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

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World Journal of Clinical Cases 2021年第24期9卷 7224-7230页

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 Department of Surgery Kyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan Department of Internal Medicine Kyushu Central Hospital of the Mutual Aid Association of Public School TeachersFukuoka 815-8588Japan

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.

关键词： Chronic pancreatitis Infected pancreatic cyst Distal pancreatomy retrograde pancreatojejunostomy Pancreatic stones Case report

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