Life Expectancy After Whipple Procedure
The Whipple procedure, named after Dr. Alan Whipple in the 1930s, is a major surgical procedure to remove the head of the pancreas, a portion of the bile duct, the gallbladder and the duodenum. This procedure, usually done for the treatment of various cancers, used to have a high mortality rate, but through recent advances is now a fairly safe procedure that can extend the life expectancy of the patient.
Who
The Whipple procedure is routinely used to treat pancreatic cancer as well as cancers involving the duodenum, the bottom end of the bile duct (called cholangiocarcinoma) and the ampulla (the area where the bile and pancreatic ducts enter the duodenum) 1. The procedure is now safe enough to even be used for nonlife threatening conditions such as chronic pancreatitis and benign tumors of the pancreas.
Risks
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About one-third of all patients who undergo the Whipple procedure will experience complications. These complications include pancreatic fistula (leakage of the pancreatic juice), paralysis of the stomach, malabsorption (the ability to digest food is changed) and weight loss 1. These complications can increase the patient’s recovery time, but will not alter life expectancy.
- About one-third of all patients who undergo the Whipple procedure will experience complications.
- These complications can increase the patient’s recovery time, but will not alter life expectancy.
Mortality Rate
Throughout the 1960s and 1970s, the mortality rate from the Whipple procedure was as high as 25 percent. Advances in the techniques, including the use of laparoscopic procedures (the use of a thin lighted tube with a camera) and the experience of the doctors performing the procedures has greatly reduced this rate. Today, most major surgical centers boast a mortality rate of less than 5 percent. Studies conducted from John Hopkins and Memorial Sloan Kettering conclude that the surgical outcome, including mortality and life expectancy, are greatly dependent on the experience of the hospital and surgeon.
- Throughout the 1960s and 1970s, the mortality rate from the Whipple procedure was as high as 25 percent.
- Studies conducted from John Hopkins and Memorial Sloan Kettering conclude that the surgical outcome, including mortality and life expectancy, are greatly dependent on the experience of the hospital and surgeon.
Life Expectancy and Survival Rate
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Life expectancy can be difficult to determine, especially in the case of serious conditions including cancers. Life expectancy is not only affected by the illness, including the stage, grade and characteristics, but also by age and overall health. Therefore, life expectancy is usually discussed as survival rates, which is a percentage of the number of people that live for a specified period of time after diagnosis.
Survival Rate
Patients suffering from pancreatic cancer have a 5 percent survival rate at five years, meaning that only 5 percent of the patients will live five years after their diagnosis. Those patients that undergo the Whipple procedure, however, increase their survival rate to 20 percent at five years. For those patients whose cancer has not spread to lymph nodes, they have a 40 percent survival rate at five years. For patients with a benign (noncancerous) tumor or chronic pancreatitis, the procedure is curative, meaning they will enjoy a long natural life.
- Patients suffering from pancreatic cancer have a 5 percent survival rate at five years, meaning that only 5 percent of the patients will live five years after their diagnosis.
Related Articles
References
- Center for Pancreatic and Biliary Diseases
- University of Chicago Medicine Comprehensive Cancer Center. Whipple Procedure: Frequently Asked Questions.
- Fernandez-del Castillo C. Clinical management of intraductal papillary mucinous neoplasms of the pancreas. The Pancreas Foundation. Updated February, 2017.
- The National Pancreas Foundation. Whipple procedure.
- Oregon Health and Science University. OHSU Knight Cancer Institute. Neuroendocrine cancer.
- Johns Hopkins Medicine. Whipple Procedure.
- Tan-Tam C, Segedi M, Chung S. Whipple procedure: Patient selection and special considerations. Open Access Surgery. 2016;9:51-63 doi:10.2147/OAS.S99636
- Oncolex Oncology Encyclopedia. Whipple procedure.
- Kleeff J, Diener MK, Z'graggen K, et al. Distal pancreatectomy: Risk factors for surgical failure in 302 consecutive cases. Ann Surg. 2007;245(4):573-82. doi: 10.1097/01.sla.0000251438.43135.fb
- Pancreatic Cancer Action Network. Whipple procedure (pancreaticoduodenectomy).
- Paiella S, De pastena M, Pollini T, et al. Pancreaticoduodenectomy in patients ≥ 75 years of age: Are there any differences with other age ranges in oncological and surgical outcomes? Results from a tertiary referral center. World J Gastroenterol. 2017;23(17):3077-3083. doi:10.3748/wjg.v23.i17.3077
- Varshney A, Dhua AK, Jain V, Agarwala S, Bhatnagar V. Whipple's pancreaticoduodenectomy in pediatric patients: An experience from a tertiary care center. J Indian Assoc Pediatr Surg. 2018;23(4):212-215. doi:10.4103/jiaps.JIAPS_35_18
- Muniraj T, Barve P. Laparoscopic staging and surgical treatment of pancreatic cancer. N Am J Med Sci. 2013;5(1):1-9. doi:10.4103/1947-2714.106183
- Johns Hopkins Medicine. What is positron emission tomography (PET)?
- The American Cancer Society. Tests for pancreatic cancer. Updated January 2, 2020.
- Beth Israel Lahey Health Winchester Hospital. Health Library. Whipple procedure.
Writer Bio
Stephanie Chandler is a freelance writer whose master's degree in biomedical science and over 15 years experience in the scientific and pharmaceutical professions provide her with the knowledge to contribute to health topics. Chandler has been writing for corporations and small businesses since 1991. In addition to writing scientific papers and procedures, her articles are published on Overstock.com and other websites.