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      Lateral pancreaticojejunostomy for chronic pancreatitis.

      1 ,
      World journal of surgery
      Springer Science and Business Media LLC

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          Abstract

          Chronic pancreatitis is a progressive fibrosis of the pancreas that leads to loss of endocrine and exocrine function. The most common symptom in this disease is intractable pain. The etiology of pain in chronic pancreatitis is not clearly understood. However, many of these patients have dilated ducts consisting of saccular dilations and intervening constructions referred to as the "chain of lakes" phenomenon. These patients can be diagnosed with either endoscopic retrograde cholangiopancreatography (ERCP) or computed tomography (CT). These patients are best treated by the Partington Rochelle modification of the Puestow Procedure otherwise known as lateral pancreaticojejunostomy. Overall pain relief in published studies occurs in 50-90% of patients. Another proposed advantage of the lateral pancreaticojejunostomy is preservation of endocrine and exocrine pancreatic function as long as the pancreas is not further damaged by alcohol.

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          Author and article information

          Journal
          World J Surg
          World journal of surgery
          Springer Science and Business Media LLC
          0364-2313
          0364-2313
          Nov 2003
          : 27
          : 11
          Affiliations
          [1 ] Department of Surgery, EMS 110-3236, Loyola University Medical Center, 2160 S. First Avenue, Maywood, Illinois 60153, USA.
          Article
          10.1007/s00268-003-7238-7
          14534819
          31187a1a-f932-4553-b15b-5d76f256c016
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