Pancreaticogastrostomy for pancreatic ascites.
OBJECTIVE
Management of pancreatic ascites is challenging. The aim of the present study was to study the role of pancreaticogastrostomy in management of pancreatic ascites.


METHODS
Retrospective analysis of twelve operated cases with pancreatic ascites following failed conservative and endoscopic treatment was done for its outcome in terms of morbidity and a successful outcome. Patient data, imaging information and surgical procedure were noted.


RESULTS
Four of the 12 patients with leak from the dilated main pancreatic duct had longitudinal pancreaticogastrostomy. The gross edematous jejunum and a shortened mesentery due to sub-acute peritonitis necessitated this surgery. None had recurrence of ascites. Steatorrhea was distinctly absent. None had deterioration of endocrine function.


CONCLUSIONS
Longitudinal pancreaticogastrostomy is a viable option in patients with pancreatic ascites and dilated main pancreatic duct especially in those with a shortened mesentery and an edematous small bowel.
Selvakumar
Eswaran
E
Department of Surgical Gastroenterology, Center for GI Bleed & Division of Hepato-Biliary-Pancreatic Diseases, Government Stanley Medical College Hospital, Chennai 600001, Tamilnadu, India.
Vimalraj
Velayutham
V
Rajendran
Shanmugasundaram
S
Balachandar
Tirupporur Govindaswamy
TG
Kannan
DevyGounder
D
Jeswanth
Satyanesan
S
Ravichandran
Palaniappan
P
Surendran
Rajagopal
R
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D001201:Ascites / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005774:Gastrostomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000175:diagnosis / Q000601:surgery*; D010183:Pancreatic Ducts / Q000601:surgery*; D012189:Retrospective Studies; D013270:Stomach / Q000601:surgery