TY - JOUR
AR - JSCR-2020-3-102
TI - A Redo of Duct-To-Mucosa Pancreaticojejunostomy for Recurrent Acute Pancreatitis Due to Intra-Pancreatic Lithiasis and Anastomotic Stricture: Is This a Reasonable Strategy?
AU - Cobos , CM
AU - Laxague , F
AU - Lucas , McCormack
AU - Ramallo , Darío
JO - Surgery Case Reports
PY - 2020
DA - Fri 29, May 2020
SN - 2733-225X
DO - http://dx.doi.org/10.31487/j.JSCR.2020.03.02
UR - https://www.sciencerepository.org/a-redo-of-duct-to-mucosa-pancreaticojejunostomy-for-recurrent-acute_JSCR-2020-3-102 
KW - Partial pancreatoduodenectomy, redo of duct-to-mucosa, wirsung-jejunostomy, intrapancreatic lithiasis, pancreatic surgery, pancreaticojejunostomy
AB - Few studies have examined the postoperative long-term complications after partial pancreatoduodenectomy
and there are mainly focused in the presence of biliary strictures. The occurrence of intra-pancreatic lithiasis
secondary to the presence of late stenosis of the duct-to-mucosa pancreaticojejunostomy is an extremely
rare condition. We observed that the late occurrence of a pancreaticojejunostomy stricture could be a
potential cause for acute pancreatitis in long-term survivors following partial pancreatoduodenectomy. The
importance of this report is to emphasize that the strategy of a redo of this difficult anastomosis is a very
challenging abdominal operation but provides excellent early and long-term results