Digestive Health Institute
by Dr. Muffi
Digestive Health Institute
by Dr. Muffi
Puestow’s Procedure
What Is Puestow’s Procedure?
Puestow’s Procedure, also known as pancreaticojejunostomy, is a highly specialized surgical technique used to manage the severe, persistent pain associated with chronic pancreatitis when the pancreatic duct becomes blocked or severely dilated. The procedure is a form of Pancreatic Drainage Surgery that aims to decompress the duct and relieve pressure.
Why Does Chronic Pancreatitis Occur?
Chronic pancreatitis is a persistent inflammation of the pancreas that leads to irreversible damage.
 Common causes include:
- Chronic alcohol use
- Autoimmune conditions
- Genetic disorders like cystic fibrosis
- Other idiopathic factors
Symptoms may include:
- Sharp, radiating abdominal pain (especially after meals)
- Nausea and vomiting
- Oily or greasy stools (steatorrhea)
Key Features:
Minimal invasive laparoscopic and robotic procedure:
- Smaller incisions
- Faster recovery
- Reduced pain and complications
- Shorter hospital stays
What is the main goal of Puestow’s Procedure?
The primary goal of Puestow’s Procedure is pain relief. By draining the accumulated fluid and pressure from the dilated pancreatic duct into the small intestine, the procedure significantly reduces the persistent, debilitating pain experienced by patients with chronic pancreatitis.
How does Puestow’s Procedure differ from a Whipple Procedure?
Puestow’s Procedure is a drainage procedure that preserves the pancreas, aiming mainly for pain relief. The Whipple Procedure is a resection (removal) procedure, where a part of the pancreas, duodenum, and bile duct is removed, typically used to treat pancreatic cancer or severe inflammation unresponsive to drainage.
Does Pancreaticojejunostomy cure Chronic Pancreatitis?
Pancreaticojejunostomy is considered a management procedure, not a cure. While it effectively relieves pain and improves the patient’s quality of life by addressing duct obstruction, it does not stop the underlying disease progression of chronic pancreatitis.
What is the typical recovery time after Pancreatic Drainage Surgery?
Recovery from a complex surgery like Pancreatic Drainage Surgery varies, but patients are typically hospitalized for 7 to 10 days. A full return to normal energy levels and light activities usually takes about 6 to 8 weeks, as the body heals from this major Chronic Pancreatitis Surgery.
