DOI: http://dx.doi.org/10.18203/2349-2902.isj20211842

A clinical study on lateral pancreaticojejunostomy in a case of chronic pancreatitis

Suhas B. Manapure, Anil S. Munde, Ravibhushan J. Kasale, Pramod Lokare

Abstract


Lateral pancreaticojejunostomy is a seldom performed procedure in a peripheral tertiary health care centre. Very few numbers of cases are reported that undergoes surgical procedures for chronic pancreatitis. We report a such rare case in our institute that undergone pancreatic drainage procedure. A 70 year old poor patient was admitted in our institute with a complaint of chronic abdominal pain, subsequently diagnosed to be having chronic pancreatitis with complications with pancreatic duct calculus. Pancreatic drainage procedure, lateral pancreaticojejunostomy was performed and we analysed for the outcome of the procedure with regards to pain relief, anastomotic leak, quality of life and return to work. Patient recovered well post-operatively, reported pain relief, suffered no anastomotic leak and experienced improved quality of life. Lateral pancreaticojejunostomy provides excellent surgical choice for patients of chronic pancreatitis with pancreatic duct calculus with acceptable rates of pain relief, morbidity and mortality, without worsening pancreatic insufficiency.

 


Keywords


Pancreaticojejunostomy, Chronic pancreatitis, Pain

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References


Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston’s Textbook of Surgery-The biological basis of modern surgical practice. 20th ed. India: Elsevier; 2016.

Williams N, O’Connell PR, McCaskie A. Bailey and Love short practice of general surgery. 27th ed. Florida: CRC Press; 2018.

The association of Physicians of India. Fact sheet: Chronic Pancreatitis-Indian. Available at: http://apiindia.org/wpcontent/uploads/pdf/medicine. Accessed on 4 March 2021.

Udayakumar N, Jayanthi V. Chronic pancreatitis in India: the changing spectrum. Postgrad Med J. 2007;83(983):562-3.

Sielezneff I, Malouf A, Salle E, Brunet C, Thirion X, SastreSchwartz B. Long term results of lateral pancreaticojejunostomy for chronic alcoholic pancreatitis. Eur J Surg. 2000;166(1):58-64.

Sudo T, Murakami Y, Uemura K, Hashimoto Y, Kondo N, Nakagawa N, et al. Short- and long-term results of lateral pancreaticojejunostomy for chronic pancreatitis: a retrospective Japanese single-center study. J Hepatobiliary Pancreat Sci. 2014;21(6):426-32.

Neil SJO, Aranha GV. Lateral pancreaticojejunostomy for chronic pancreatitis. World J Surg. 2003;27(11):1196-202.