Partington-Rochelle Pancreaticojejunostomy for Chronic Pancreatitis Combined with Cholangioenterostomy Treatment of Chronic Pancreatitis and Biliary Strictures: Case Report and Review of the Literature

Abstract

Chronic pancreatitis (CP) is a kind of pancreatic disease with irreversible morphological changes, can lead to impaired endocrine and exocrine function of the inflammatory process. CP simultaneously accompanied with bile duct stricture (BDS) is a rare condition. At present, the treatment of CP tend to be individualized by the surgeons.Here, we reported the case of a plastic stent inserted two times into the main pancreatic duct and common bile duct. During the last 5 years, the patient hospitalized several times due to recurrent abdominal pain, till Partington-Rochelle pancreatojejunostomy(PRP) procedure combined with cholangioenterostomy was treated without complications. After 4 years of follow-up, the patient showed abnormal glucose metabolism without the need for additional enzymes, and he was in good condition without pain. Partington-Rochelle procedure combined with cholangioenterostomy provided a promising result of pancreatitis with BDS endoscopic papillary and stent failure