Chapter Rep Pancreatitis Association, International Whipple Questions for Doc > Hi everyone, > > On Monday, the 15th, I have an appointment with my GI and the surgeon. I > would like to ask the appropriate questions regarding the Whipple (which the > surgeon says I should have done). So far I have considered asking: > > How many of these surgeries he has performed > What type of anesthesia is used > What is the recovery period > Will it cure or cause continued CP > Will it cause diabetes > > Anyone with suggestions of what else I should consider asking the Doc and > surgeon? > > Thanks for your input it will be most helpful > > Joan > > > PANCREATITIS Association, Intl. > Online e-mail group > > To reply to this message hit " reply " or send an e-mail to: Pancreatitis (AT) Yahoo > > To subscribe to this e-mail group, simply send an e-mail to: Pancreatitis-subscribe (AT) Yahoo > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Pancreaticoduodenectomy or Whipple resection has been recommended for treatment of chronic pancreatitis primarily involving the head of the pancreas. The procedure has a mortality rate of less than 5% and a 25-30% . Morbidity The procedure is indicated for patients who have failed previous duct drainage procedures, those with multiple small pseudocysts located in the head of the pancreas and/or uncinate portions of the gland, those with symptomatic gastric or biliary obstruction associated with extensive fibrosis or multiple pseudocysts, and those with hemorrhage from inflammatory aneurysms involving major peripancreatic vessels. Standard pancreaticoduodenectomy involves resection of the head of the pancreas, duodenum, gallbladder, distal common bile duct, and antrum. In chronic pancreatitis, preservation of the antrum and proximal 1-2 cm of duodenum is a necessary modification in preserving the and minimizing severe endocrine insufficiency. Pain relief is achieved in 60-80% percent of patients in the first several years after surgery. (Figure 23). Mark E. Armstrong www.top5plus5.com NW Chapter Rep Pancreatitis Association, International Whipple Questions for Doc > Hi everyone, > > On Monday, the 15th, I have an appointment with my GI and the surgeon. I > would like to ask the appropriate questions regarding the Whipple (which the > surgeon says I should have done). So far I have considered asking: > > How many of these surgeries he has performed > What type of anesthesia is used > What is the recovery period > Will it cure or cause continued CP > Will it cause diabetes > > Anyone with suggestions of what else I should consider asking the Doc and > surgeon? > > Thanks for your input it will be most helpful > > Joan > > > PANCREATITIS Association, Intl. > Online e-mail group > > To reply to this message hit " reply " or send an e-mail to: Pancreatitis (AT) Yahoo > > To subscribe to this e-mail group, simply send an e-mail to: Pancreatitis-subscribe (AT) Yahoo > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Pancreaticoduodenectomy or Whipple resection has been recommended for treatment of chronic pancreatitis primarily involving the head of the pancreas. The procedure has a mortality rate of less than 5% and a 25-30% . Morbidity The procedure is indicated for patients who have failed previous duct drainage procedures, those with multiple small pseudocysts located in the head of the pancreas and/or uncinate portions of the gland, those with symptomatic gastric or biliary obstruction associated with extensive fibrosis or multiple pseudocysts, and those with hemorrhage from inflammatory aneurysms involving major peripancreatic vessels. Standard pancreaticoduodenectomy involves resection of the head of the pancreas, duodenum, gallbladder, distal common bile duct, and antrum. In chronic pancreatitis, preservation of the antrum and proximal 1-2 cm of duodenum is a necessary modification in preserving the and minimizing severe endocrine insufficiency. Pain relief is achieved in 60-80% percent of patients in the first several years after surgery. (Figure 23). Mark E. Armstrong www.top5plus5.com NW Chapter Rep Pancreatitis Association, International Whipple Questions for Doc > Hi everyone, > > On Monday, the 15th, I have an appointment with my GI and the surgeon. I > would like to ask the appropriate questions regarding the Whipple (which the > surgeon says I should have done). So far I have considered asking: > > How many of these surgeries he has performed > What type of anesthesia is used > What is the recovery period > Will it cure or cause continued CP > Will it cause diabetes > > Anyone with suggestions of what else I should consider asking the Doc and > surgeon? > > Thanks for your input it will be most helpful > > Joan > > > PANCREATITIS Association, Intl. > Online e-mail group > > To reply to this message hit " reply " or send an e-mail to: Pancreatitis (AT) Yahoo > > To subscribe to this e-mail group, simply send an e-mail to: Pancreatitis-subscribe (AT) Yahoo > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 It's the voice of experience, Joan. My Whipple went better than nearly everyone's but it didn't stop the deterioration. It did however give me a wonderful 2 1/2 year reprieve from the pain of CP. I thank heaven for mine every day. Chuck At 04:07 PM 4/12/2002 -0400, you wrote: >Thanks, Chuck > >These are questions I would not have thought about. They are removing the >head since this is where the cysts are located. > >Joan > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 It's the voice of experience, Joan. My Whipple went better than nearly everyone's but it didn't stop the deterioration. It did however give me a wonderful 2 1/2 year reprieve from the pain of CP. I thank heaven for mine every day. Chuck At 04:07 PM 4/12/2002 -0400, you wrote: >Thanks, Chuck > >These are questions I would not have thought about. They are removing the >head since this is where the cysts are located. > >Joan > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 It's the voice of experience, Joan. My Whipple went better than nearly everyone's but it didn't stop the deterioration. It did however give me a wonderful 2 1/2 year reprieve from the pain of CP. I