The Puestow procedure is an infrequently performed procedure that is used to relieve the pain associated with chronic pancreatitis.
Steps in Puestow procedure for pain in chronic pancreatitis (graphic courtesy top5plus5.com)
It involves a lateral pancreaticojejunostomy that is fashioned as long as possible, optimally from the tail to the pancreatic head.
A relative indication for the procedure is that the pancreatic duct must be dilated greater than 1.0 cm in diameter for successful palliation of pain, which occurs in about 60% of cases.
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