Official RU-vid channel of Dr. Mark Fraiman, Liver and Pancreatic Cancer Surgeon in Baltimore, MD. Here, we will describe multiple diseases and treatments of the pancreas and liver.
For more information, visit Dr. Fraiman's official website: liverandpancreassurgeon.com
This is not really a very effective presentation. You do not give reasons for treatments, nor results that make sense. Writing like this looks like an amateur way of giving info.
lol cmon. This is a bit of a mess. I am a patient that had portal vein resection and was trying to understand how it was performed. This was hard to follow. I am having narrowing of portal vein per ct and I have been having pancreatitis, cramping in belly and my feet and lower legs have been swelling. Any thoughts?
My surgeon while trying to remove my gallbladder injured the hepatic bile duct . Got jaundice etc. Went for surgery 2. A roux and y surgery. Got a bigger incision and it was an invasive surgery. I hope I won’t have any complications after this surgery
Seems to me that pyloric preservation gives the patient a better chance of digesting food without requiring lifelong expensive pancreatic enzymes for the remainder of one’s life.
Hi MrCenriquer I'm in England and had a Whipple surgery on the 17th April. I'm now back home but still have two drains attached, which will hopefully be removed next week. They say it can take 4-6 months to start feeling anything like pre-Whipple, so patience is key in this game. The Whipple is complex major surgery and taking small baby steps with plenty of rest of is important. I had a lot of complications in the days after my surgery: Stage 4 kidney failure, pancreatic fistulas, extremely low BP, and a wound infection that saw me back in hospital for 2-weeks. All these issues are commonly seen and can be dealt with swiftly back by MDTs so I had full confidence they'd sort it. You don't mention anything about your mum having any issues, so if she's nine days out of from surgery I'd say she's in a good place and the longer she goes the less likely she'll encounter such complications. I'll pray for your mum, but it seems God has her in good hands.
Dr. Fraiman, Thank you for the excellent content and explanation. I am curious to learn how coffee was linked to possibly related to pancreatic cancer?
I have a 4.4 x 3.6cm ademona on left adrenal. Dr Carling in Tampa will take care of it with mcbs surgery hopefully. Should take an hour w a week recovery.
I had whipple more than ten years ago. It was renal cell metastic on the head bile duct and duodenum. This was after right kidney cancer and thyroid cancer. Still here after also thyroid cancer. 80 years old and very grateful.
I had this operation last year head of pancreas took away taking creon I ended back in hospital after 2 days being home ended up with sepsis from a leak
My son is 25 and diagnosed with secondary liver cancer. Gone to lungs too but not much at all. He has Ulcerative Colitis and had cancer for 3 months and nothing was suspected even though his symptoms presented with mid back pain for 3 months, raised CRP, low Hb so lots of transfusions over the years. Colonoscopy showed lots of polyps and had blood clots in February and diagnosed March 24th in A&E. 😭😭😭😭
My 8 year old just had both of his adrenal gland’s removed. We knew something was wrong months before and doctors couldn’t find anything that was wrong! Until one day he got really sick and we thought he had the flu. Then on day 2 of being sick he ended up in the emergency room where he started having seizures,they did every test know you man at one hospital to be sent to another where the finally did an ultrasound and found masses on both adrenal gland’s. He’s had them both removed and now is on steroids for the rest of his life!
I have a question about pancreatic cancer in general that I cant seem to find an answer online. Im an ER and Trauma RN, and my mother was dx with stage IV pancreatic cancer in july 2021 at 62 years of age. She also had a mets to the omentum, ans striations in the liver. She underwent chemo, and responded well. She had radiation also, and a ct post radiation showed a stable tumor size, and the met to the omentum is gone. (Dec. 2022) Her CA 19-9 is rising rapidly, but a surgeon is ordering a PET and another CT prior to partial pancreatectomy. My questions are: 1. why was initial ct reported as tumor in the head, and now the tail? Im sure it didnt pick up and move 2. Why was surgery not done initially, and only after chemo and radiation? 3. No follow up PET had been done before surgeon ordered it. 4. Will a partial pancreatectomy after the ct and pet extend her life at all? 5. What is the typical course of pancreatic cancer? Example: it typically goes to liver, and that's toward the end? Brain? Not much is on internet about her course.
Years of this now. Back in ICU now with uncontrolled BP. Urine testing started. I’ve got every symptom. Worse though is the adrenaline bursts. Heart rate steady at 90+ during episodes. I need a break so badly.
Congratulations Brenda on your survival! Fellow Houstonian here also. I Had the whipple in 1993 at Loma Linda University Hospital in CA. as I was turning 40 years old. I am greatful for the gift of life! I have seen my 3 children become parents and bless my wife and I with 7 grands!
Please take this video down. While the principles mentioned are good, the video shows a rough and poorly executed procedure. Started too low, first structure seen was probably CBD or Hep a, etc. etc. I would show this to my trainees as an example of how NOT to do a lap chole.
I went down with some pancreatic cancer and I take my Creon and it seems like it doesn't work I'm always on the toilet and the last 3 months I've had real bad swelling in my legs and feet
Hi, I'm a survivor I was 5 yrs old when I had this, Im not in my 50s When I was in my 20s I had a blockage that caused another surgery So far I have been ok
Praise the Lord! I'm a S2b patient in England. I had the Whipple in mid-April '24. I got 2 positive nodes from 18 with large clear margins. I'm 53 and pretty fit, so even if the stats say I've got 20%-30% chance of being here in 3-years I'm made so much more hopeful when I see comments like yours. 10-years (hopefully 11 or 12 years now) is a huge milestone - Congratulations! I wish you many more healthy cancer-free years ahead.
