Pancreaticogastrostomy for pancreatic ascites

Hepatogastroenterology. 2007 Apr-May;54(75):657-60.


Background/aims: Management of pancreatic ascites is challenging. The aim of the present study was to study the role of pancreaticogastrostomy in management of pancreatic ascites.

Methodology: Retrospective analysis of twelve operated cases with pancreatic ascites following failed conservative and endoscopic treatment was done for its outcome in terms of morbidity and a successful outcome. Patient data, imaging information and surgical procedure were noted.

Results: Four of the 12 patients with leak from the dilated main pancreatic duct had longitudinal pancreaticogastrostomy. The gross edematous jejunum and a shortened mesentery due to sub-acute peritonitis necessitated this surgery. None had recurrence of ascites. Steatorrhea was distinctly absent. None had deterioration of endocrine function.

Conclusions: Longitudinal pancreaticogastrostomy is a viable option in patients with pancreatic ascites and dilated main pancreatic duct especially in those with a shortened mesentery and an edematous small bowel.

MeSH terms

  • Adolescent
  • Adult
  • Anastomosis, Surgical
  • Ascites / diagnosis
  • Ascites / surgery*
  • Female
  • Gastrostomy*
  • Humans
  • Male
  • Middle Aged
  • Pancreatic Diseases / diagnosis
  • Pancreatic Diseases / surgery*
  • Pancreatic Ducts / surgery*
  • Retrospective Studies
  • Stomach / surgery