Joe,
Don’t take this as “bad news”! I really don’t recommend Whipples to anyone. While I may have had mine as an absolutely die (zero chance to live) or very much possibly die without or with a Whipple (1 in 10,000 chance to live at all without positive prognosis). I know that there are some (rare) that come out of a Whipple and actually get better. However, I question all studies on this as none of them are longitudinal studies and I know that, because of this, the outcomes are strongly skewed toward the positive.
I had my Whipple in 1995. I had post-operative problems with suture pain in the gut and stuff like that for about the first 6 months (I was cut like a carp from my pubis to my ribs and lost all of the muscles that I had for parallel strength). After that, I felt pretty good for about 1.5 years and, from there on, the pain raged again (only got a pain medicine specialist 2.5 years ago) and I have been in excruciating pain since only until the last couple of months or less. My perusal of the research is that a Whipple will only “buy” you about two to three years of time before you go back into that slippery slope of pain and suffering all over again.
I really don’t see any of the “modified” procedures coming out any better either.
What I have learned that works is “great” pain management as well as food intake (even if you have to have a central line put in (make sure that they put in a “dual-chambered portacath” and nothing else as it is the safest one out there for us) to the point of TPN (total parenteral nutrition), or tube feeding. I am on TPN now and I expect to be on it for a long time, even a year, or even the rest of my life.
I hope that this relieves any frustration with not having a Whipple right now. What was your doctor adding in as a prognosis for you condition after undergoing a Whipple procedure? Be warned. Read the literature.
Anyse
anyse1@mac.com