PACE Hospitals is a leading hospital for Pancreaticojejunostomy Surgery in Hyderabad, India, offering expert surgical care for chronic pancreatitis, pancreatic duct obstruction, ductal hypertension causing pancreatic dysfunction, severe abdominal pain due to pancreatic duct obstruction. Our highly skilled pancreatic surgeons specialize in minimally invasive and open surgical techniques.
At PACE Hospitals, our team of expert gastroenterology and hepatobiliary surgeons specialize in complex pancreatic surgeries, including Pancreaticojejunostomy, with a strong focus on precision, patient safety, and high success rates, ensures advanced, minimally invasive techniques for better outcomes and faster recovery.
• What is Pancreaticojejunostomy?
• When is Pancreaticojejunostomy Needed?
• Different Types of Pancreaticojejunostomy
• Pancreaticojejunostomy: Before & After Surgery
• Key Advantages of Pancreaticojejunostomy
• Life After Pancreaticojejunostomy: What to Expect
• Pancreaticojejunostomy Surgery Cost & factors
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Appointment Desk: 04048486868
Whatsapp: 8977889778
Regards,
PACE Hospitals
Hitech City and Madinaguda
Hyderabad, Telangana, India.
Thank you for contacting us. We will get back to you as soon as possible. Kindly save these contact details in your contacts to receive calls and messages:-
Appointment Desk: 04048486868
Whatsapp: 8977889778
Regards,
PACE Hospitals
Hitech City and Madinaguda
Hyderabad, Telangana, India.
Pancreaticojejunostomy definition
Pancreaticojejunostomy is a surgical procedure that creates an anastomosis between the pancreas and the jejunum to divert pancreatic secretions into the gastrointestinal tract. This procedure is often carried out on individuals with chronic pancreatitis, injuries to the pancreatic duct, or pancreatic cancer. Its purpose is to reinstate normal drainage of enzymes, minimize complications, and maintain pancreatic function, ultimately helping to avert further issues.
Pancreaticojejunostomy is a crucial procedure for treating various pancreatic diseases and complications, especially when the pancreatic duct is damaged, leading to exocrine insufficiency, pain, and sometimes pseudocyst formation.
Pancreaticojejunostomy is a procedure that addresses conditions that disrupt the normal function of the pancreas and its ability to secrete digestive enzymes. Some of the major indications are:
Pancreaticojejunostomy involves various techniques, influenced by the underlying pathology, surgeon's preference, and anatomical factors. Some of these techniques are as mentioned below:
Lateral pancreaticojejunostomy is a surgical procedure where the side of the pancreas is connected to the jejunum (part of the small intestine) to create an outlet for pancreatic enzymes. It is typically done when other treatments, such as drainage or medical management, are unsuccessful in managing the condition.
Longitudinal pancreaticojejunostomy is a surgical procedure where the pancreas is connected to the jejunum along its length. It is typically performed to treat chronic pancreatitis or other pancreatic ductal obstructions. In this procedure, the pancreas is opened longitudinally, and the pancreatic duct is drained into the jejunum to allow pancreatic enzymes to flow directly into the small intestine, improving digestion and alleviating symptoms like pain and malabsorption.
This technique involves the direct anastomosis of the pancreatic duct to the jejunum end is less common due to higher risk of stenosis or complications.
The surgeon may combine end-to-side and end-to-end techniques or use adjunctive procedures like ductal stenting, depending on the patient's specific pathology.
The Roux-en-Y loop technique is used for pancreatic anastomosis, providing a stable and controlled environment for pancreatic drainage, particularly in cases of pancreatitis or ductal injury.
A temporary or permanent stent may be placed in the pancreatic duct before anastomosis to maintain ductal patency in cases of significant dilation.
Lateral vs Longitudinal Pancreaticojejunostomy
Both lateral pancreaticojejunostomy (LPJ) and longitudinal pancreaticojejunostomy (LPJ) are surgical procedures for treating chronic pancreatitis. Lateral PJ is best for patients with pancreatic duct calculus and has a low rate of complications and mortality. whereas Longitudinal PJ is most appropriate for patients with a dilated main pancreatic duct without an inflammatory mass and has lower morbidity and mortality rates.
Feature | Lateral Pancreaticojejunostomy (LPJ) | Longitudinal Pancreaticojejunostomy (LPJ) |
---|---|---|
Indication | Best for patients with pancreatic duct calculi (stones) | Suitable for patients with a dilated main pancreatic duct without an inflammatory mass |
Surgical Approach | Side-to-side anastomosis between the pancreatic duct and jejunum | Longitudinal incision along the pancreatic duct with jejunal anastomosis |
Primary Benefit | Effective in relieving pain and improving pancreatic drainage | Reduces ductal pressure and improves pancreatic function |
Complications | Lower complication rates, but may not be suitable for all cases | Lower morbidity and mortality rates compared to other pancreatic surgeries |
Mortality Rate | Low mortality rate | Even lower mortality and morbidity rates |
Patient Suitability | Patients with obstructive pancreatic stones and minimal duct dilation | Patients with chronic pancreatitis and pancreatic duct dilation without an inflammatory mass |
While pancreaticojejunostomy is a versatile procedure, there are certain conditions where it may not be suitable:
Pancreaticojejunostomy is typically performed under general anesthesia and involves several steps:
The preparation for pancreaticojejunostomy involves a comprehensive evaluation of the patient's condition, underlying pathology, and optimizing the patient for surgery as mentioned below:
Postoperative care is crucial for a successful recovery and managing any complications following pancreaticojejunostomy.
