Recurrent chronic obstructive pancreatitis is attributed to pancreatic flow obstruction caused by PD stenosis, pancreatolithiasis, pancreas divisum, etc., and the consequent increased internal pressure in the caudal PD [1-3]. Methods of PD decompression include surgical procedures, such as pancreatectomy and pancreaticojejunostomy, as well as endoscopic PD stenting combined with extracorporeal ...

Introduction. The best pancreatic anastomosis technique after pancreaticoduodenectomy (PD) is still debated. Pancreatic fistula (PF) is the most important complication but is also related to postoperative bleedings and pancreatic remnant involution. We support pancreaticojejuno anastomosis (PJ) advantages describing our technique with brief technical considerations. Materials and Methods. 89 co...

CONTEXT Chronic pancreatitis is a continuous inflammatory disease of the pancreas resulting in scarring and fibrosis with consequent decline in exocrine and endocrine function. The inflammatory process leads to the development of a head mass, and strictures and stones in the pancreatic duct which present as pain, or loco regional complications such as duodenal obstruction and biliary obstructio...

A 47-year-old female underwent robotic pancreatoduodenectomy for the pancreatic head cancer. During surgery, jejunum (the afferent limb) was brought up, although Treitz ligament route to perform pancreaticojejunostomy and hepaticojejunostomy anastomoses, followed by antecolic gastrojejunostomy. The patient presented with acute abdominal pain 3 months after surgery. Laboratory found elevated hep...