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Modified puestow lateral pancreaticojejunostomy.

Eugene P Ceppa1, Theodore N Pappas

  • 1Duke University Medical Center, Durham, NC, USA. eugene.ceppa@duke.edu

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|July 16, 2008
PubMed
Summary

The modified Puestow procedure offers effective pain relief for chronic pancreatitis, improving quality of life with low risks. This review identifies optimal candidates and surgical techniques for this pancreatic surgery.

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Area of Science:

  • Gastroenterology and Surgical Oncology
  • Pancreatic Surgery and Pain Management

Background:

  • Chronic pancreatitis pain presents significant challenges, with surgery being a key treatment option.
  • The modified Puestow lateral pancreaticojejunostomy demonstrates efficacy in symptom relief and lifestyle recovery.
  • Surgical outcomes for chronic pancreatitis remain a subject of ongoing debate.

Purpose of the Study:

  • To define the ideal patient profile for the modified Puestow procedure.
  • To detail the critical technical aspects of performing the pancreaticojejunostomy.
  • To contribute to the discussion on optimal surgical management for chronic pancreatitis.

Main Methods:

  • Literature review focusing on modified Puestow lateral pancreaticojejunostomy outcomes.
  • Analysis of patient selection criteria for pancreatic surgery.

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Last Updated: Jul 3, 2026

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  • Discussion of surgical technique nuances and potential complications.
  • Main Results:

    • The modified Puestow procedure is highly effective for specific patient groups with chronic pancreatitis.
    • Careful patient selection and meticulous surgical technique are crucial for success.
    • The procedure is associated with low morbidity and mortality rates.

    Conclusions:

    • The modified Puestow lateral pancreaticojejunostomy is a valuable surgical option for chronic pancreatitis.
    • Identifying the right patient population maximizes the benefits of this pancreatic surgery.
    • Further research can refine surgical approaches for improved patient outcomes.