Patients with chronic pancreatitis gives chain of lakes appearance in ERCP examination. Management is
Surgical procedures in chronic pancreatitis Ideal procedure : DPPHR(Beger's procedure) In presence of poal vein thrombosis : Frey's Small duct disease : V- Shaped excision Disease recurrence in body and tail (after DPPHR, Whipple's or Longmire-Transverso procedure) : V-shaped drainage Disease limited to tail: Spleen - preserving distal pancreatectomy Ref: Sabiston 20th edition Pgno :1535
Total pancreatectomy
Sphicteroplasty
Side to side pancteaticojejunostomy
Resecting the tail of pancreas and performing a pancteaticojejunostomy
G.I.T