Patients undergoing this operation are typically offered a clear liquid diet on the second day after surgery and advanced to solid food as tolerated. The tail of the pancreas lie directly behind the stomach and the trauma from the surgical procedure will result in inflammation along the back of the stomach where the removed portion of the pancreas had been. This inflammation will cause temporary stomach dysfunction for a period of time in most patients.
As the inflammation subsides, the stomach will begin to function properly again. This process can take a little as a few days or as much as several weeks in a patient who has leakage of pancreatic enzymes after the surgery. John Allendorf Dr. Post-Operative Recovery The length of hospitalization depends on the specific procedure that was performed and the approach that was undertaken traditional versus minimally invasive , but most patients will be in the hospital for anywhere from 3 days minimally invasive distal pancreatectomy to 10 days Whipple.
Nutritional support Patients with pancreatic or gastrointestinal disease often encounter problems with their eating or maintaining weight. Postoperative Dietary Expectations Whipple: When patients wake up from the surgery there will be a temporary drain in the stomach that comes out of the abdomen through the abdominal wall.
Distal pancreatecomy Most patients are not hungry and will have some nausea and abdominal bloating in the early postoperative period. Michael D. Ammazzalorso Memorial Pancreatic Cancer Symposium. Contact Us Get Directions Glossary. Sitemap Privacy Non Discrimination Statement.
Getting enough sleep will help you recover. You will probably want to nap often. Try to walk each day. Start by walking a little more than you did the day before. Bit by bit, increase the amount you walk. Walking boosts blood flow and helps prevent pneumonia and constipation. For about 4 to 6 weeks after surgery, avoid lifting anything that would make you strain. This may include a child, heavy grocery bags and milk containers, a heavy briefcase or backpack, cat litter or dog food bags, or a vacuum cleaner.
Avoid strenuous activities, such as biking, jogging, weight lifting, or aerobic exercise, until your doctor says it is okay.
You may shower, but avoid taking baths until your doctor okays it. Pat the cut incision dry. If you still have a drain in place, follow your doctor's instructions about showering with your drain and how to empty and care for it. After showering, replace the dressing if you have one. Ask your doctor when you can drive again. You will probably be able to return to work about 4 weeks after you leave the hospital.
Your doctor will tell you when you can have sex again. Sometimes the stomach empties food into the small intestine too quickly. This is called dumping syndrome. It can cause diarrhea and make you feel faint, shaky, and nauseated. It also can make it hard for your body to get enough nutrition. Avoid high-sugar foods—such as desserts, soda pop, and fruit juices—are most likely to cause dumping syndrome.
Do not drink liquids within a half hour before eating and up to an hour after eating. Liquids move food even more quickly into the small intestine. Quick emptying of the stomach increases the chance of diarrhea. Eat slowly. Try to chew each bite about 20 times. Allow 20 to 30 minutes for each meal. Eat 5 or 6 small meals or snacks a day. This may keep you from feeling too full after eating and may reduce problems with diarrhea and dumping syndrome.
If the surgeon did not remove any part of your stomach, you can eat your normal diet. But the surgery affects everyone's digestion differently. You may need to eat more smaller meals instead of fewer larger meals. You may have to try several foods to see what tastes good to you. Eat healthy food. If you do not feel like eating, try to eat food that has protein and extra calories to keep up your strength and prevent weight loss. Drink liquid meal replacements for extra calories and protein.
If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt. Whenever you eat, you may have to take enzyme pills to replace those the pancreas makes. These help you digest your food, especially fat. You may notice that your bowel movements are not regular right after your surgery. This is common.
Try to avoid constipation and straining with bowel movements. You may want to take a fibre supplement every day. This is a normal consequence of surgery for many people. Pancreatic surgery can increase your risk of developing diabetes if the procedure removes too many insulin-producing cells from the pancreas. However, this complication is rare in people who have normal blood sugar before surgery — and those diagnosed with diabetes prior to pancreatic surgery may actually see this condition improve.
Pancreatic surgery has the potential to extend your life by removing cancerous tissue. Learn more about the latest advances in the field of cancer research. If you have questions, make an appointment to speak with an expert.
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