Pancreatico-duodenectomy is not indicated in:
Ans. (b) Narrow Pancreatic ductRef: Blumgart 6th ed; pg. 932The most frequent indications for Pancreatico-duodenectomy in patients with Chronic Pancreatitis:* Head of Pancreas is enlarged with cysts and calcification.* Previous endoscopic procedure or drainage procedure was ineffective.* Possibility of Malignancy in head.V shaped Excision procedure (Izbicki procedure) is done for Small Duct disease <3mm diameter Duct
Multiple cyst and calcifications in head of pancreas
Narrow pancreatic duct
Failed drainage procedure for chronic pancreatitis
Possibility of malignancy in head
Pancreas