Why is Pancreaticojejunostomy done?
Lateral pancreaticojejunostomy (LPJ), also known as the Puestow procedure, is a complex surgical procedure reserved for patients with refractory chronic pancreatitis (CP) and a dilated pancreatic duct.
What is a Pancreaticogastrostomy?
: surgical formation of an artificial passage connecting the pancreas to the stomach.
What is longitudinal Pancreaticojejunostomy?
A longitudinal pancreaticojejunostomy (LPJ or Puestow procedure) is a surgical procedure to create an artificial passage connecting the pancreas to the second part of the small bowel (jejunum).
Why is duodenum removed in Whipple?
The reason for the removal of the duodenum along with the head of the pancreas is that they share the same arterial blood supply (the superior pancreaticoduodenal artery and inferior pancreaticoduodenal artery).
What is Whipple procedure used for?
The Whipple procedure is used to treat tumors and other disorders of the pancreas, intestine and bile duct. It is the most often used surgery to treat pancreatic cancer that’s confined to the head of the pancreas.
Can chronic pancreatitis be cured with surgery?
The most common reason surgical treatment is undertaken is to treat pain associated with chronic pancreatitis. One successful operation, known as the Puestow procedure, improves the drainage of the pancreas by draining the pancreatic duct into the small intestine.
What is lateral Pancreaticojejunostomy for chronic pancreatitis?
During a Puestow procedure, also known as a lateral pancreaticojejunostomy, the abdomen is opened with an incision from the lower breastbone to the belly button. The pancreas is exposed and the main pancreatic duct is opened from the head to the tail of the pancreas.
What is Roux en Y Pancreaticojejunostomy?
A Roux-en-Y lateral pancreaticojejunostomy (Puestow procedure) provides pain relief through ductal drainage while preserving pancreatic parenchyma. The pancreatic duct is opened head-to-tail, and the Roux jejunal limb is sutured to the pancreatic capsule around the “filleted” duct to provide a drainage route.
What pain medicine is best for pancreatitis?
Pain relief
- Mild painkillers. In most cases, the first painkillers used are paracetamol, or anti-inflammatories such as ibuprofen.
- Stronger painkillers. If paracetamol or anti-inflammatories don’t control the pain, you may need an opiate-based painkiller, such as codeine or tramadol.
- Severe pain.