Pancreatico jejunostomy in chronic pancreatitis: an appraisal of 29 cases

B. Arnesjo, I. Ihse, C. Kugelberg, Ulf Tylen

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Abstract

Pancreatico jejunostomy end to side resection of the pancreatic tail, or side to side following longitudinal cleavage of the pancreatic duct, was performed cleaving 29 patients suffering from chronic relapsing or acute recurring pancreatitis. A follow up study with observation time ranging from 6 mth to 10 yr is presented. The patients were alloted to 3 groups according to the severity and extent of the inflammatory involvement at operation. The diagnostic findings obtained at the preoperative evaluation correlated well to these groupings. In some patients, however, the inflammatory process was mainly confined to the ductal system, as revealed by pancreatography, while in others the changes were most marked in the parenchyma, as found at histologic examination. 21 caudal pancreatico jejunostomies and 8 longitudinal anastomoses were performed. Overall results were excellent in 20 patients, good in 6, fair in 3, and poor in none. The rate of postoperative complications was low; no mortality, one spontaneously healed anastomosis insufficiency, subphrenic abscess developed in 2 instances and postoperative diabetes in 5. Only one patient had a recurrent attack of acute pancreatitis postoperatively. Reanastomosis was successfully performed.

Original languageEnglish (US)
Pages (from-to)139-148
Number of pages10
JournalActa Chirurgica Scandinavica
Volume141
Issue number2
StatePublished - 1975
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery

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