A longitudinal pancreaticojejunostomy (LPJ or Puestow procedure) is a surgical procedure to create an artificial passage connecting the pancreas to the second part of the small bowel (jejunum). The procedure is generally performed in refractory cases of chronic pancreatitis, which is the inflammation of the pancreas that does not heal or improve. Read more: What Is a Longitudinal Pancreaticojejunostomy? Article
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Pancreatitis Quiz: Test Your Medical IQ
What does the pancreas do, and what happens in the body that causes pancreatitis? Test your medical IQ of pancreatitis with this...
Picture of Pancreas
Front View of the Pancreas. The pancreas is about 6 inches long and sits across the back of the abdomen, behind the stomach. See...
Picture of Pancreas
A fish-shaped spongy grayish-pink organ about 6 inches (15 cm) long that stretches across the back of the abdomen, behind the...
Related Disease Conditions
Acute and Chronic Pancreatitis
Pancreatitis is a rare disease in which the pancreas becomes inflamed. There are two types of pancreatitis: acute and chronic. Symptoms of pancreatitis include abdominal pain, fever, nausea, vomiting, and a rapid pulse. Treatment of pancreatitis often requires hospitalization.
Pancreas divisum is a common congenital anomaly (an anomaly that is present at birth) of the pancreatic duct(s). The human embryo starts life with two ducts in the pancreas; the ventral duct and the dorsal duct. In more than 90% of the embryos, the dorsal and the ventral ducts will fuse to form one main pancreatic duct. In approximately 10% of embryos, the dorsal and the ventral ducts fail to fuse. Failure of the ventral and the dorsal pancreatic ducts to fuse is called pancreas divisum (because the pancreas is drained by two ducts). In pancreas divisum, the ventral duct drains into the major papilla, while the dorsal duct drains into a separate minor papilla. The majority of individuals born with pancreas divisum experience no symptoms throughout life, will remain undiagnosed and will not require treatment. A small number of patients with pancreas divisum will experience repeated episodes of pancreatitis.
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