I had a distal pancreatectomy and spleenectomy at Mayo in November. Surgery went well, just a little abdominal pain afterwards and some gas pains. The best thing to do is get up and move no matter how painful. It alleviates some of the gas pain. I have not needed any enzymes or insulin but I just watch my fat intake. I am back to doing everything I did prior to chemo and surgery (hiking, bike riding, canoeing). I feel wonderful. Hoping the best for you and anyone that has to go through this for this awful disease.