Enteric ductal drainage for chronic pancreatitis

Michael G. Sarr, William H. Nealon

Research output: Chapter in Book/Report/Conference proceedingChapter


The concept of draining an apparently obstructed main pancreatic duct was first addressed by opening either the proximal end of the pancreatic duct at the ampulla by doing a sphincterotomy or at the distal end of the pancreatic duct by removing the tail (Duval procedure). Puestow is credited with the concept of a longitudinal incision along the main pancreatic duct through the body and the head of the pancreas. This procedure was first described as a modification of a Duval procedure and therefore included resection of the pancreatic tail. Partington and Rochelle determined that a tail resection was unnecessary and carried out only a side-to-side lateral pancreaticojejunostomy. The principle of the procedure is to decompress an apparently obstructed main pancreatic duct (and maybe to also decompress the pancreatic parenchyma - the pancreatic compartment syndrome suggested by Reber). This assumption is based on the fact that the pancreatic duct is markedly dilated, suggesting a restriction to flow.

Original languageEnglish (US)
Title of host publicationAtlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery
PublisherSpringer Berlin Heidelberg
Number of pages10
ISBN (Print)9783540200048
StatePublished - 2007

ASJC Scopus subject areas

  • Medicine(all)


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