To whipple or not to whipple? What is quality of life like after?
Am 56 years old in generally good health, though with type 2 diabetes. Have a very large (41mm) adenoma in my duodenum. It's not malignant but is of a type that will almost certainly become malignant, it will eventually block my duodenum. I also have abnormal cells in the bulb of my duodenum, so endoscopic removal is not an option. Surgeon is suggesting a full Whipple, without preserving the pylorus. Realize that I'm blessed that things are pre-malignant but also didn't have a Whipple on my bingo card at this point in my life. Whole process has moved very quickly - started with anemia in mid-October and am looking at a potential surgery date in January. Would appreciate anyone's perspective on living with a Whipple and on quality-of-life post recovery.
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@stageivsurvivor hi. Thanks for your help. I had work ups of every kind by my GI doctor. And I talk to Sabrina at Columbia every few months. I did use Gasx but it never worked. I’ve tried everything for everything. Except Beano which I will try. I don’t have any of those other things. I had test upon test and a recent cat scan. I’m actually going for another consult with a new gi on August 3. I figured it can’t hurt. The only vegetables I eat are well cooked string beans, asparagus, zucchini which I started peeling and mushrooms and fruit only applesauce, diced peaches and I started eating grapes. No others and no salad. I’m on a very restricted diet. Except I am eating chocolate every few days. I gotta live a little. But lately has been terrible. Not to be gross but I am constipated, have diarrhea, gas, cramps all the time and every time I eat its even worse. I tried that Creon dosing thing. I don’t understand it. I take 2 to 3- 36,000 unit capsules with “snacks” and 4 to 5 with meals. I was bad about the Creon before but for the past 10 days I eat nothing without it. One problem I do have is eating too much and too fast at one time. A bad habit. I’m trying to fix that too. But I feel like the doctors are useless. I feel like I’m going backwards.
My husband had the Whipple on January 15, 2026. (He is 83.) After recovering from the surgery, he had two additional months of chemo, which he finished at the end of April. After the last round of chemo, he had low energy but no other significant symptoms. On May 29, we met with his oncologist and learned his scan showed no evidence of disease. He lost 35 pounds, and at this May appointment, he weighed 151 pounds. He then started on 36,000 units of Creon (two pills at meals and one at each of two snack times). On Friday, June 19, he weighed 158 pounds. We were thrilled! He also played pickleball for the first time since before surgery! It was a red-letter day for sure!
Things I think helped achieve this result are eating protein and increasing his calories even when he didn’t feel like eating. He also started walking and tried to get exercise daily. At first, he could only walk a short distance, but he kept at it and can now walk about a mile and a half at a time.
It is hard not to get discouraged when losing weight and not having energy, but persistence is very important and can produce results. I would definitely say if you are eligible for the Whipple to have it! Only about 20 percent of people with pancreatic cancer are eligible, so if you are eligible, go for it! Wishing you the best!
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6 ReactionsI had pylorus preserving robotic Whipple surgery 1 1/2 years ago after 24 weeks of chemo for PC. I’m 73 and feel good, just a bit less energy than before chemo and Whipple. I walk frequently for exercise. I take Creon with meals and discovered taking Beano with it has helped greatly. Digestive functions are back to normal, but I do eat much fewer fresh fruits and veggies as they do cause loose stools. I had no complications with the Whipple, but have some residual neuropathy in my feet. I feel very fortunate and life is good.
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4 ReactionsHad my whipple 8 years ago next month, age 77. Though i would never say that things are like they were before the surgery, i have no complaints. Yes, i create more gas. Yes, bowel movements are different and the urge oft requires immediate travel to bathroom. I tend not to plan anything less than two hours after getting up in the morning. And yes, I do still have the occasional cramping which was awful at first.
But i eat essentially anything I want, possibly in slightly smaller amounts (use Creon). I hike, bike, swim and basically do anything i want, more limited i think by age than anything else. I do perhaps need a bit more sleep than before.
The whipple saved my life, and the life i have after is just fine.
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9 Reactions@ln100 I used to be a fast eater but after the Whipple procedure, I eat slow, chew thoroughly, sip water as needed during the meal. When I feel full. I no longer force myself to finish what is on the plate. It took awhile before I went back to having sit-down, structured meals. Coming to the realization I was going to have to work at it and keep notes, my GI tract returned to normal and got back to eating structured meals but at a much slower pace.
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4 Reactions@stageivsurvivor thank you very much for all of the info. I have been trying to do all that but not having much luck. We’ll see what happens. I do appreciate it.
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2 Reactions@ln100 I am having trouble understanding how to navigate this site. I’m not very tech savvy whoever gave me a hug or any information. Thank you very much. I appreciate it and I appreciate it going forward.
Just wondering. Is there anyone having so many gi problems a year after a pyloris preserving whipple. Also I’ve taken a medication for years that makes me hungry. So with all my whipple surgery and post surgery issues I only lost 10 lbs. I actually need to lose about 65 lbs. please see my original post. Anyone out there facing or faced very similar problems…@ ln100
Hi All, My son Jamie is 49. He had the Whipple surgery April 7, 2026. He is doing ok, The port will be inserted Thursday the 25th. I am not sure when the chemo will start. Soon I imagine. He is my best buddy. Jamie lives with me, his mom. He is handicapped.
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5 ReactionsHello @bilas and welcome to Mayo Clinic Connect. I'm glad to hear that Jamie is doing OK after his Whipple procedure in April. Do you know the name of the chemo he will be having? Once you know the name, there will undoubtedly be members who will post with you about their experience with that type of chemotherapy.
Has Jamie's appetite been affected by the surgery?
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