Modified Puestow Procedure for Retrograde Drainage of the Pancreatic Duct*

Partington, Philip F.; Rochelle, Robert E. L.

doi:10.1097/00000658-196012000-00015

Cited by 369 publications

(168 citation statements)

References 8 publications

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“…Drainage operation consists in a complete longitudinal opening of the pancreatic duct and a side-to-side pancreaticojejunostomy without resection of the pancreatic tail as proposed by Partington and Rochelle [267]. The surgical drainage of the pancreatic duct has been improved between 1954 and 1960.…”

Section: S7mentioning

confidence: 99%

“…In 1958 Puestow and Gillesby [270] improved the retrograde drainage of the caudal pancreatico-jejunostomy carrying out a longitudinal opening of the distal pancreatic duct (after tail resection) and a side-to-side pancreaticojejunostomy. Finally, in 1960 Partington and Rochelle [267] modified Puestow's procedure to obtain a complete drainage of the pancreatic duct by LPJ.…”

Section: S7mentioning

confidence: 99%

See 1 more Smart Citation

Italian consensus guidelines for chronic pancreatitis

Frulloni

Falconi

Gabbrielli

et al. 2010

Digestive and Liver Disease

166

112

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This paper gives practical guidelines for diagnosis and treatment of chronic pancreatitis. Statements have been elaborated by working teams of experts, by searching for and analysing the literature, and submitted to a consensus process by using a Delphi modified procedure. The statements report recommendations on clinical and nutritional approach, assessment of pancreatic function, treatment of exocrine pancreatic failure and of secondary diabetes, treatment of pain and prevention of painful relapses. Moreover, the role of endoscopy in approaching pancreatic pain, pancreatic stones, duct narrowing and dilation, and complications was considered. Recommendations for most appropriate use of various imaging techniques and of ultrasound endoscopy are reported. Finally, a group of recommendations are addressed to the surgical treatment, with definition of right indications, timing, most appropriate procedures and techniques in different clinical conditions and targets, and clinical and functional outcomes following surgery. © 2010 Editrice Gastroenterologica Italiana S.r.l

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Section: S7mentioning

confidence: 99%

Section: S7mentioning

confidence: 99%

Italian consensus guidelines for chronic pancreatitis

Frulloni

Falconi

Gabbrielli

et al. 2010

Digestive and Liver Disease

166

112

View full text Add to dashboard Cite

show abstract

“…In 1956, Puestow and Gillesby (B) [7] modified Duval's procedure by adding longitudinal pancreaticojejunostomy (LPJ) with the aim to effectively drain the pancreatic duct even in the presence of multiple strictures or stones. Partington and Rochelle (C) [8] later modified the Puestow-Gillesby procedure by avoiding splenectomy and distal pancreatectomy as the part of the procedure and showed that pain relief can be achieved with LPJ alone while the consequences of distal pancreatectomy and splenectomy can be avoided.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Surgery for Chronic Pancreatitis

Perwaiz¹,

Singh²,

Chaudhary³

2011

Indian J Surg

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Chronic pancreatitis (CP) is progressive inflammatory process of the pancreas. Abdominal pain remains the most debilitating symptom affecting quality of life, apart from diabetes mellitus, steatorrhoea and weight loss. The treatment options have evolved over the past decades and are aimed to provide durable relief in pain with possible attempt to support or improve the failing endocrine and exocrine functions. Surgical treatment options have shown the potentials to provide superior long term results compared to the pharmacological and endoscopic modalities and are broadly divided in to drainage, resection and combination hybrid procedures. The choice is based on the morphology of the main pancreatic duct, presence of head mass and associated complication of CP. Knowing the basic nature of the disease, total pancreatectomy seems a curative option but not without significant morbidities. There is recent paradigm shift towards organ sparing surgical procedures with reasonable success. Despite recent advancement in the treatment modalities for CP the overall quality of life remains moderate which need further addressal.

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“…In 1960, Partington and Rochelle [8] introduced a modified Puestow procedure for retrograde drainage of the pancreatic duct. They reported side-to-side anastomosis of a longitudinal opening in the jejunum to the longitudinally opened pancreatic duct (Fig.…”

Section: History Of Lpjmentioning

confidence: 99%

Has the Partington procedure for chronic pancreatitis become a thing of the past? A review of the evidence

Isaji

2009

J Hepato Biliary Pancreat

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Introduction For the surgical management of chronic pancreatitis with an inflammatory pancreatic head mass, extended drainage operations such as Beger and Frey procedures were established in the 1980s as an alternative to resectional procedures like pancreaticoduodenectomy and as opposed to simple drainage operations such as lateral pancreaticojejunostomy, that is, the Partington procedure. With the relatively rapid adoption of the two procedures, it seems that the Partington procedure has become a thing of the past. Materials and methods The Partington procedure was reevaluated with regard to the historical aspects and its present status by a literature review. Results The results show that this procedure relieves chronic abdominal pain in 66-91% of patients with a mean follow-up of 3.5-9.1 years. It is important to note that this procedure is generally used for inflammatory disease left of the gastroduodenal artery and is specifically not used as the procedure of choice for inflammatory disease of the pancreatic head. Conclusion For patients with a dilated main pancreatic duct but without an inflammatory pancreatic head mass, the Partington procedure is still the procedure of choice, since it is technically simple to perform with a minimum of morbidity and mortality, preserving pancreatic endocrine and exocrine function. Because it is a relatively simple technique, the laparoscopic approach will be justified as a treatment of appropriate patients in the near future.

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Modified Puestow Procedure for Retrograde Drainage of the Pancreatic Duct*

Cited by 369 publications

References 8 publications

Italian consensus guidelines for chronic pancreatitis

Italian consensus guidelines for chronic pancreatitis

Surgery for Chronic Pancreatitis

Has the Partington procedure for chronic pancreatitis become a thing of the past? A review of the evidence

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