| Autor: |
Shrikhande SV; Department of General Surgery, Bombay Hospital Institute of Medical Sciences, Mumbai, India., Shrikhande VN, Nande AG, Adyanthaya K, Friess H, Büchler MW |
| Jazyk: |
angličtina |
| Zdroj: |
International surgery [Int Surg] 2004 Jan-Mar; Vol. 89 (1), pp. 46-50. |
| Abstrakt: |
Lateral pancreatojejunostomy is a well-documented procedure for pain relief in chronic pancreatitis with a dilated main pancreatic duct. However, a number of patients develop recurrence of pain at variable intervals after a successful drainage procedure. A 40-year-old patient with tropical chronic pancreatitis developed recurrence of pain 13 years after a lateral pancreatojejunostomy. Investigation demonstrated a dilated main pancreatic duct. Re-exploration revealed a near complete closure of the previous lateral pancreatojejunostomy. A novel method of pancreatojejunal reconstruction was performed. Patient is pain-free after a follow-up of 18 months since surgery. The long-term status of lateral pancreatojejunostomy remains unclear. Our case documents, probably for the first time in published literature, a near total spontaneous closure of a previous lateral pancreatojejunostomy that was responsible for recurrence of pain. Our method of pancreatojejunal reconstruction adds to the armamentarium of the pancreatic surgeon. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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