title: Pylorus-preserving pancreatoduodenectomy associated with longitudinal pancreatojejunostomy for treatment of chronic pancreatitis.
abstract: Patients with chronic pancreatitis presenting with lesions at the head of the pancreas and in the uncinate process associated with duct dilatation at the body and tail of the gland are inadequately treated by partial pancreatic head resection or by standard pancreatic drainage procedures. A new technique for the surgical treatment of this form of chronic pancreatitis, based on the performance of a pylorus-preserving pancreaticoduodenectomy associated with a longitudinal pancreatojejunostomy, is proposed herein. Nine patients with chronic pancreatitis were operated on according to this technique with no postoperative complications or mortality. Complete symptom control was achieved in all patients. Follow-up periods varied from one month to five years.
authors.affiliation: Department of Gastroenterology, Surgical Division Sao Paulo University Medical School, Sao Paulo, Brazil.
authors.forename: Marcel C C
authors.initials: MC
authors.lastname: Machado
authors.forename: Jose Eduardo M
authors.initials: JE
authors.lastname: Cunha
authors.forename: Telesforo
authors.initials: T
authors.lastname: Bacchella
authors.forename: Sonia
authors.initials: S
authors.lastname: Penteado
authors.forename: Jose
authors.initials: J
authors.lastname: Jukemura
authors.forename: Emilio E
authors.initials: EE
authors.lastname: Abdo
authors.forename: Andre L
authors.initials: AL
authors.lastname: Montagnini
mesh_terms: D002908:Chronic Disease; D006801:Humans; D016577:Pancreaticoduodenectomy / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000379:methods*; D010195:Pancreatitis / Q000601:surgery*; D011708:Pylorus / Q000601:surgery*