A personal story of living with Familial Adenomatous Polyposis (FAP), and life after The Whipple Surgery.
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Returning to My Happy Places, after The Whipple.
In Sept 2023, I was in the process of making the decision to have, or not have The Whipple, I asked the surgeon “ Will I be able to ride my mountain bike after The Whipple?” I love riding my mountain bike, and being out in nature, it has helped me for years deal with living with Familial Adenomatous Polyposis (FAP). The surgeon told me I should make a full recovery, and able to live an active life. After hearing this I started to make a plan of how I would get through the surgery, and recovery. I was figuring 7 days in hospital, and 3 months at home, this seemed to be the standard. I had no idea it would be such a long difficult time.
One of the first things I did, in the month that was leading up to the surgery, was buy a flag with a happy face on it. Then took this on a mountain bike trip, spending time each day saluting the flag, starting the process of focusing on a positive outcome for the surgery. I was lucky to have my family, and friends in my life. I enlisted their help to keep me in a positive mind set. When things got rough, and I was very frustrated I had to lean on them for more energy. We talked about how this had to be a positive experience, even if the worst was to come, and not to dwell on the negative. I set up a What’s App chat group so I could keep in touch with my family, and friends that couldn’t be there.
The surgery went okay they tell me. I remember the first visit I had after the surgery, a group of my friends brought in a new happy flag, and hung on the curtain around my bed. I could look at each day, remember what my goal was, to return to a happy, and active life. With in the first week post Whipple I developed several leaks, and then a stubborn fistula, the recovery started going very poorly. I had no idea at that time I would spend a total of 140 days in the hospital, 2 separate hospital stays, and another 60 days with a NJ feeding tube at home once I was discharged. From the start I had a series of pictures, and personal memories, I called “My Happy Places”, that I dreamed of revisiting when I had recovered, and had the strength. Early on in the recovery it seemed easy to stay positive, but as the weeks went by I would have times I really struggled to stay positive. I was frustrated that the healing was taking too long. This is when I knew I had to talk to my family, and friends, look at “ My Happy Places” pictures, listen to music, and walk as much as I could. It wasn’t easy but I found small things to get me by, and worked hard as I could to get better. I started taking notes, and pictures so I could keep track each day of how things looked, and what was going on. I would see patterns, changes, or useful information I could share with my medical team, some of which proved very helpful. Now as I look back at what happened I am not always sure how I did it, but staying positive, and focusing on getting back to see "My Happy Places" must have had something to do with it. I know I am very fortunate to have so many great people in my life, great care from the Health Care workers, and my health. There was a lot more that could have gone wrong, or changed my quality of life, I owe the Universe a big THANK YOU. Cheers
UPDATED Jan 8 2026 The number of polyps / adenoma, in my remaining colon, rectum and stomach, has increased since after my Whipple Surgery , and I started taking a Proton Pump Inhibitor. The Whipple re-configures the digestive tract, and creates a new connection between the stomach and the small intestine (jejunum). Proton pump inhibitors (PPIs) are prescribed to patients after a Whipple to prevent ulcers and bleeding in the upper digestive tract . Do Proton Pump Inhibitors (PPI) cause an increase the numbers of polyps with Familial Adenomatous Polyposis , FAP ? There is a study, Journal of Yeungnam Medical Science, that seems to suggest that using a Proton Pump Inhibitors (PPIs) for over 12 months is a significant risk factor for developing advanced colon polyps. As of June 17, 2025 there are now several small Fundic Gland Polyps in my stomach, this is the 1st time I can remember or seen any word of these, and not sure if this because ...
It's hard to believe but 2 years has passed since my Whipple ( Nov 17, 2023). I am loving my new post Whipple life, and wasn't sure I would be able to say that. The first 5 months after the Whipple were really rough , I was in hospital for all of it other than the 21 days at a friends place struggling with drains, leaks/fistula and pain. Around the 6 month anniversary things started to improve, the fistula/leaks had healed, and the feeding tube was removed. Life was slowly starting to return to the new normal. I turned 62 in August and can't believe the things I have been able to do this past year. I returned to part time work as mountain bike guide and coach with Alberta66 MTB . Spent more time on the bike with friends ( biked 3200 km with 64000m of elevation gain), got to see most of my Happy Places . I Volunteered with Friends of Kananaskis and West Bragg Trails , helping with trail maintenance and as a trail host ( to date over 300 hrs this year). The tra...
UPDATED Dec 12, 2025 Happy to report that what I have done over the past 12 months has helped my Ferritin and Iron levels stay stable and a slight increase. Part of the on going follow up after my Whipple Surgery is having blood work done at 3 and 6 month intervals. Blood work done in Nov 2024, a year post Whipple, showed my iron levels to be in the normal range, but the Ferritin levels had started to drop. Both my primary Doctor and dietitian recommend me increasing my daily iron intake to see if that would help raise my Ferritin level . The duodenum is removed during the Whipple, and it plays a crucial role in iron absorption , so removing of this section of the small bowel reduces the body's ability to absorb iron. Ferritin is a protein that stores iron in the body's cells and It's found in many cells, especially in the liver, spleen, and bone marrow . A low ferritin level after the Whipple is common and is often due to impaired iron absorption caused by the remova...
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