Pancreatitis & Surgery for Pancreas
Acute Pancreatitis is a condition that develops when the pancreas is damaged by an inflammation that leads to swelling and sometimes to necrosis (death) of parts of the pancreas. In about 85% of patients, acute pancreatitis is a mild disease and is associated with a rapid recovery within a few days of onset of the illness. In about 15-20% of patients, acute pancreatitis can lead to severe damage of the pancreas associated with the development of pancreatitic necrosis.
is a condition associated with widespread scarring and destruction of pancreatic tissue. This condition is mostly frequently associated with alcohol abuse and excessive smoking. The scarring and destruction of pancreatic tissue develops from inflammatory damage of the pancreas over many years due to the effects of alcohol. In many patients this condition may develop without any apparent cause. Chronic pancreatitis is a slowly progressive disease that takes many years to develop.
Most patients with severe pain chronic pancreatitis eventually require surgery for pain relief. The surgery for treatment of pain is complex and should be tailored to the individual patient’s specific requirements. An absolute requirement in patients with alcoholic chronic pancreatitis is abstinence from drinking.
In this operation the pancreatic duct is open all the way from the head (beginning of the pancreas) to the tail (end) of the pancreas. The small intestine is then brought up to the pancreas and is sutured to the pancreatic duct. The pancreatic juice is therefore drained directly into the small intestine.
Pancreatic Head Resection
In this delicate operation only the head of pancreas is removed preserving the duodenum and the bile duct. This procedure leads to a much shorter recovery compared to the Whipple operation since the duodenum and the bile duct are preserved.
The Whipple's Surgery
In the Whipple operation the head of the pancreas, a portion of the bile duct, the gallbladder and the duodenum is removed. Occasionally a portion of the stomach may also be removed. After removal of these structures the remaining pancreas, bile duct and the intestine is sutured back into the intestine to direct the gastrointestinal secretions back into the gut. Whipple's surgery is performed in cases of:
Cancer of Head of Pancreas
Cancer of Duodenum
Cancer of Bottom End of Bile
Benign tumours of head of pancreas