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Updated: Oct 21, 2025

Colonial Wig Pancreaticojejunostomy
Published on: March 12, 2019
Pancreatitis After Pancreaticojejunostomy Procedure? A Tale Involving the Tail of the Pancreas
Manik Aggarwal1, Richard H Cartabuke1, Carlos Roberto Simons-Linares2
1Department of Internal Medicine, Cleveland Clinic, Cleveland, OH.
Abstract:
Recurrent acute pancreatitis (RAP) involving the tail of the pancreas after pancreaticojejunosotomy (PJP) is rare, has very challenging management, and there is minimal literature. We describe a case of idiopathic RAP, complicated with chronic pancreatitis that failed medical and endoscopic management and required PJP. Unfortunately, RAP recurred after PJP, and we describe his clinical course and management.
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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...
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The broad head of the pancreas lies within the loop formed by the duodenum, while its slender body reaches towards the spleen. The tail of the pancreas is short...

