Successful outcome of retrograde pancreatojejunostomy for chronic pancreatitis and infected pancreatic cysts:A case report

作     者：Koichi Kimura Eisuke Adachi Ayako Toyohara Sachie Omori Kaoru Ezaki Ryo Ihara Takahiro Higashi Kippei Ohgaki Shuhei Ito Shin-ichiro Maehara Toshihiko Nakamura Yoshihiko Maehara 

作者机构：Department of SurgeryKyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan Department of Internal MedicineKyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2021年第9卷第24期

页      面：7224-7230页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Chronic pancreatitis Infected pancreatic cyst Distal pancreatomy Retrograde pancreatojejunostomy Pancreatic stones Case report 

摘      要：BACKGROUND Chronic pancreatitis occasionally requires surgical treatment that can be performed with various ***,this type of surgery presents with postoperative *** report a case of a successful retrograde pancreatojejunostomy for chronic pancreatitis and infected pancreatic *** SUMMARY A 62-year-old male with a 10-year history of chronic pancreatitis presented with epigastric pain for one week and a 20 kg weight loss over one *** tomography showed stones in the pancreas(mainly the head),expansion of the main pancreatic duct,and thinning of the pancreatic *** resonance imaging showed infected pancreatic cysts connected to the stomach with a fistula from the splenic hilum to the caudal portion of the liver’s lateral *** endoscopic retrograde pancreatography was performed;the guide wires could not pass through the stones in the pancreas and therefore,drainage of the main pancreatic duct was not ***,a distal pancreatomy and splenectomy were performed;however,the pancreatic juice in the remaining parenchyma was blocked by the ***,we performed a retrograde pancreatojejunostomy and Roux-en-Y *** patient had no postoperative complications and was discharged from the hospital on postoperative day *** A distal pancreatomy,retrograde pancreatojejunostomy,and Roux-en-Y anastomosis could be an effective surgical procedure for intractable chronic pancreatitis.