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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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 CASE REPORT
Year : 2020  |  Volume : 25  |  Issue : 1  |  Page : 55-57

Laparoscopic Puestow procedure for chronic pancreatitis in children


1 Department of Pediatric Surgery, Sri Ramachandra University, Chennai, Tamil Nadu, India
2 Department of Surgical Gastroenterology, Sri Ramachandra University, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Apurva Arora
M75 Greater Kailash Part 1, New Delhi - 110 048
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiaps.JIAPS_235_18

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Chronic pancreatitis (CP) is a sequelae characterized by recurrent attacks of pancreatitis leading on to fibrosis and calcification of both ductal and parenchymal elements of the pancreas. Most of these, if left untreated at the right time, will lead on to burnt-out pancreas with complete atrophy of the parenchyma, leading on to endocrine/exocrine insufficiency. The pain in such patients is most likely due to ductal hypertension, parenchymal hypertension, and head mass causing perineural inflammation. Puestow procedure (longitudinal pancreaticojejunostomy) is the surgery of choice in selected patients with ductal hypertension where decompression of the duct provides symptomatic relief. Performance of such procedures in children by minimal access laparoscopic method is still evolving. We report a series of three patients (aged 10, 12, and 16 years) diagnosed with CP and successfully managed by laparoscopic Puestow procedure.






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