RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127273597
T1 PANCREATICOJEJUNOSTOMY (PUESTOW–GILLESBY PROCEDURE)
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127273597
RD 2024/04/23
AB Drainage  of  the  pancreatic  duct  by  anastomosis  to  the  jejunum  may  be  indicated  in  the  treatment  of  symptomatic  chronic  recurrent  calcific  pancreatitis.  Before  this  procedure  is  carried  out,  all  stones  from  the  biliary  tract  should  be  removed  by  cholecystectomy  and  choledochostomy.  There  should  be  evidence  of  free  drainage  of  bile  through  the  papilla  of  Vater  into  the  duodenum.  Decompression  of  the  obstructed  pancreatic  duct  should  be  considered  because  of  recurrent  or  persistent  pain  and  evidence  of  progressive  destruction  of  the  pancreas.