Whipple Procedure

The Whipple procedure is a complex surgery that removes tumors from the pancreas and nearby organs. It involves removing parts of the pancreas, gallbladder, bile duct, and small intestine, then carefully reconnecting the healthy sections. A Whipple procedure is often done when the tumor threatens a patient’s health, offering a chance to cure the cancer or significantly extend the patient’s life. While the surgery offers a potential for improved health and extended life, it also carries risks that should be discussed with your surgical care team.

Conditions that may lead to a Whipple surgery include:

  • Pancreatic cancer: This is the most common reason for a Whipple procedure. It’s often used to remove tumors located in the head of the pancreas.
  • Ampullary cancer: This rare cancer affects the ampulla of Vater, where the bile duct and pancreatic duct join and empty into the small intestine.
  • Duodenal cancer: While less common, a Whipple procedure might be recommended for tumors in the duodenum that cannot be removed with less invasive methods.
  • Bile duct cancer (Cholangiocarcinoma): This cancer affects the bile duct, and a Whipple may be an option if the tumor is in the part of the duct near the pancreas.
  • Chronic pancreatitis: In severe cases of chronic pancreatitis where pain and other symptoms aren’t manageable with medication or less invasive treatments, a Whipple may be considered.
  • Pancreatic cysts or tumors: Certain types of cysts or tumors, even if noncancerous, might require surgical removal due to their size, location, or potential for becoming cancerous.

It’s important to remember that the decision to perform a Whipple procedure is made on a case-by-case basis after a thorough evaluation of the patient’s overall health, the specific condition being treated, and other available treatment options. Always discuss your individual circumstances and any questions or concerns you have with your medical team.

Why choose AHN for your Whipple procedure

Given the complex nature of a Whipple procedure, having an experienced and compassionate surgical team can make all the difference. At AHN, we see you and your unique needs. Our highly skilled surgical oncologists use the latest minimally invasive surgical techniques to perform Whipple procedures. That level of skill, combined with our multidisciplinary approach, provides a difference in the level of care delivered to our patients.

AHN Pancreas Cancer Center of Excellence

The Pancreas Cancer Center of Excellence at AHN Cancer Institute provides high-quality, personalized, and exceptional multidisciplinary care to our patients. We diagnose our patients with highly sophisticated and safe techniques using innovative technology. Learn more about our Pancreas Cancer Center of Excellence.

What to expect for a Whipple procedure

Before a Whipple procedure, you will undergo extensive testing, including imaging scans and blood work, to assess your overall health and confirm the need for surgery. A multidisciplinary team, including AHN surgeons, oncologists, and gastroenterologists, determines if the procedure is the best course of action based on the tumor’s location and size, as well as your general health. Given the multidisciplinary approach, you can expect preoperative consultations, dietary instructions, and education about the procedure itself and the recovery process. The surgery itself is typically lengthy, lasting several hours. Post-surgery, a significant recovery period in the hospital, followed by outpatient rehabilitation, is anticipated.

Preparing for your Whipple procedure

Given the complexity of a Whipple procedure, preparing your body and doing what you can to improve your overall health prior to the surgery is critical. Maintaining a healthy weight, eating a balanced diet (as tolerated), and quitting smoking are great ways to prepare. Your doctor will provide specific dietary guidelines, often recommending a low-fat diet in the weeks leading up to surgery. Top concerns to discuss with your care team are usually managing anxiety, ensuring adequate nutrition and hydration, and understanding the expected recovery process.

On the day of your Whipple procedure

On the day of a Whipple procedure, your AHN team will be with you. Expect to be admitted to the hospital early in the morning, where you'll have an IV placed and undergo final preparations. The surgery itself will last several hours, and you’ll be closely monitored in the recovery room afterward. You’ll likely be in significant pain initially, managed with medication and compassionate care. Post-surgery, you’ll gradually begin a liquid diet and other activities as your body recovers. Expect a multiday hospital stay with your care team closely monitoring you and adjusting your recovery plan as needed.

Whipple procedure recovery

Recovering from a Whipple procedure can be a lengthy and involved process. You will have your full care team to help you along the way. This includes when you are recovering in the hospital and at home. Pain management is something AHN takes seriously and monitors to ensure you are comfortable, while balancing the medications you are receiving. AHN’s multidisciplinary team will help you with postoperative diet, rehabilitation, and overall recovery. You’ll need assistance with daily activities initially and will gradually regain strength and mobility through physical therapy. Fatigue is common, and it’s crucial to prioritize rest. Regular follow-up appointments with your surgical and medical team are essential for monitoring healing and addressing any complications.

Common Whipple procedure questions

If you are a candidate for a Whipple procedure, you most likely have questions about your options, recovery, and what to know about life post-Whipple procedure. AHN is here to help. Your care team is poised to answer any questions and address any concerns, and we’ve also included some frequently asked questions so you can get the information you need, when you need it.

What is the life expectancy after a Whipple procedure?

Recovery and long-term outcomes vary greatly depending on factors like the patient’s overall health, age, the stage and type of cancer (if applicable), and the presence of other medical conditions. Statistics you might find online or elsewhere are often based on large averages and might not reflect the specific details of your situation.

Factors influencing long-term outcomes include:

  • Underlying condition: The reason for the Whipple procedure plays a significant role. For example, outcomes for early-stage pancreatic cancer are generally more favorable than for later stages.
  • Overall health: Patients in good overall health before surgery tend to recover better and have fewer complications.
  • Surgical success: The success of the surgery itself, including the surgeon’s experience and the absence of major complications, is a key factor.

What are the long-term problems after Whipple surgery?

While many people recover well from a Whipple procedure, it's important to be aware of potential long-term issues:

  • Digestive changes: The most common long-term challenge is adjusting to digestive changes. These might include diarrhea, weight loss, difficulty absorbing nutrients (which might require enzyme supplements), and developing diabetes (if a significant portion of the pancreas was removed).
  • Delayed gastric emptying (Gastroparesis): This occurs when the stomach empties too slowly, leading to nausea, vomiting, and feeling full quickly.
  • Weight loss: Many patients experience weight loss after surgery, which can be due to dietary changes, digestive issues, or the body’s response to the surgery itself.
  • Post-Whipple Syndrome: A group of symptoms like diarrhea, dumping syndrome (rapid gastric emptying), weight loss, and nutritional deficiencies.

Are there any alternative treatment options to the Whipple procedure?

Whether or not there are alternative treatment options to a Whipple procedure depends heavily on the specific reason the procedure is being considered. You should speak to your doctor about alternatives that will work with your specific treatment plan. Your doctor’s considerations may include:

  • Overall health: A patient’s overall health and ability to tolerate a major surgery play a role in deciding on the best course of action.
  • The location, stage, and type of cancer you have: Chemotherapy, radiation therapy, and palliative care may be considered.
  • Severity of the condition: Alternatives are often pursued first for conditions like chronic pancreatitis if symptoms are manageable. Medications, endoscopic procedures, and lifestyle changes may help.
  • Location and size of cysts or tumors: Smaller, more accessible cysts or tumors might be treatable with less invasive techniques.

Contact us

Please call (833) 246-7662 to make an appointment directly with the Surgical Oncologist that has the focus for your specific needs.