Lateral Pancreaticojejunostomy for Pancreatic Duct Stones

Abstract

Chronic pancreatitis is a chronic inflammation of the pancreas, which causes irreversible morphological changes and exocrine and endocrine insufficiency. Initially, pancreas becomes hard and enlarged in size due to fibrosis. Alcoholic abuse is the most common cause of the chronic pancreatitis. However familial and idiopathic groups are also well recognized. In certain parts of the tropical areas, tropical calcific pancreatitis (TCP) is common [1]. Recurrent attacks of the pain, weight loss and development of the secondary Diabetes Mellitus are few of the presentation of the chronic pancreatitis. Medical management of this condition includes, control of pain and diabetes and prescription of the pancreatic enzyme supplementation. Surgical treatment of this condition includes, celiac plexus Block, Frey’s procedure, Pancreatodudenectomy, distal Pancreatectomy and Lateral Pancreatojejunostomy. We present a case of 35 years old male who had stones in the main pancreatic duct for which Lateral Pancreatojejunostomy was done successfully.