Surgery--Kris

October 11, 2005

I think going for the least invasive approach is a wise move. When you

talk with Dr. L about the repetative stenting talk to him about those

hormone injections he mentioned. I am guessing, but think he was

referring to Octreotide (sandostantin). It is a hormone that

communicates with the pancreas and can help it decrease its production,

thus decreasing the pain. I was on the LAR, once a month injection and

it helped a lot. It did not take the pain away but certainly lessened

it. Perhaps this with the stenting may help. I was on it for several

months then got frustrated because I was still having pain so I refused

it. Within 6v weeks I was begging for another injection. It did help.

The transduodenal sphincteroplasty is a surgical procedure used to

treat SOD. Do you know exactly where your sticture lie? There is

another surgical procedure for ductal issues. The Peustow. Basically

it filets the pancreas down the middle and attaches the main pancreatic

duct directly to the intestinal wall. That way there is no

interruption in drainage. If your stricture is primarily in the head

of the pancreas the surgeon may suggest a Whipple or Beger procedure.

Fromw hat I have read recently the Beger, or organ sparing whipple, is

being performed more frequently. There is less likelihood of ulcer

problems in patients future as the plyloric sphincter of the stomach is

not removed, amongst other parts as well.

YOur right I do have alot of experience with pancreatic surgeries, both

personally and professionally. If there is anything else I can help

with please let me know. Please also understand that even tho your Mom

has welcomed you and your family with open arms the whole moving in and

out and Moms rules and what not can be very stressful. When we are

stressed we release stress hormones and they can have a wide range of

effects on our bodies, none of these effects makes ones sick pancreas

feel one bit better. Do try to relax as much as possible and I hope

you feel better soon.

Warmly,

(SC)

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