At my treatment facility there is a dietician who works with the hepatobiliary/pancreatic cancer patients. It was quite helpful. You could see if your surgeon can refer you to a gastroenterologist with extensive knowledge of pancreatic disease. The gastroenterologist who did my biopsy and stent did a great job but when I asked about pancreatic insufficiency, he wasn't sure. The oncologist immediately gave me pancreatic enzymes which was a huge help. When I went to see a surgeon for second opinion, he asked me about my symptoms. I told him I was having a lot of difficulty with gas, loose stools on the dose I was taking, he advised to increase. Just the ticket! I have involvement of the superior mesenteric vein so I am not a candidate for surgery at this time and will go back in another month to get another CT scan. I am most thankful for the good advice of the surgeon and hepatobiliary dietician, greatly improved the quality of my life. If the surgeon isn't able to help with your symptoms, perhaps a referral to someone in another discipline could help. Quality of life is very important to me, but might not always be a top priority of a surgeon. Keep looking for help with managing your symptoms.