A Patient with Chronic Pancreatitis Had a Pancreaticojejunostomy Created 3

A patient with chronic pancreatitis had a pancreaticojejunostomy created 3 months ago for relief of pain and to restore drainage of pancreatic secretions. The patient has come to the office for a routine postsurgical appointment. The patient is frustrated that the pain has not decreased. What is the most appropriate initial response by the nurse?

A) The majority of patients who have a pancreaticojejunostomy have their normal digestion restored but do not achieve pain relief.
B) Pain relief occurs by 6 months in most patients who undergo this procedure, but some people experience a recurrence of their pain.
C) Your physician will likely want to discuss the removal of your gallbladder to achieve pain relief.
D) You are probably not appropriately taking the medications for your pancreatitis and pain, so we will need to discuss your medication regimen in detail.