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Title: Surgical management of 10 years delayed recurrent acute pancreatitis post Whipple procedure for chronic pancreatitis: A case report
Authors: Abdel Backi, Saleem
Tabbikha, Omar
El Bitar, Jad
Ghattas, Souad
Wakim, Raja
Affiliations: Faculty of Medicine 
Keywords: Case report
Chronic pancreatitis
Pancreatico-jejunostomy stricture
Pancreato-jejunostomy revision
Recurrent acute pancreatitis post pancreatic resections
Issue Date: 2021
Part of: International Journal of Surgery Case Reports
Volume: 83
In patients who underwent pancreatoduodenectomy for management of Chronic pancreatitis, early and late anastomotic failure can occur [1]. Nevertheless, taking into consideration that most pancreatic head resections are performed for malignant disease with poor prognosis, long term pancreatico-jejunal anastomotic durability has not been well examined; similarly, the management of its stenosis has not been well assessed [1].

Here we present a case of a 69 years old male patient with history of chronic alcoholic pancreatitis and ampullary fibrosis managed by pancreatico-duodenectomy presenting for 10 years delayed onset of recurrent acute pancreatitis with signs of pancreatico-jejunal anastomotic stenosis, managed surgically with revision of pancreatico-jejunal anastomosis.

Our case report might hold strongly for bringing up a purposeful approach, and be an insight to take into consideration in approaching pancreatic anastomosis, especially when pancreatic resections are utilized for treating benign pathologies.
ISSN: 2210-2612
DOI: 10.1016/j.ijscr.2021.106001
Open URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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