Had surgery 11/20 for infectious necrosis of pancreas. What can happen to me in the future?

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Since my surgery my temp. runs between 95.0 to 96.7. sometimes I will be  98.1. My temp has always been 98.6. I am a 57 yr old woman. My surgeon says everything looks find. He knows about my pain I have on the left side under my ribs which can be very bad most of the time. He sees nothing but says it could be nerve damage. Will, I never have another Pancrease attack in the future? Not sure what to expect. What can happen to me in the future? Sumatriptan & Furosemide

2 Answers

These messages are for mutual support and information sharing only. Always consult your doctor before trying anything you read here.

The following complications may occur in the future:

  • Pseudocyst. Acute pancreatitis can cause fluid and debris to collect in cystlike pockets in your pancreas. A large pseudocyst that ruptures can cause complications such as internal bleeding and infection.
  • Infection. Acute pancreatitis can make your pancreas vulnerable to bacteria and infection. Pancreatic infections are serious and require intensive treatment, such as surgery to remove the infected tissue.
  • Kidney failure. Acute pancreatitis may cause kidney failure, which can be treated with dialysis if the kidney failure is severe and persistent.
  • Breathing problems. Acute pancreatitis can cause chemical changes in your body that affect your lung function, causing the level of oxygen in your blood to fall to dangerously low levels.
  • Diabetes. Damage to insulin-producing cells in your pancreas from chronic pancreatitis can lead to diabetes, a disease that affects the way your body uses blood sugar.
  • Malnutrition. Both acute and chronic pancreatitis can cause your pancreas to produce fewer of the enzymes that are needed to break down and process nutrients from the food you eat. This can lead to malnutrition, diarrhea and weight loss, even though you may be eating the same foods or the same amount of food.
  • Pancreatic cancer. Long-standing inflammation in your pancreas caused by chronic pancreatitis is a risk factor for developing pancreatic cancer.
So this means since 10% of the Pancrease was removed I will always have a chance of getting another attack? I know they said I was lucky to make it. That most people died from what I had. The surgeon said that things looked good and I do not need to see him at this time. He was very vague.
What your surgeon told you is right. Necrotizing hemorrhagic pancreatitis is a serious medical complication with high mortality and morbidity rates. You do have increased risk for another pancreatitis attack in the future. Did your surgeon tell you what caused you to develop this pancreatitis? Binge drinking or biliary stones? If it is biliary stones, then your risk for developing pancreatitis in the future could be even higher.

There are 2 types of pancreatitis. The first one is acute swelling pancreatitis, which is easy to treat. The other pancreatitis, which is what you have, is called hemorrhagic necrotic pancreatitis, is difficult to treat and has a high rate of mortality and morbidity. Pain after the surgery is very common and generally treated with painkillers. Another common complication is pseudocyst, which can be drained. Patients with previous history of pancreatitis are at increased risk for developing acute pancreatitis again. Your main symptom is the pain. You can ask for painkillers if the pain is very severe. It is not acute pancreatitis attack.

The problem I am having is they say they know I am in pain & leave it. I have tried everything to reduce it but the war on opiates is stopping them from helping me. Thank you for letting me know. It makes me feel better than a total stranger has sympathy for me then the doctors at Stanford Hospital. My main problem is the surgeon at Stanford hospital was the only one that was able to do this procedure on me and can't get another opion.
I am a middle-aged man with severe obesity. I ate fish and meat almost every day as well as drinking wine. Thus, I got pancreatitis!

Epigastric CT showed visible pancreatic edema with larger exudate. Then through enhanced CT, it was confirmed that I got hemorrhagic necrotizing pancreatitis.
 
I had experienced a series of symptoms, like severe abdominal distension, abdominal pain, acute lung injury, shock, going into ICU, endotracheal intubation, breathing machine ventilation. Because the treatment was timely, the symptoms were improved.

Then, choledochoscope was used to clean up the dead tissue around the pancreas. Finally, after three months of treatment, I was finally cured. My  weight of more than 200kg is down to 70kg.
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