A Redo of Duct-To-Mucosa Pancreaticojejunostomy for Recurrent Acute Pancreatitis Due to Intra-Pancreatic Lithiasis and Anastomotic Stricture: Is This a Reasonable Strategy?
{"title":"A Redo of Duct-To-Mucosa Pancreaticojejunostomy for Recurrent Acute Pancreatitis Due to Intra-Pancreatic Lithiasis and Anastomotic Stricture: Is This a Reasonable Strategy?","authors":"Cobos Cm, F. Laxague, L. McCormack, R. Darío","doi":"10.31487/j.jscr.2020.03.02","DOIUrl":null,"url":null,"abstract":"Few studies have examined the postoperative long-term complications after partial pancreatoduodenectomy\nand there are mainly focused in the presence of biliary strictures. The occurrence of intra-pancreatic lithiasis\nsecondary to the presence of late stenosis of the duct-to-mucosa pancreaticojejunostomy is an extremely\nrare condition. We observed that the late occurrence of a pancreaticojejunostomy stricture could be a\npotential cause for acute pancreatitis in long-term survivors following partial pancreatoduodenectomy. The\nimportance of this report is to emphasize that the strategy of a redo of this difficult anastomosis is a very\nchallenging abdominal operation but provides excellent early and long-term results","PeriodicalId":101189,"journal":{"name":"Surgery Case Reports","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.31487/j.jscr.2020.03.02","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Few studies have examined the postoperative long-term complications after partial pancreatoduodenectomy
and there are mainly focused in the presence of biliary strictures. The occurrence of intra-pancreatic lithiasis
secondary to the presence of late stenosis of the duct-to-mucosa pancreaticojejunostomy is an extremely
rare condition. We observed that the late occurrence of a pancreaticojejunostomy stricture could be a
potential cause for acute pancreatitis in long-term survivors following partial pancreatoduodenectomy. The
importance of this report is to emphasize that the strategy of a redo of this difficult anastomosis is a very
challenging abdominal operation but provides excellent early and long-term results