Pancreaticojejunostomy offers several potential benefits:
As with any major surgery, pancreaticojejunostomy carries a risk of complications, including:
Postoperative recovery after pancreaticojejunostomy can be prolonged, and patients must adjust to pancreatic disease consequences. Symptoms improve, but long-term follow-up care is necessary for long-term recovery.
Pancreaticojejunostomy recovery typically involves a 7–10 days hospital stay, with gradual diet reintroduction and pain management. Most patients can resume light activities within 2–6 weeks, but full recovery often takes 6 weeks to 3 months. Long-term, some may need pancreatic enzyme supplements or insulin. Close follow-up is essential to monitor for complications like infection or delayed gastric emptying.
Pancreaticojejunostomy Surgery Cost in Hyderabad, India varies from ₹2,20,000 to ₹4,55,000 (US$2530 to US$5250). The final procedure cost depends on various factors, including type of surgical technique (open or laparoscopic), severity, required diagnostic procedures, hospital facilities, surgeon expertise, hospital stay & ICU care, medical procedures & medications, post-surgical care & rehabilitation.
Pancreaticojejunostomy is a hepatobiliary (HPB) surgery performed to relieve chronic pancreatitis symptoms, pain and improve pancreatic drainage. PACE Hospitals, a leading HPB surgery hospital in Hyderabad, India, offers affordable and high-quality pancreaticojejunostomy surgery (Lateral Pancreaticojejunostomy for pancreatic duct stones and Longitudinal Pancreaticojejunostomy for a dilated pancreatic duct without an inflammatory mass) with expert gastroenterology and hepato-pancreato-biliary (HPB) surgeons, advanced robotic and laparoscopic facilities.
The success rate of pancreaticojejunostomy is typically 80% to 90%, depending on factors like surgeon skill, patient health, and post-operative care. Proper management reduces the risks of complications like leaks or infections. When done correctly, it restores pancreatic enzyme drainage and improves digestion.
Complications may include leaks, infections, delayed gastric emptying, pancreatic fistulas, or bleeding. Proper surgical technique and post-operative care are crucial in minimizing these risks and ensuring successful recovery.
Recovery time varies, but typically, patients stay in the hospital for about 5–7 days. Full recovery may take several weeks, with gradual reintroduction to normal activities. Follow-up care is essential for monitoring healing and function.
Yes, once the pancreas is connected to the jejunum, the procedure is permanent. It helps in maintaining pancreatic enzyme drainage to aid digestion, especially if part of the pancreas was removed.
Alternatives depend on the underlying condition. Some patients may not require pancreaticojejunostomy if the condition can be managed with other treatments, such as medication, drainage tubes, or different surgical options like pancreaticoduodenectomy.
Most patients can gradually resume normal activities after a few weeks, depending on how well they heal. However, strenuous activity should be avoided for several weeks, and lifting heavy objects should be limited to avoid strain.
This procedure is typically done to restore the flow of pancreatic enzymes into the small intestine after the removal of part of the pancreas or the duodenum, particularly in cases of pancreatic cancer, chronic pancreatitis, or trauma.
Symptoms of complications may include fever, abdominal pain, swelling, jaundice, or difficulty eating. If any of these occur, it is important to contact the surgeon or healthcare expert immediately to avoid further issues.
Success is typically determined by the patient's recovery, absence of complications, and the restoration of normal pancreatic function. Follow-up imaging and tests are used to ensure proper drainage and healing.
Patients may need to follow a low-fat diet initially to reduce pancreatic stress. Digestive enzyme supplements may be prescribed to help with nutrient absorption. Long-term adjustments will depend on individual recovery and digestive function.
Yes, if a significant portion of the pancreas is removed, patients may develop diabetes due to reduced insulin production. Regular blood sugar monitoring and diabetes management may be necessary after surgery.
The surgeon carefully performs the procedure, ensuring that the pancreas and jejunum are securely connected. The goal is to minimize the risk of leaks or complications while restoring pancreatic function for digestion.
Pancreaticojejunostomy involves connecting the pancreas to the jejunum, usually via an anastomosis. It is often done during a Whipple procedure or after a pancreatic resection, requiring precise surgical skills and proper post-op care.
Yes, pancreaticojejunostomy can be performed laparoscopically in some cases, especially in patients who do not have large tumors or extensive disease. Laparoscopic surgery offers benefits like smaller incisions and faster recovery times.
Post-operative care includes managing pain, preventing infections, monitoring for complications (e.g., pancreatic fistula), and ensuring proper nutrition and hydration. Early mobilization and follow-up visits are important for tracking progress and healing.
In the long term, patients may experience improved digestive function, but some may develop complications like digestive enzyme insufficiency or
diabetes. Regular follow-up visits are important to monitor pancreatic function and overall health.
Yes, pancreatic leakage is one of the most common complications after pancreaticojejunostomy. It occurs when digestive juices leak from the pancreas into the abdominal cavity, potentially causing infection or inflammation, but can usually be treated with proper care.
Monitoring pancreatic function typically involves blood tests to assess enzyme levels, imaging studies (like CT scans), and regular follow-up with the surgeon to evaluate for signs of complications or dysfunction.
After the procedure, patients may require enzyme replacement therapy to aid digestion. This is especially important if the pancreas no longer produces enough digestive enzymes. The therapy helps to break down food and improve nutrient absorption.
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Mythri Nagar, Beside South India Shopping Mall, Hafeezpet, Madeenaguda, Hyderabad, Telangana, India.
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