What is total pancreatectomy? What will be the effect on the body?

This surgery is to remove the entire pancreas, and the result is that there is no insulin production, and the body is prone to diabetes and digestive diseases.

1. Patients with pancreatitis are prone to diabetes after removing the pancreas, mainly because the islets in the pancreas secrete insulin, and insulin is the only hypoglycemic hormone in the body.

2. Gallstones are one of the main causes of pancreatitis, and if the gallbladder is removed, it will inevitably cause bloating, diarrhea, and indigestion. Because the gallbladder at least has the function of storage, concentration, and contraction. Bile secreted by liver cells enters the gallbladder for storage and concentration.

If the gallbladder has been removed, there is nowhere to store the hepatic bile discharged from the liver, regardless of whether the body needs it or not, so it has to be continuously discharged into the intestines; When the human body urgently needs a large amount of bile to help digestion, there is no concentrated bile in the body to help it, and the body has to tolerate indigestion, bloating and diarrhea.

3. Patients with pancreatitis cholecystectomy will also cause gastric reflux, reflux of gastric juice and esophageal, the main reason is the loss of bile reserve function after cholecystectomy, Hongzheng causes bile to be continuously discharged into the duodenum from intermittent and eating-related excretion, at this time, the chance of reflux into the stomach increases, resulting in duodenal intestinal fluid reflux, and eventually leads to bile reflux gastritis or esophagitis.

4. If the gallbladder is removed in patients with pancreatitis, it will also lead to an increased incidence of common bile duct stones. After gallbladder resection, the gallbladder loses its buffering effect on the fluid pressure in the bile duct, resulting in an increase in the pressure in the common bile duct, which causes compensatory dilation of the common bile duct, which slows down the bile flow in the common bile duct and causes vortex or vortex to occur, thereby promoting the formation of gallstones.

5 If a patient with pancreatitis has undergone cholecystectomy, it may cause the harm of bile duct damage. Mainly because of the importance of the calot triangle and the adhesion of local tissues, the complications caused by cholecystectomy are inevitable, including: bile duct injury, hepatic duct injury, vascular injury, gastrointestinal injury, etc.

It is particularly important to note that the vast majority of cases of bile duct injury are caused by cholecystectomy.

6. If a patient with pancreatitis has a gallbladder removed, colon cancer will also be harmful.

European scholars found that many cases of colon cancer had a history of gallbladder removal, and in the analysis of 100 cases of gallbladder resection over 60 years old, 12 cases of colon cancer were found; Of the other 100 cases that were not cholecystectomy, only 3 were patients with colon cancer. Some scholars have pointed out that the risk of colon cancer after cholecystectomy is 45 times higher than that of cases without cholecystectomy.

7 Post-cholecystectomy syndrome may also occur after the removal of the gallbladder in pancreatitis.

The gallbladder plays a pivotal role in biliary motility, the gallbladder can hold 30-60cc of bile, which can buffer the fluid pressure of the biliary tract and maintain the physiological balance of biliary pressure. Once the gallbladder is removed, the biliary pressure cannot be regulated, which can lead to abdominal pain and indigestion and other abdominal symptoms after surgery.

After the pancreas is removed, it can not secrete pancreatic juice, and pancreatic juice is the most important one of digestive juices, it neutralizes the gastric acid that enters the duodenum, provides the most suitable alkaline environment for the activity of a variety of digestive enzymes in the small intestine, and protects the intestinal mucosa from acid erosion, decomposes starch into maltose, decomposes maltose into glucose, decomposes neutral fat into glycerol and fatty acids, which is conducive to human absorption. More importantly, when the body is unable to secrete insulin to regulate glucose metabolism, type 1 diabetes develops, a lifelong condition that requires insulin** from the onset of the disease and is used for life.

Deep in the upper abdomen of our body there is a very inconspicuous little organ, which is the pancreas. The pancreas is small, but it has an extraordinary role, and it can be said that it is one of the most important organs in the human body. The reason why the pancreas is one of the most important organs of the human body is because it is a gland with exocrine function, and its physiological role and pathological changes are closely related to life.

The pancreas is "secluded" in the retroperitoneum, and its popularity is far less than that of its neighbors stomach, duodenum, liver, and gallbladder, but several digestive enzymes in the pancreatic juice secreted by the pancreas play a "leading role" in the process of food digestion, especially the digestion of fat.

The main component of exocrine is pancreatic juice, which contains alkaline bicarbonate and various digestive enzymes, and its function is to neutralize gastric acid and digest sugars, proteins, and fats.

These are the functions of the pancreas, and what do you say about the effects of removal.

Hello: After partial removal of the pancreas, it will affect immunity, digestion and blood sugar. If the cyst is not large, it is recommended to be conservative**.

The pancreas is a mixed secretory gland, which is composed of two parts: exocrine glands and endocrine glands. Therefore, the pancreas mainly has two major functions: exocrine and endocrine. Its main exocrine component is pancreatic juice, which contains alkaline bicarbonate and various digestive enzymes, and its function is to neutralize gastric acid and digest sugars, proteins and fats.

The main components of endocrine are insulin and glucagon, followed by growth hormone release inhibitory hormone, intestinal vasoactive peptide, gastrin, etc.

Wishing you good health.