A 52-year-old male, known to be alcoholic, is evaluated because of chronic abdominal pain. The clinical diagnosis of chronic pancreatitis is supported by ERCP findings of pancreatic ductal ectasia with alternating areas of stricture and dilatation. Several pancreatic ductal stones are also noted. With chronic pain as the operative indication, the most appropriate procedure would be:
A. 80% distal pancreatectomy with splenectomy
B. Longitudinal pancreaticojejunostomy
C. Distal pancreatectomy with end pancreaticojejunostomy
D. Total pancreatectomy
Answer:B
A 52-year-old male, known to be alcoholic, is evaluated because of chronic abdominal pain. The clinical diagnosis of chronic pancreatitis is supported by ERCP findings of pancreatic ductal ectasia with alternating areas of stricture and dilatation. Several pancreatic ductal stones are also noted. With chronic pain as the operative indication, the most appropriate procedure would be:
A. 80% distal pancreatectomy with splenectomy B. Longitudinal pancreaticojejunostomy C. Distal pancreatectomy with end pancreaticojejunostomy D. Total pancreatectomy