What is the Beger procedure?
The Beger procedure has been used successfully to treat patients with severe chronic pancreatitis and enlargement of the head of the pancreas. The operation, developed by Dr. Beger in Germany, involves removing almost all of the head of the pancreas, saving the duodenum, stomach and bile duct.
What is lateral pancreaticojejunostomy for chronic pancreatitis?
What is a Puestow Procedure? During a Puestow procedure, also known as a lateral pancreaticojejunostomy, the abdomen is opened with an incision from the lower breastbone to the belly button. The pancreas is exposed and the main pancreatic duct is opened from the head to the tail of the pancreas.
What is chronic pancreatitis?
Chronic pancreatitis is inflammation of the pancreas that does not heal or improve—it gets worse over time and leads to permanent damage. Chronic pancreatitis eventually impairs a patient’s ability to digest food and make pancreatic hormones.
What type of surgeon operates on the pancreas?
Stanford surgeons are renowned in their field for offering innovative procedures that offer patients a short recovery time. Pancreatic surgical procedures include: Minimally invasive pancreatic resections.
How long are you in the hospital after pancreatic surgery?
Patients spend an average of 3-10 days in the hospital after pancreas surgery. While you are in the hospital, many members of your health care team will be checking in on you daily.
Why is duodenum removed in Whipple?
A Whipple procedure — also known as a pancreaticoduodenectomy — is a complex operation to remove the head of the pancreas, the first part of the small intestine (duodenum), the gallbladder and the bile duct. The Whipple procedure is used to treat tumors and other disorders of the pancreas, intestine and bile duct.
What happens after Puestow procedure?
After a Puestow procedure, immediate pain relief occurs in 70–90% of patients. Pain is controlled in only 50% after 1–3 years of follow-up. In some centers, resection of all or part of the head of the pancreas is combined with a ductal drainage procedure.
How long can you live with chronic pancreatitis?
The overall survival rate is 70% at 10 years and 45% at 20 years. In an international study, 559 deaths occurred among patients with chronic pancreatitis, compared with an expected number of 157, which creates a standard mortality ratio of 3.6.
How long is recovery after pancreatic surgery?
For most patients, full recovery after pancreas surgery takes about 1 – 3 months. During this time, patients will need to attend all of their follow-up appointments and take care to adjust their eating habits and other routines to allow their healing digestive tract time to acclimate.
What is the Frey procedure for pancreatic resection?
The Frey procedure was first described in 1987 by Frey et al[12] and combines partial resection of the head of the pancreas (resection) with lateral pancreatico-jejunostomy (drainage).
What is a roux-en-Y lateral pancreaticojejunostomy?
A Roux-en-Y lateral pancreaticojejunostomy (Puestow procedure) provides pain relief through ductal drainage while preserving pancreatic parenchyma. The pancreatic duct is opened head-to-tail, and the Roux jejunal limb is sutured to the pancreatic capsule around the “filleted” duct to provide a drainage route.
What is a head resection of the pancreas?
Pancreaticoduodenectomy (i.e., a Whipple procedure) or duodenum-preserving pancreatic head resection (Beger and Frey procedures) may be performed for patients with an inflammatory mass in the head of the pancreas. The Frey procedure “cores out” the pancreatic head and drains both the pancreatic head ducts and the length of the pancreatic duct.
What is the difference between a Frey and Whipple procedure?
Pancreaticoduodenectomy (i.e., a Whipple procedure) may be performed for patients with an inflammatory mass in the head of the pancreas. The Frey procedure entails “coring out” the pancreatic head combined with draining both the pancreatic head ducts and the length of the pancreatic duct.
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When is a Puestow procedure carried out?
A Puestow procedure is indicated for the treatment of symptomatic chronic pancreatitis patients with pancreatic ductal obstruction and a dilated main pancreatic duct. The main pancreatic duct needs to be 6mm in diameter in the body of the pancreas for this procedure to be possible.
What is Roux en Y Pancreaticojejunostomy?
A Roux-en-Y lateral pancreaticojejunostomy (Puestow procedure) provides pain relief through ductal drainage while preserving pancreatic parenchyma. The pancreatic duct is opened head-to-tail, and the Roux jejunal limb is sutured to the pancreatic capsule around the “filleted” duct to provide a drainage route.
Why are pancreatectomy performed?
A total pancreatectomy is a surgical procedure performed to treat chronic pancreatitis when other treatment methods are unsuccessful. This procedure involves the removal of the entire pancreas, as well as the gallbladder and common bile duct, and portions of the small intestine and stomach, and most often, the spleen.
What are Pseudocysts?
Pancreatic pseudocysts are collections of leaked pancreatic fluids. They may form next to the pancreas during pancreatitis. The pancreas is an organ that sits behind your stomach. It makes fluids that flow through a duct into the small intestine. These fluids help you digest food.
What is the most common indication for surgery in chronic pancreatitis?
Pain is the main indication for surgery in the vast majority of chronic pancreatitis patients. Surgery in chronic pancreatitis can be technically demanding and carries a significant risk of postoperative morbidity but a low risk of mortality [28-30].
Which is better gastric sleeve or Roux-en-Y?
The sleeve gastrectomy procedure is technically easier, faster to perform, and potentially safer compared with Roux-en-Y gastric bypass. However, much more data on clinical and metabolic long-term outcomes are available on the Roux-en-Y gastric bypass procedure.
What is life like after pancreatectomy?
Estimated overall survival at 1, 2 and 3 years for the entire cohort was 80%, 72% and 65%, and for those with pancreatic adenocarcinoma was 63%, 43% and 34%, respectively. Median weight loss at 3, 6 and 12 months after surgery was 6.8 kg, 8.5 kg and 8.8 kg, respectively.
What is life expectancy after distal pancreatectomy?
The 3- and 5-year survival rates of patients after pancreatoduodenectomy were 27.3 and 17.8 % compared to 45.5 and 22 % in patients treated with distal pancreatectomy. The median survival in patients after PD and DP was 20.4 months (95 % CI: 17.4–23.8) and 24.4 months (95 % CI: 2.9–45.8), respectively (Table 2 and Fig.