My mother recently had her pancreas removed. I would like to know, other than making her a severe diabetic, what effects this will have on her health. Also, what medications other than insulin she might have to take?

David

The most common reason for removal of the pancreas is pancreatic cancer. Another reason for the operation is to treat complications related to chronic pancreatitis, a condition that frequently stems from long-term alcohol abuse.

The function of the pancreas is twofold: It produces enzymes needed to digest foods and hormones (insulin and glucagon) needed to regulate blood sugar. As you mention, your mother and other patients who have undergone pancreas removal will develop diabetes and will need to take insulin. In addition, when the pancreas is no longer available to produce digestive enzymes, the patient may fail to properly absorb foods (especially fats), resulting in greasy, loose stools and weight loss. Consequently, almost all such patients will need to take pancreatic enzyme supplements. These prescription preparations, available in several forms, are taken with meals to aid with the digestion and absorption of nutrients.

Close monitoring of blood sugar, along with follow-up by an endocrinologist experienced in the care of patients after pancreatic surgery, can help improve the long-term outcome of patients like your mother.