Surgical Management of Chronic Pancreatitis - Department of ...

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www.downstatesurgery.orgTypes of surgical Procedures• Drainage◦ Longitudinal pancreaticojejunostomy (modified Puestow)• Hybrid (Combination of Drainage and Resection)◦ Local resection of pancreatic head and pancreaticojejunostomy(Frey)◦ Duodenum-sparing resection of the pancreatic head (Beger)• Resection◦ Pancreaticoduodenectomy◦ Distal pancreatectomy◦ Total pancreatectomy
www.downstatesurgery.orgChoice of operation based on pattern of anatomyPatternMPD obstructionhead, dilated ductMDP obstructionhead, no dilatedductNo MDP obstructionhead, dilated ductNo MDP obstructionhead, no dilatedductMPD obstruction inbody/tailNoSurgeryXEndoscopy Puestow Frey PD DistalResectionX XXX XX
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Surgical Management of Chronic Pancreatitis - Department of ...

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