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pancreaticojejunostomy (Puestow-Gillesby procedure)
Indications:
- treatment of symptomatic chronic pancreatitis with pancreatic duct obstruction
Procedure:
- longitudinal incision along the pancreas with opening or the main pancreatic duct longitudinally from the head of the pancreas to the tail
- the pancreatic duct & pancreas are attached to a loop of small intestine in order to allow drainage of pancreatic exocrine secretions
- pancreatic tissue is preserved
- the main pancreatic duct needs to be 6mm in diameter in the body of the pancreas for this procedure to be possible
General
gastrointestinal surgery (GI surgery)
abdominal surgery
References
- Wikipedia: Puestow procedure
http://en.wikipedia.org/wiki/Puestow_procedure
- Kate A
eMedicine (Medcsape)
Longitudinal Pancreaticojejunostomy (Puestow Procedure)
http://emedicine.medscape.com/article/1892781-overview