Great to see this. Gives me hope. I just had my Whipple a few months ago, at age 45. Trying to recover right now, it was really heavy. The diagnosis, chemo and surgery.
Bullshit. A pylori valve is very important. Ask a surgeon if it was being performed on him. Then you'll see the surgeon preserve it. Surgeons are not God.
Had whipple surgery on January 14, 2022.. presurgical weight was 158. Weight is now 125. Eating like a horse but cannot gain weight. Have constant diarrhea. Going hourly. Taking creon with every meal and snacks. Imodium to slow down the diarrhea., but still constant. What is causing diarrhea?
I’m dealing with persistent problems since my laparoscopic Gallbladder removed. Right after I got to the main floor for management, the surgeon brought in photos of my surgery and told me that my gallbladder was really inflamed. The amount of cauterization kind of gave me pause because it looked like they literally burned the entire area and what looked to be the underside of my liver. I was feeling pretty good and was up in the chair to try some food for the first time when all of a sudden I started to feel like I was blacking out and called in the nurses. My BP was 60/40 and I was fading quickly so I told them to just hurry up and get me back in the bed and while supine, the BP went up but was still low 90/60 but as long as I was laying down I wasn’t feeling faint. As soon as I got up to use the bathroom, again I had to hurry and get back in the bed. This went on all afternoon and they gave me 2 liters of IV fluids as fast as they could get it in however, I still couldn’t be upright without fainting so they kept me for overnight observation. Long story short, I had a night from hell with my abdomen being so bloated all the way down in to my pelvis and despite all the fluids, I only urinated 2 times all day. Labs were done at 4 am and the surgeon came in at 7 and said my Hemoglobin was 7.8 so I would get 2 units of blood and another CT. I was in so much pain that entire night and wasn’t given anything except for what I already take at home for chronic pain and some Toradol. I was having a hard time breathing because I couldn’t expand my lungs with all the trapped gas and huge belly and by the time they took me back to surgery, I was really scared to lie down with my shallow breathing but then I was out and woke up feeling so much better. I had 2 huge pools of bleeding with one being of mixed fluids and blood and then a large hematoma in the gallbladder bed area. The blood was running down in to my pelvis. Now I know why they say internal bleeding is very painful because it was terrible. My stomach would go in to an involuntary spasm of rigidity but as soon as it was aspirated and a JP drain inserted to continue to drain for the next 10 days, that pain was essentially gone. I ended up getting 2 more units of blood after surgery again and was in the hospital for 4 days. They never could find where all the bleeding was coming from and I’m lucky that it stopped on it’s own or I could’ve died. I feel like they didn’t catch on to my bleeding with the numerous symptoms that I had but I didn’t want to complain because I already have chronic pain that I feel stigmatized for so I didn’t ask for anything more but will advocate for myself much more forcefully if anything like this happens again. Now my problem is that I’m essentially having all the same symptoms that I before my gallbladder was removed with midline abdominal pain and epigastric pain and bloating. I also have a funny percolating feeling to the right of my Right umbilical area, spells of constant reflux with a strange noise coming up out of my throat every 20-60 seconds, episodes of vomiting large amounts of bile, and had liver enzymes that were elevated 3 times their normal levels. My Common Bile Duct has went from 7, 9, 11, 13, and now 14mm after my surgery that was 15 months ago. I also had spells last summer where I kept asking my husband if my skin looked yellow because it did to me although I didn’t notice it in my sclera. I have immediate gas within 2 minutes after eating and just don’t have any energy. I’m getting very depressed and worried that there’s something wrong to my CBD and had to really beg for my primary doctor to get me a consult with a GI specialist and he wasn’t really going along with it until I showed him those pictures of my surgery and then he seemed to change his tune. I’ve had numerous CT scans over the last 4 years because I also had a ruptured appendix in 2017 and was in the hospital for 5 days which also was hell but I noted that one of the reports noted some tapering at the Ampulla of Vater so this concerns me that maybe there is a stricture or when they cauterized so much that they possibly burned the CBD causing narrowing or blockage. I have had periods of time where it’s good for a week or so and then it comes back again and doesn’t seem to matter what I eat because I have really cut down on saturated fats and have been eating pretty healthy when I have an appetite. I finally got a consult set up and hope that this is something they can figure out without some complications. There was also hepatic Dilation notes and enlargement of the Pancreatic head for whatever that means. To me it sounds like the hepatic ducts seem to be under pressure? The only other thing that I’ve read about is Symptom of Oddi Dysfunction which I pray I don’t have because it sounds like it’s not easy to correct and has some dangers as does the ERCP so I don’t know. If anyone has anything they can relate to, please let me know. I just want to feel good again and have been so down and made to feel like I’m a hypochondriac. When you don’t have money to pay off all these copays and specialist fees and still get no answers, it just makes me so depressed.
My father was diagnosed as Adrenal cortical carcinoma by radiologist. But the physician give differential diagnosis as pheochromocytoma because his 24 hour urine metanephrine test was 3 folds higher than normal one. Now the surgeon is on leave and he said the operation is not urgent and can wait at most 6 months because size is 4.7cm x 4.1cm Is it okay to wait that long?
My father had a wipple pd operation on the 10th of this month. The doctor said it was successful. He was in ICU for 3 days. Two days later he was given liquid food like juice, coconut water. After eating these, the stomach becomes swollen and it becomes gas. After that no more food was given in the mouth. And protein and saline are given through other lines. What should we do now sir. Will he get well. Please reply.
