PARTINGTON-ROCHELLE PANCREATICOJEJUNOSTOMY FOR CHRONIC PANCREATITIS COMBINED WITH CHOLANGIOENTEROSTOMY TREATMENT OF CHRONIC PANCREATITIS AND BILIARY STRICTURES: CASE REPORT AND REVIEW OF THE LITERATURE
DOI:
https://doi.org/10.53555/nnmhs.v3i3.620Keywords:
Chronic pancreatitis, bile duct stricture, Partington-Rochelle procedure, Puestow procedureAbstract
Chronic pancreatitis (CP) is a kind of pancreatic disease with irreversible morphological changes, can lead to impaired endocrine and exocrine function of the inflammatory process. CP simultaneously accompanied with bile duct stricture (BDS) is a rare condition. At present, the treatment of CP tend to be individualized by the surgeons.Here, we reported the case of a plastic stent inserted two times into the main pancreatic duct and common bile duct. During the last 5 years, the patient hospitalized several times due to recurrent abdominal pain, till Partington-Rochelle pancreatojejunostomy (PRP) procedure combined with cholangioenterostomy was treated without complications. After 4 years of follow-up, the patient showed abnormal glucose metabolism without the need for additional enzymes, and he was in good condition without pain. Partington-Rochelle procedure combined with cholangioenterostomy provided a promising result of pancreatitis with BDS endoscopic papillary and stent failure.
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