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The number of polyps / adenomas increase after Whipple Surgery, why?

   UPDATED July 2 2025 The number of polyps / adenoma, in my remaining colon, and rectum, has increased since after my Whipple Surgery, and I started taking a Proton Pump Inhibitor. Do Proton Pump Inhibitors (PPI) cause an  increase the numbers of polyps with   Familial Adenomatous Polyposis , FAP? As of June 17, 2025 there are now several small Fundic gland polyps in my stomach, this is the 1 st time I can remember or seen any word of these, and not sure if this because I have been taking a PPI for over 19 months. I cut the dosage in1/2 and will see if this effects the appearance or number of the Fundic gland polyps.  A little of my story : I have lived with Familial Adenomatous Polyposis (FAP) for 45 years. I had a previous colectomy in March 1980, and have been undergoing regular follow up Endoscopy, and Colonoscopy since that time. Biopsies results from the Endoscopy, July 2023, showed low-grade dysplasia/adenoma
 ( some of the cells look a...

Can Creon caused damage to internal tissue if it gets into a enterocutaneous fistula?

 WARNING , this post contains Medical Graphic Pictures below.  I can’t help wondering if Creon, a pancreatic enzyme, caused extra damage to internal tissue when it got into a gastrojejunostomy (GJ) stomach leak, then a enterocutaneous fistula ? I had the Whipple Surgery in Nov 2023, then a few days post surgery developed a pancreaticojejunostomy (PJ) leak, followed by hepaticojejunostomy (HJ) leak, gastrojejunostomy (GJ), and a stubborn fistula. The gastrojejunostomy (GJ), the new connection between the stomach, and small bowel, didn’t show up on any CT scans, and wasn’t truly discovered till Mar 2024.  The reason I ask the above question is: I was discharged from the hospital in early Jan 2024, I still had fluid/ paste leaking out the fistula located in the middle of my incision. When I was discharged it seemed that the leak, and fistula were healing. Jan 6, 2024, Home Care Nurse noted: “ There are 2 small opening in the incision”. On Jan 18, 2024 I saw the medica...