Best Doctors in India for Whipple Procedure
Best Hospitals in India for Whipple Procedure
- City: Bengaluru, India
Hospital Highlights:
- Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
- The hospital is a 276 bedded multi-specialty tertiary care facility.
- The hospital specializes in cutting-edge medical technology and dedicated patient care services.
- The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
- The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).
- City: Chennai, India
Hospital Highlights:
- Fortis Malar was established in 1992 and was formerly known as Malar Hospital.
- The hospital specializes in cutting-edge medical technology and dedicated patient care services.
- The hospital is multi-specialty, tertiary care facility with 180 beds.
- The hospital offers comprehensive medical care in specialties such as cardiology, cardio-thoracic surgery, neurology, neurosurgery, orthopedics, nephrology, gynecology, gastroenterology, urology, pediatrics, and diabetes.
- City: New Delhi, India
Hospital Highlights:
- Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
- The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.
- City: New Delhi, India
Hospital Highlights:
- State-of-the-art technology and devoted healthcare professionals have been brought together under one roof at Venkateshwar Hospital to provide genuine medical care. The hospital’s professionals work together as a team to deliver the best possible treatment to their patients, using the most sophisticated equipment and information technology.
- Venkateshwar Hospital’s mission is to attain global excellence in healthcare by employing evidence-based, ethical clinical practices and cutting-edge technology by a team of highly skilled experts.
- City: New Delhi, India
Hospital Highlights:
- Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
- The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
- Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
- As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
- Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.
- City: Kerala, India
Hospital Highlights:
- Established in 2019, Apollo Adlux Hospital is the first Apollo Hospital in Kerala and the 73rd hospital owned by Apollo Group in India. With the state’s most advanced, comprehensive healthcare infrastructure and cutting-edge technologies, Apollo Adlux Hospital stands as an example of medical excellence in Kerala.
- With over 34 multi-specialty departments, the hospital believes in providing the best quality treatment to its patients at affordable rates, ensuring comfort at their difficult times.
- The 300-bed hospital is managed by a team of highly qualified and experienced experts who delivers exceptional hospitality to their patients and treats them with great compassion.
- With its affiliation with the Apollo Hospitals Group, the hospital aims in providing patients with top-notch healthcare services while also serving communities in Kerala.
- The hospital has good railway and road connections, and is conveniently close to Cochin International Airport.
- City: Gurugram, India
Hospital Highlights:
- Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
- It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
- It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.
- City: Noida, India
Hospital Highlights:
- Fortis Hospital, Noida, stands as one of the oldest and most trusted healthcare institutions in the region, setting a benchmark for comprehensive medical care.
- As the second mega hub hospital in the Fortis Healthcare Group, Fortis Hospital, Noida, upholds a legacy of trust among more than 1.2 million patients. By integrating top-tier professionals with cutting-edge technology, the hospital delivers superior treatment across various medical disciplines.
- Specializing in advanced Neurosciences, Orthopedics, Kidney and Liver Transplant Programmes, Fortis Hospital, Noida has successfully performed over 1,500 transplants, solidifying its reputation as a leader in specialized medical interventions.
Whipple Procedure
Whipple procedure or pancreaticoduodenectomy is a medical procedure involving the removal of the head of the pancreas, the duodenum (first part of the intestine), the bile duct and the gall bladder.
Doctors perform this complex operation to treat tumors and disorders related to the intestine, pancreas and the bile duct. It is the most common surgical procedure for the treatment of pancreatic cancer that does not extend beyond the head of the pancreas. After the procedure, your doctor will reconnect the remaining organs to allow easy digestion of the food you eat after the surgery. The Whipple procedure is a lifesaving procedure for people suffering from pancreatic cancer.
Who needs the Whipple procedure?
Approximately 25% of the patients suffering from pancreatic cancer need the Whipple procedure. This is mainly because the tumors of these patients remain confined to the pancreas (head of the pancreas) and do not spread to the surrounding blood vessels, lungs, liver and/or the abdominal cavity. One can go for intensive testing to understand he or she needs the Whipple procedure. In some cases, the doctors perform laparoscopic Whipple procedure by making several small incisions rather than a single large incision. Ultimately, there is lesser blood loss, quick recovery, a short stay at the hospital and fewer complications.
Around 40% of the patients are diagnosed with tumors when they spread beyond the pancreas and are not eligible for the Whipple procedure. However, it is an option rarely for 40% of the patients having a locally advanced disease that continues to spread to the nearby areas or for the patients whose tumors continue to spread to the tail or body of the pancreas.
