Spleen-preserving Distal Pancreatectomy and Caudal Pancreaticogastrostomy in a Patient with Acute Pancreatitis

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  • MORI Hideaki
    Department of Surgery, National Hospital Organization Okayama Medical Center
  • OTA Tetsuya
    Department of Surgery, National Hospital Organization Okayama Medical Center
  • KUNISUE Hironori
    Department of Surgery, National Hospital Organization Okayama Medical Center
  • FUJIWARA Takuzo
    Department of Surgery, National Hospital Organization Okayama Medical Center
  • NAITO Minoru
    Department of Surgery, National Hospital Organization Okayama Medical Center

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Other Title
  • 尾側膵胃吻合術を施行した内視鏡的乳頭切開術後膵管口閉塞の1例
  • 症例 尾側膵胃吻合術を施行した内視鏡的乳頭切開術後膵管口閉塞の1例
  • ショウレイ ビガワスイイ フンゴウジュツ オ シコウ シタ ナイシキョウテキ ニュウトウ セッカイ ジュツゴスイカングチ ヘイソク ノ 1レイ

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Abstract

A 72-year-old woman underwent endoscopic sphincterotomy (EST) for choledocholithiasis in July 2008. She presented with epigastric pain 40 days after EST. Endoscopic examination revealed a main pancreatic duct orifice stricture, associated with acute pancreatitis. It was impossible to perform pancreatic duct drainage with an endoscopic approach. Emergency spleen-preserving distal pancreatectomy and caudal pancreaticogastrostomy were performed successfully. This procedure was thought to be less invasive than pancreas head resection or longitudinal pancreaticojejunostomy.

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