Digestive Health Institute

Puestow’s Procedure

Introduction | Treatment | Recovery

What Is Puestow’s Procedure?

Puestow’s procedure, also known as pancreaticojejunostomy, is a surgical treatment used to relieve pain and symptoms in patients with chronic pancreatitis. It involves draining the pancreatic duct by connecting it to the jejunum (a part of the small intestine), bypassing blockages caused by stones or thickened secretions.

Why Does Chronic Pancreatitis Occur?

Chronic pancreatitis is a persistent inflammation of the pancreas that leads to irreversible damage.

 Common causes include:

Symptoms may include:

Key Features:

Minimal invasive laparoscopic and robotic procedure:

  • Relief of chronic abdominal pain
  • Improved digestion in some patients
  • Reduced need for pain medications
  • Fewer complications like pseudocysts or duct blockages

Yes. After surgery, a clinical nutritionist will guide you through medical nutrition therapy, especially during your recovery phase. Key dietary changes may include:

  • Eating small, frequent meals
  • Avoiding alcohol and greasy or fried foods
  • Following a low-fat, high-protein diet, if recommended
  • Taking pancreatic enzyme supplements if your digestion is affected

     

These changes help promote healing and manage any digestive issues after surgery.

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