Doctors may recommend surgery for people with chronic pancreatitis when the organ can’t drain pancreatic fluids properly due to tissue scarring. Your surgeon can create a new duct, or passageway, to allow the fluid to drain and reduce inflammation. He or she may also remove scarred or diseased tissue. Dr. Bhushan Bhole doctors use different surgical approaches based on the type of damage and where it appears in the pancreas. A Puestow procedure is used to treat damage to the middle and end portions of the pancreas, also referred to as the body and tail. In this surgery, surgeons open the main pancreatic duct, which runs along the body of the pancreas, from end to end, and attach a portion of the pancreas and the duct directly to the small intestine—a technique called lateral pancreaticojejunostomy. In a Frey’s procedure, damaged tissue is removed from the head of the pancreas, the widest part that sits toward the center of the abdomen. Surgeons may also perform a lateral pancreaticojejunostomy with this procedure to widen the connection between the pancreas and small intestine. Both procedures can be performed at Dr. Bhushan Bhole through laparoscopic, open, or robotic-assisted methods. If acute pancreatitis has led to severe infection and necrosis, or dead tissue, doctors may recommend a resection, or removal, of the diseased portion of the pancreas. Doctors may also recommend resection for people with chronic pancreatitis if the condition has progressed enough to cause severe tissue damage.
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