Total pancreatectomy

A total pancreatectomy is performed when the tumor is situated in such a way that requires the entire pancreas to be removed.  It may also be performed when there are multiple tumors spread throughout the pancreas.  Similar to a Whipple procedure, the gallbladder, part of the duodenum, the bottom portion of the stomach and local lymph nodes are removed along with the entire pancreas.  The spleen may also be removed.

Because the entire pancreas is removed in a total pancreatectomy, the person will be diabetic after surgery and must use insulin to control blood sugar level.  The patient will also need to take pancreatic enzyme supplements with meals to properly digest food.



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