Cobos  CM,Laxague  F,Lucas  McCormack,Ramallo  Darío,
A Redo of Duct-To-Mucosa Pancreaticojejunostomy for Recurrent Acute Pancreatitis Due to Intra-Pancreatic Lithiasis and Anastomotic Stricture: Is This a Reasonable Strategy?
Surgery Case Reports
2020
2733-225X
http://dx.doi.org/10.31487/j.JSCR.2020.03.02
https://www.sciencerepository.org/a-redo-of-duct-to-mucosa-pancreaticojejunostomy-for-recurrent-acute_JSCR-2020-3-102 
Abstract: 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 resultsKeywords: Partial pancreatoduodenectomy, redo of duct-to-mucosa, wirsung-jejunostomy, intrapancreatic lithiasis, pancreatic surgery, pancreaticojejunostomy