title: Surgical management for stenosis of the pancreaticojejunostomy.
abstract: The management of the stenosis of the pancreaticojejunostomy is dictated by the state of the anastomosis and the residual pancreas, endocrine, and exocrine pancreatic function. We report a case of a 23-year-old woman who presented with recurrent attacks of acute pancreatitis. Four years ago, she was diagnosed with pancreatic injury with a transection of the body of the pancreas. A computed tomography scan showed a pancreatic laceration, and she underwent a Letton-Wilson surgical procedure. At present, we think that the stenosis of the anastomosis of the pancreaticojejunostomy caused the recurrent attacks of acute pancreatitis. We performed a reoperation for stenosis of the pancreaticojejunostomy by the previous surgical procedure. Reoperation is a useful and radical procedure to relieve recurrent acute pancreatitis caused by the stenosis of the pancreaticojejunostomy.
authors.affiliation: Department of Transplantation and Digestive Surgery, Nagasaki University, Graduate School of Biomedical Sciences, Nagasaki, Japan. tkuroki-gi@umin.ac.jp
authors.forename: Tamotsu
authors.initials: T
authors.lastname: Kuroki
authors.forename: Yoshitsugu
authors.initials: Y
authors.lastname: Tajima
authors.forename: Ryuji
authors.initials: R
authors.lastname: Tsutsumi
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Adachi
authors.forename: Amane
authors.initials: A
authors.lastname: Kitasato
authors.forename: Kouji
authors.initials: K
authors.lastname: Hamasaki
authors.forename: Takashi
authors.initials: T
authors.lastname: Kanematsu
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects; D049448:Cholangiopancreatography, Magnetic Resonance; D003251:Constriction, Pathologic / Q000150:complications / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D010179:Pancreas / Q000293:injuries; D010193:Pancreaticojejunostomy / Q000009:adverse effects*; D010195:Pancreatitis / Q000175:diagnosis / Q000601:surgery; D012008:Recurrence; D014057:Tomography, X-Ray Computed