thank heaven for mine every day. Chuck At 04:07 PM 4/12/2002 -0400, you wrote: >Thanks, Chuck > >These are questions I would not have thought about. They are removing the >head since this is where the cysts are located. > >Joan > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 In a message dated 4/12/02 1:34:01 PM Eastern Daylight Time, jpipich@... writes: > How many of these surgeries he has performed > What type of anesthesia is used > What is the recovery period > Will it cure or cause continued CP > Hi Joan, as a Whipple survivor I wanted to give you my answers to your questions How Many? A great question and I would hope your Dr. has done a few, but it's not a usual procedure so the actual number may be low. Anesthesia? Whatever works, you will be out so long they may invent a new one while you are on the table, my Whipple was over 8 hours. Recovery period? I was off work 5 months and even then felt I returned to work too early. Didn't think I was recovered for a year. A lot depends on your condition going into surgery. I was a 44 year old male in good condition except for the hemoglobin in my blood which was half normal, I'm sure that contributed to the long recovery time. Also a lot depends on your actions and desire to recover. Cure or cause CP? maybe so maybe not, mine was for removal of cancer, my CP developed 15 years post surgery Diabetes? None here yet, no signs or indications yet Good luck with your decision and if you elect a Whipple good luck with that, remember your innerds will see light that they have never seen before. Best wishes, Poncho - GA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 In a message dated 4/12/02 1:34:01 PM Eastern Daylight Time, jpipich@... writes: > How many of these surgeries he has performed > What type of anesthesia is used > What is the recovery period > Will it cure or cause continued CP > Hi Joan, as a Whipple survivor I wanted to give you my answers to your questions How Many? A great question and I would hope your Dr. has done a few, but it's not a usual procedure so the actual number may be low. Anesthesia? Whatever works, you will be out so long they may invent a new one while you are on the table, my Whipple was over 8 hours. Recovery period? I was off work 5 months and even then felt I returned to work too early. Didn't think I was recovered for a year. A lot depends on your condition going into surgery. I was a 44 year old male in good condition except for the hemoglobin in my blood which was half normal, I'm sure that contributed to the long recovery time. Also a lot depends on your actions and desire to recover. Cure or cause CP? maybe so maybe not, mine was for removal of cancer, my CP developed 15 years post surgery Diabetes? None here yet, no signs or indications yet Good luck with your decision and if you elect a Whipple good luck with that, remember your innerds will see light that they have never seen before. Best wishes, Poncho - GA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Poncho, Thanks, your experience was very informative. I have printed it to include in my questions/answers sheet for the surgery. Joan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Poncho, Thanks, your experience was very informative. I have printed it to include in my questions/answers sheet for the surgery. Joan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Poncho, Thanks, your experience was very informative. I have printed it to include in my questions/answers sheet for the surgery. Joan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 My Whipple was strictly for CP. I had undiagnosed Pancreas Divisum and an endless series of clinical and sub-clinical acute attacks that consumed 3/4 of my pancreas. Chuck At 04:49 PM 4/12/2002 -0400, you wrote: >Chuck, > >Was your Whipple strictly for CP or did you have psuedocysts? > >Joan Chuck Sullivan " When in command, Take charge. When faced with a decision, do what is right. Nothing else matters. " - Gen. Norman Schwarzkopf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 My Whipple was strictly for CP. I had undiagnosed Pancreas Divisum and an endless series of clinical and sub-clinical acute attacks that consumed 3/4 of my pancreas. Chuck At 04:49 PM 4/12/2002 -0400, you wrote: >Chuck, > >Was your Whipple strictly for CP or did you have psuedocysts? > >Joan Chuck Sullivan " When in command, Take charge. When faced with a decision, do what is right. Nothing else matters. " - Gen. Norman Schwarzkopf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 My Whipple was strictly for CP. I had undiagnosed Pancreas Divisum and an endless series of clinical and sub-clinical acute attacks that consumed 3/4 of my pancreas. Chuck At 04:49 PM 4/12/2002 -0400, you wrote: >Chuck, > >Was your Whipple strictly for CP or did you have psuedocysts? > >Joan Chuck Sullivan " When in command, Take charge. When faced with a decision, do what is right. Nothing else matters. " - Gen. Norman Schwarzkopf Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Joan, ask if they can do the stomach preserving one. It's a variation of the standard Whipple, but leaves the stomach intacked instead of taking half of it. One of the people in my pain management class had a Whipple and she had half her stomach removed and she now throws up at least once a day. She thinks it's cuz she just can't hold much food in it anymore. Kimber -- Kimber hominid2@... California State Chapter Representative Pancreatitis Association, International Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2002 Report Share Posted April 12, 2002 Joan, ask if they can do the stomach preserving one. It's a variation of the standard Whipple, but leaves the stomach intacked instead of taking half of it. One of the people in my pain management class had a Whipple and she had half her stomach removed and she now throws up at least once a day. She thinks it's cuz she just can't hold much food in it anymore. Kimber -- Kimber hominid2@... California State Chapter Representative Pancreatitis Association, International Quote Link to comment Share on other sites More sharing options...
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