pancreaticojejunostomy (Puestow-Gillesby procedure)

Indications

• treatment of symptomatic chronic pancreatitis with pancreatic duct obstruction

Procedure

• longitudinal incision along the pancreas with opening or the main pancreatic duct longitudinally from the head of the pancreas to the tail
• the pancreatic duct & pancreas are attached to a loop of small intestine in order to allow drainage of pancreatic exocrine secretions
• pancreatic tissue is preserved
• the main pancreatic duct needs to be 6mm in diameter in the body of the pancreas for this procedure to be possible

More general terms

• gastrointestinal surgery (GI surgery)
• abdominal surgery