TY - JOUR
T1 - Modified puestow procedure for chronic pancreatitis in a child due to annular pancreas and duodenal duplication
T2 - A case report
AU - Alatas, Fatima Safira
AU - Masumoto, Kouji
AU - Matsuura, Toshiharu
AU - Pudjiadi, Antonius Hocky
AU - Taguchi, Tomoaki
N1 - Publisher Copyright:
© 2020 by The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition.
PY - 2020/5/1
Y1 - 2020/5/1
N2 - An 18-year-old woman with annular pancreas and duodenal duplication presented with recurrent acute pancreatitis and underwent a resection of duodenal duplication. However, the patient experienced recurrent abdominal pain after resection. Abdominal computed tomography and magnetic resonance imaging showed a dilatation of the peripheral pancreatic duct and stenosis and malformation of both the Wirsung's and Santorini's duct due to multiple stones. The modified puestow procedure was performed. The main pancreatic ducts in the body and tail were opened, and the intrapancreatic common bile duct was preserved. A Roux-en-Y pancreatico-jejunostomy was performed for reconstructing the pancreaticobiliary system after removing the ductal protein plug. The patient experienced no abdominal pain, no significant elevation of the serum amylase and lipase levels, and no stone formation during the 2 years of follow-up. This procedure is considered to be beneficial for pediatric patients with chronic pancreatitis due to annular pancreas and duodenal duplication.
AB - An 18-year-old woman with annular pancreas and duodenal duplication presented with recurrent acute pancreatitis and underwent a resection of duodenal duplication. However, the patient experienced recurrent abdominal pain after resection. Abdominal computed tomography and magnetic resonance imaging showed a dilatation of the peripheral pancreatic duct and stenosis and malformation of both the Wirsung's and Santorini's duct due to multiple stones. The modified puestow procedure was performed. The main pancreatic ducts in the body and tail were opened, and the intrapancreatic common bile duct was preserved. A Roux-en-Y pancreatico-jejunostomy was performed for reconstructing the pancreaticobiliary system after removing the ductal protein plug. The patient experienced no abdominal pain, no significant elevation of the serum amylase and lipase levels, and no stone formation during the 2 years of follow-up. This procedure is considered to be beneficial for pediatric patients with chronic pancreatitis due to annular pancreas and duodenal duplication.
KW - Annular pancreas
KW - Chronic pancreatitis
KW - Duodenal duplication
KW - Lateral pancreatico-jejunostomy
KW - Modified puestow procedure
KW - Recurrent abdominal pain
UR - http://www.scopus.com/inward/record.url?scp=85086432638&partnerID=8YFLogxK
U2 - 10.5223/PGHN.2020.23.3.304
DO - 10.5223/PGHN.2020.23.3.304
M3 - Article
AN - SCOPUS:85086432638
SN - 2234-8646
VL - 23
JO - Pediatric Gastroenterology, Hepatology and Nutrition
JF - Pediatric Gastroenterology, Hepatology and Nutrition
IS - 3
M1 - 304
ER -