Our Summary

This study looked at the development of diabetes after two types of pancreatic surgery: distal pancreatectomy (DP), which involves removing the end of the pancreas, and the Whipple procedure, which involves removing the head of the pancreas. Scientists have long believed that DP increases the risk of developing diabetes because it removes more of the cells that produce insulin.

However, after analyzing medical records from 472 patients who had these surgeries between 1996 and 2014, the researchers found that the risk of developing diabetes was about the same for both groups. Among those who had the Whipple procedure, 43% developed new onset diabetes, compared to 45% of those who had DP.

Furthermore, the study found that being older than 65 and being Caucasian were linked to a higher risk of developing diabetes after either type of surgery.

In conclusion, the type of pancreatic surgery doesn’t seem to affect the likelihood of developing diabetes. Other factors like age and ethnicity might be more important.

FAQs

  1. Does the type of pancreatic surgery increase the risk of developing diabetes?
  2. What percentage of patients developed diabetes after the Whipple procedure compared to distal pancreatectomy?
  3. What factors were found to increase the risk of developing diabetes after pancreatic surgery?

Doctor’s Tip

One helpful tip that a doctor might give to a patient who has undergone a Whipple procedure is to monitor their blood sugar levels regularly and maintain a healthy lifestyle to reduce the risk of developing diabetes. This can include eating a balanced diet, exercising regularly, and avoiding smoking and excessive alcohol consumption. Additionally, patients may benefit from working closely with their healthcare team to manage any potential diabetes-related complications that may arise.

Suitable For

Patients who are typically recommended for a Whipple procedure include those with:

  • Pancreatic cancer
  • Ampullary cancer
  • Pancreatic neuroendocrine tumors
  • Chronic pancreatitis
  • Benign pancreatic tumors
  • Pancreatic cysts

The Whipple procedure is considered a major surgery and is typically recommended for patients who are otherwise healthy and able to tolerate the procedure. It is important for patients to discuss the risks and benefits of the procedure with their healthcare provider to determine if it is the best treatment option for their specific condition.

Timeline

Before the Whipple procedure, a patient may experience symptoms such as jaundice, weight loss, abdominal pain, and digestive issues. They may undergo various tests such as blood tests, imaging studies, and possibly a biopsy to confirm a diagnosis of pancreatic cancer or other conditions requiring surgery.

After the Whipple procedure, the patient will typically spend several days in the hospital recovering. They may experience pain, fatigue, and difficulty eating and digesting food. In the following weeks and months, the patient will need to gradually resume normal activities and may require physical therapy or other support to regain strength and mobility.

In the long term, some patients may develop diabetes as a result of the surgery, although the risk appears to be similar regardless of whether they undergo a Whipple procedure or a distal pancreatectomy. Regular follow-up appointments with healthcare providers will be necessary to monitor for complications and manage any ongoing health issues.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with the Whipple procedure?
  2. How long is the recovery process expected to be after the Whipple procedure?
  3. Will I need to make any significant lifestyle changes after the surgery?
  4. What is the success rate of the Whipple procedure in treating my specific condition?
  5. Are there any alternative treatment options to the Whipple procedure that I should consider?
  6. How often will I need to follow up with you after the surgery?
  7. Will I need to take any medications or supplements after the Whipple procedure?
  8. Are there any long-term effects or complications I should be aware of after the surgery?
  9. Will I need to make any changes to my diet or exercise routine after the Whipple procedure?
  10. What is your experience and success rate with performing the Whipple procedure?

Reference

Authors: Nguyen A, Demirjian A, Yamamoto M, Hollenbach K, Imagawa DK. Journal: Am Surg. 2017 Oct 1;83(10):1050-1053. PMID: 29391093