{"id":309,"date":"2019-06-03T16:09:53","date_gmt":"2019-06-03T14:09:53","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/en\/?p=309"},"modified":"2019-07-01T16:13:29","modified_gmt":"2019-07-01T14:13:29","slug":"pancreatic-function-after-surgery","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/en\/pancreatic-function-after-surgery\/","title":{"rendered":"What happens to pancreatic function after surgery?"},"content":{"rendered":"

One of the issues that often generates a great deal of confusion between patients and doctors is\u00a0changes in<\/strong>\u00a0pancreatic function following surgery<\/strong> and how to treat it. The worsening of the different\u00a0pancreatic functions <\/strong>is a well-studied phenomenon, which does not occur in all patients. However, its diagnosis can help to ensure a\u00a0postoperative period with fewer complications<\/strong>, thereby contributing decisively to a better quality of life for patients.<\/p>\n

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FUNCTIONS OF THE PANCREAS<\/h2>\n

As we have explained in previous blog posts,\u00a0the pancreas performs two basic functions<\/strong>: it is involved in digestion<\/strong>, secreting substances (pancreatic enzymes) that help in the digestion process and facilitate the absorption of nutrients in the intestine; and it also releases hormones to control blood sugar levels. Respectively, these two functions form part of the so-called\u00a0exocrine and endocrine functions of the pancreas<\/strong>.<\/p>\n

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You might be interested in\u2026<\/h4>\n

–\u00a0\u00bfQu\u00e9 es el p\u00e1ncreas, qu\u00e9 funci\u00f3n tiene y c\u00f3mo enferma?<\/a><\/h4>\n<\/blockquote>\n<\/div>\n

LOSS OF PANCREATIC FUNCTION OWING TO SURGERY<\/h2>\n

The amount of healthy pancreatic tissue will decrease to varying degrees depending on the extent and location of the\u00a0pancreatic surgery<\/strong><\/a>. This may lead to a loss of function, which may or may not have a clinical effect. The exocrine and endocrine functions of the pancreas<\/strong>\u00a0are located in all regions of the pancreas; however, the\u00a0exocrine function<\/strong>\u00a0is found primarily in the head of the pancreas, while the endocrine function is more prominent in the body and tail of the organ. In cases of\u00a0pancreatic tissue-sparing surgery<\/strong>\u00a0(enucleations, central pancreatectomy or uncinectomy), the amount of\u00a0pancreatic tissue removed<\/strong>\u00a0is minimal. As such, a minimal decrease in\u00a0<\/strong>pancreatic function<\/strong><\/a> is expected. In contrast, pancreatic head or body-tail resections may result in a marked deterioration of the exocrine and endocrine functions<\/strong>, respectively. In the most extreme cases of\u00a0total pancreatectomy<\/strong><\/a>\u00a0there is a total loss of function.<\/p>\n

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You might be interested in\u2026<\/h4>\n

–\u00a0\u00bfCu\u00e1les son las consecuencias tras la extirpaci\u00f3n parcial o total del p\u00e1ncreas? La insuficiencia pancre\u00e1tica<\/a><\/h4>\n<\/blockquote>\n<\/div>\n

PANCREATIC ENZYME REPLACEMENT THERAPY<\/h2>\n

The most important aspect is when to treat patients. From the perspective of\u00a0assessing pancreatic function<\/strong>, a distinction needs to be made: the\u00a0endocrine function<\/strong> is easily verifiable, and it is highly recommended that patients be assessed before and after surgery by an\u00a0endocrinology specialist<\/strong><\/a>. The endocrinologist will decide on the appropriate treatment based on blood sugar levels. In this regard, the greater the extent of surgical removal, the more pronounced the need for replacement therapy with oral anti-diabetic drugs or insulin will be. On the other hand, assessing a patient’s\u00a0exocrine function<\/strong> is difficult and often requires invasive tests to obtain reliable results. In this regard, the doctor will need to evaluate the presence, or lack thereof, of clinical abnormalities directly related to malnutrition: weight loss, excessive flatulence due to bacterial overgrowth, steatorrhoea (excretion of fat with faeces) and lab test abnormalities indicating malnutrition. If there are any abnormalities of this type following pancreatic surgery<\/strong>,\u00a0pancreatic enzyme replacement therapy<\/strong> must be established at sufficient doses, including the combination of drugs to inhibit the secretion of acid by the stomach, in order to reduce enzyme degradation. It is also important to stress that the patient must start replacement therapy when starting the diet in all cases in which the surgery has resulted in the loss of the pancreatic head. High doses will need to administered to reduce the loss of\u00a0exocrine function<\/strong>. This will help to ensure that the patient has\u00a0optimal nutrition levels in the postoperative period<\/a>.<\/p>\n

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You might be interested in\u2026<\/h4>\n

–\u00a0\u00bfQu\u00e9 calidad de vida tendr\u00e9 tras la cirug\u00eda del p\u00e1ncreas?<\/a><\/h4>\n

–\u00a0Recuperaci\u00f3n de una cirug\u00eda del p\u00e1ncreas: Medidas generales a tener en cuenta<\/a><\/h4>\n

–\u00a0Alimentaci\u00f3n en c\u00e1ncer de p\u00e1ncreas y tras cirug\u00eda pancre\u00e1tica<\/a><\/h4>\n<\/blockquote>\n<\/div>\n
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<\/p>\n

WOULD YOU LIKE TO CONTACT DR SANTIAGO S\u00c1NCHEZ CAB\u00daS?<\/span><\/h1>\n

REQUEST APPOINTMENT<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

One of the issues that often generates a great deal of confusion between patients and doctors is\u00a0changes in\u00a0pancreatic function following surgery and how to treat it. The worsening of the different\u00a0pancreatic functions is a well-studied phenomenon, which does not occur in all patients. However, its diagnosis can help to ensure a\u00a0postoperative period with fewer complications, […]<\/p>\n","protected":false},"author":2,"featured_media":301,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[81],"tags":[82,83],"yoast_head":"\nWhat happens to pancreatic function after surgery?<\/title>\n<meta name=\"description\" content=\"One of the issues that often generates a great deal of confusion between patients and doctors is changes in pancreatic function after surgery...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.barnaclinic.com\/blog\/cirugia-del-pancreas\/en\/pancreatic-function-after-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What happens to pancreatic 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