Related Experiment Video
Updated: May 25, 2026
10:10
Robotic Duodenum-preserving Total Pancreatic Head Resection for Intraductal Papillary Mucinous Neoplasms
Published on: April 17, 2026
Modified duval procedure for small-duct chronic pancreatitis without head dominance
Takatsugu Oida1, Osamu Aramaki, Hisao Kano
1Department of Surgery, Social Insurance Yokohama Central Hospital, Yokohama, Japan. ooida.takatsugu@yokochu.jp
Hepato-Gastroenterology
|January 12, 2012
Summary
The modified Duval procedure offers complete pain relief for small-duct chronic pancreatitis without head dominance. This surgical technique is effective and safe for patients with this specific condition.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pancreatic Surgery
Background:
- Small-duct chronic pancreatitis presents challenges for surgical pain management.
- Current surgical options include resection and drainage, with selection based on disease characteristics.
- The optimal procedure for small-duct chronic pancreatitis without head dominance is debated.
Purpose of the Study:
- To evaluate the efficacy of a modified Duval procedure for treating small-duct chronic pancreatitis without head dominance.
- To compare the modified Duval procedure with the modified Puestow procedure in this patient cohort.
Main Methods:
- Retrospective study of 14 patients with small pancreatic ducts (<7mm) without head dominance.
- Patients were divided into two groups: modified Puestow procedure and modified Duval procedure.
- Surgical outcomes, including pain relief and complications, were assessed.
Main Results:
- The modified Duval procedure group experienced no complications.
- Complete pain relief was achieved in 100% of patients undergoing the modified Duval procedure.
- The modified Puestow procedure group reported 62.5% complete and 37.5% partial pain relief.
Conclusions:
- The modified Duval procedure is a safe and effective surgical option.
- This technique should be considered for small-duct chronic pancreatitis cases lacking head dominance.
- The modified Duval procedure demonstrates superior pain relief outcomes in this study.
Related Concept Videos
01:29Chronic Pancreatitis II: Collaborative Care
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
01:25Chronic Pancreatitis I: Introduction
Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...
01:24Chronic Pancreatitis I: Introduction
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
01:21Chronic Pancreatitis II: Pathophysiology
Chronic pancreatitis is a progressive and irreversible inflammation of the pancreas, most often caused by long-term alcohol abuse, but it can also be related to ductal obstruction, smoking, or genetic factors.Chronic pancreatitis occurs when the pancreas is repeatedly exposed to harmful agents like alcohol, smoking, ductal obstruction, or genetic predisposition. These factors lead to the release of toxic metabolites and inflammatory cytokines, sustaining chronic inflammation in the pancreatic...
01:26Endoscopic Procedures V: ERCP
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...