Cystoductojejunostomy for pseudocyst associated with chronic pancreatitis

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dc.contributor.authorSoori, Aen_US
dc.contributor.authorPottakkat, Ben_US
dc.contributor.authorMurugesan, Cen_US
dc.contributor.authorRaja, Ken_US
dc.contributor.authorPothugunta, SK.en_US
dc.date.accessioned2024-11-30T05:56:11Z
dc.date.available2024-11-30T05:56:11Z
dc.date.issued2024-08
dc.description.abstractPseudocyst is frequently associated with chronic pancreatitis (CP). We describe our experience of managing seven patients for pseudocyst associated with CP by bile duct preserving pancreatic head resection (BDPPHR) and cystoductojejunostomy. 88 patients were operated on for chronic pancreatitis between April 2021 till May 2023 out of which 7 patients underwent BDPPHR and cystoductojejunostomy for pseudocyst associated with CP. Key steps of surgery include meticulous dissection with exposure of the pancreatic head to tail, head excision up to the posterior capsule with laying open of the pancreatic duct till the tail and reconstruction incorporating pancreatic duct (PD) and pseudocyst to a single loop of jejunum. All seven patients were successfully treated with BDPPHR and cystoductojejunostomy. Mean operative time and mean blood loss was 478 minutes and 450 ml respectively. Mean hospital stay was 4.5 days. On follow-up at a one-year minimum, all patients had complete pain relief. In patients with pseudocyst associated with CP, surgery preferably needs to address both the pseudocyst and the underlying chronic pancreatitis to improve the quality of life. A combined anastomosis to the PD and cyst may be termed as cystoductojejunostomy.en_US
dc.identifier.affiliationsDepartment of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Indiaen_US
dc.identifier.affiliationsDepartment of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Indiaen_US
dc.identifier.affiliationsDepartment of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Indiaen_US
dc.identifier.affiliationsDepartment of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Indiaen_US
dc.identifier.affiliationsDepartment of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, Indiaen_US
dc.identifier.citationSoori A, Pottakkat B, Murugesan C, Raja K, Pothugunta SK.. Cystoductojejunostomy for pseudocyst associated with chronic pancreatitis . International Surgery Journal. 2024 Aug; 11(8): 1325-1328en_US
dc.identifier.issn2349-3305
dc.identifier.issn2349-2902
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/236389
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber8en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.18203/2349-2902.isj20242127en_US
dc.subjectChronic pancreatitisen_US
dc.subjectPancreatic ducten_US
dc.subjectPancreatic head resectionen_US
dc.subjectPseudocysten_US
dc.titleCystoductojejunostomy for pseudocyst associated with chronic pancreatitisen_US
dc.typeJournal Articleen_US
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