Laparoscopic Puestow procedure for chronic pancreatitis in children
Chronic pancreatitis (CP) is a sequelae characterized by recurrent attacks of pancreatitis leading on to fibrosis and calcification of both ductal and parenchymal elements of the pancreas. Most of these, if left untreated at the right time, will lead on to burnt-out pancreas with complete atrophy of...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Indian Association of Pediatric Surgeons |
| Subjects: | |
| Online Access: | http://www.jiaps.com/article.asp?issn=0971-9261;year=2020;volume=25;issue=1;spage=55;epage=57;aulast=Arora |
| _version_ | 1819098650278625280 |
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| author | Apurva Arora Prakash Agarwal Rajkishore Bagdi Madhu Ramasundaram M L Sankar Narayanan |
| author_facet | Apurva Arora Prakash Agarwal Rajkishore Bagdi Madhu Ramasundaram M L Sankar Narayanan |
| author_sort | Apurva Arora |
| collection | DOAJ |
| description | Chronic pancreatitis (CP) is a sequelae characterized by recurrent attacks of pancreatitis leading on to fibrosis and calcification of both ductal and parenchymal elements of the pancreas. Most of these, if left untreated at the right time, will lead on to burnt-out pancreas with complete atrophy of the parenchyma, leading on to endocrine/exocrine insufficiency. The pain in such patients is most likely due to ductal hypertension, parenchymal hypertension, and head mass causing perineural inflammation. Puestow procedure (longitudinal pancreaticojejunostomy) is the surgery of choice in selected patients with ductal hypertension where decompression of the duct provides symptomatic relief. Performance of such procedures in children by minimal access laparoscopic method is still evolving. We report a series of three patients (aged 10, 12, and 16 years) diagnosed with CP and successfully managed by laparoscopic Puestow procedure. |
| first_indexed | 2024-12-22T00:34:21Z |
| format | Article |
| id | doaj.art-9e611a12bfc34c4e99a1e2035edce9e3 |
| institution | Directory Open Access Journal |
| issn | 0971-9261 1998-3891 |
| language | English |
| last_indexed | 2024-12-22T00:34:21Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Association of Pediatric Surgeons |
| spelling | doaj.art-9e611a12bfc34c4e99a1e2035edce9e32022-12-21T18:44:51ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912020-01-01251555710.4103/jiaps.JIAPS_235_18Laparoscopic Puestow procedure for chronic pancreatitis in childrenApurva AroraPrakash AgarwalRajkishore BagdiMadhu RamasundaramM L Sankar NarayananChronic pancreatitis (CP) is a sequelae characterized by recurrent attacks of pancreatitis leading on to fibrosis and calcification of both ductal and parenchymal elements of the pancreas. Most of these, if left untreated at the right time, will lead on to burnt-out pancreas with complete atrophy of the parenchyma, leading on to endocrine/exocrine insufficiency. The pain in such patients is most likely due to ductal hypertension, parenchymal hypertension, and head mass causing perineural inflammation. Puestow procedure (longitudinal pancreaticojejunostomy) is the surgery of choice in selected patients with ductal hypertension where decompression of the duct provides symptomatic relief. Performance of such procedures in children by minimal access laparoscopic method is still evolving. We report a series of three patients (aged 10, 12, and 16 years) diagnosed with CP and successfully managed by laparoscopic Puestow procedure.http://www.jiaps.com/article.asp?issn=0971-9261;year=2020;volume=25;issue=1;spage=55;epage=57;aulast=Arorachronic pancreatitis in childrenlaparoscopic puestow procedure in childrenlateral pancreaticojejunostomy |
| spellingShingle | Apurva Arora Prakash Agarwal Rajkishore Bagdi Madhu Ramasundaram M L Sankar Narayanan Laparoscopic Puestow procedure for chronic pancreatitis in children Journal of Indian Association of Pediatric Surgeons chronic pancreatitis in children laparoscopic puestow procedure in children lateral pancreaticojejunostomy |
| title | Laparoscopic Puestow procedure for chronic pancreatitis in children |
| title_full | Laparoscopic Puestow procedure for chronic pancreatitis in children |
| title_fullStr | Laparoscopic Puestow procedure for chronic pancreatitis in children |
| title_full_unstemmed | Laparoscopic Puestow procedure for chronic pancreatitis in children |
| title_short | Laparoscopic Puestow procedure for chronic pancreatitis in children |
| title_sort | laparoscopic puestow procedure for chronic pancreatitis in children |
| topic | chronic pancreatitis in children laparoscopic puestow procedure in children lateral pancreaticojejunostomy |
| url | http://www.jiaps.com/article.asp?issn=0971-9261;year=2020;volume=25;issue=1;spage=55;epage=57;aulast=Arora |
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