When should you opt for the Whipple procedure?
Whipple procedure is an option for you if cancer of any other disorder affected your duodenum, pancreas or bile duct. The Whipple procedure is done for cancer for the removal of the tumor and to prevent the growth & spread of the tumor to the surrounding organs. Pancreas, present behind your stomach in the upper abdomen, works with the ducts and the liver carrying bile. The enzymes secreted by the pancreas held in the digestion of food. It also secretes hormones that help to regulate your blood sugar level. Your doctor will recommend the Whipple procedure to you if you have:
- Pancreatic cysts
- Pancreatitis
- Bile duct cancer
- Small bowel cancer
- Other disorders or tumors that involve your pancreas, bile ducts or duodenum.
- Pancreatic cancer
- Pancreatic tumors
- Ampullary cancer
- Neuroendocrine tumors
- Trauma to the small intestine or the pancreas
What to expect?
Before the procedure
You need to check-in and register on the day of the surgery. The staff at the hospital will confirm your appointment, procedure, timings and your appointed surgeon. Your nurse will ask you to change and wear a surgical gown for the surgery. Your doctor will put up an intravenous line (IV line) into the vein of your arm before the surgery. He or she will inject medications and fluid into your veins through the IV line. If you are nervous, then your doctor may also give you some medications to relax you. He or she may place you under an epidural catheter or a spinal injection apart from local nerve blocks in your abdominal wall. This helps in easier and faster recovery without causing any discomfort or pain to you after the surgery. This also decreases the amount of medication for narcotic pain that you may need.
During the procedure
The team will take all the necessary measures and follow all the protocols to ensure that you have effective and safe surgery. The team comprises of pancreatic surgeons, anesthesiologists & anesthetists, specialized surgical nurses, nurses and doctors trained for the surgery. They will administer anesthesia (sleeping medicine) to you.
After you sleep, the doctors will place additional intravenous lines along with other monitoring devices according to the complexity of the condition and your overall health. The team will then, insert a urinary catheter into your bladder. It will drain urine during the surgery and after the surgery. You can remove it after one to two days from the day of surgery. The surgery may require around 6-12 hours which depends on the approach the team is using and the complexity of the surgery. Done under general anesthesia, you will be unaware and fell asleep during the Whipple procedure.
Your surgeon will make an incision or cut in your abdomen to gain access to your internal organs. The size of the incision and its location will depend on the particular situation and the approach of your surgeon. Your surgeon will remove the duodenum (the beginning of the small intestine), the bile duct, the head of the pancreas and the gall bladder in the Whipple procedure. He or she may also remove a part of your stomach or the nearby lymph nodes. Your doctor may perform some other type of pancreatic operations also that depends on the situation.
After the procedure
Most of the people directly shift to the general ward after the surgery for their recovery. The team will monitor your condition and the improvements in your health regularly at various times of the day. Furthermore, they will carefully look out for any complications or signs of infection. Some people even get to walk out of the hospital on the day of the surgery. For your overall recovery, you may expect to stay at the hospital for a week. If your case is complex or you have certain medical conditions, the doctor will admit you to the ICU after the surgery. The nurses in the ICU will regulate your condition and watch for complications if any. The team will give you medications, fluids and nutrition through intravenous (IV) lines.
A urinary catheter will drain urine from the urinary bladder while other tubes will drain blood and fluid from the surgical area. People suffering from particular health conditions or old adults may need to stay in a rehabilitation facility for a few days. Many people can perform their routine activities within four to six weeks from the day of surgery. Your physical condition before the surgery and the complexity of the operation will govern the time required by you for recovery.
Risks
The Whipple procedure is a complex operation that involves open surgery in many cases. There are associated risks during and after the procedure. These risks may be:
- Infection at the site of the incision or within your abdomen
- Weight loss after the surgery
- Development of the fistulas or false channels
- Leakage from the connection of the bile duct or the pancreas
- Bleeding at the site of the surgery
- Diarrhea for two to three months
- Diabetes because of the removal of excess insulin-producing cells from the pancreas.
- Delayed stomach emptying which makes it difficult to keep food down or to eat.
If a highly experienced surgeon is performing the procedure then there are fewer chances of complications. You must ask your surgeon about his or her experience apart from their hospital’s experience regarding Whipple procedure and operations related to the pancreas.