Effectiveness of Side-to-Side Pancreaticojejunostomy for Dorsal Pancreatitis Complicated with Pancreas Divisum; Case Report

Akira Hayashibe, Kazuki Sakamoto, Masaya Shinbo, Shinitiro Makimoto, Takeshi Nakamoto, Yoshinori Iwata, Toshio dozaiku and Taishi Hirooka

Department of Surgery, Kishiwada Tokusyukai Hospital

A 60-year-old man with upper abdominal pain admitted June 3, 2001, was found in ultrasonography (US), computed tomography (CT), and magnetic resonance imaging (MRI) to have diffuse dilation of the dorsal pancreatics duct. Endosdcopic retrograsde pancreatography (ERP) showed pancreas divisum. Conservative therapy was ineffective and no stenosis of hte accesory papilla was found in ERP, so we conducted side-to-side pancreaticojejunostomy. Four weeks after surgery, the man was idscharged. Side-to-side pancreaticojejunostomy is an alternative surgical therapy for dorsal pancreatitis complicated by pancreas divisum.

Key words
pancreas divisum, dorsal pancreatitis, side-to-side pancreaticojejunostomy

Reprint requests
Akira Hayashibe Department of Surgery, Kishiwada Tokusyukai Hospital 4-22-38 Isonokami, Kishiwada, 596-0001 JAPAN

Accepted
June 25, 2002

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