Post-Operative Outcome in Patients Who Have Undergone Lateral Pancreaticojejunostomy for Chronic Pancreatitis

Abstract

AIM- To assess the benefit of Lateral Pancreaticojejunostomy (LPJ) in patients with chronic pancreatitis. MATERIALS AND METHODS-45 patients of chronic pancreatitis at Civil hospital of Ahmedabad, with Major pancreatic duct of 6 mm or more and not responding to analgesics, were treated by Lateral Pancreaticojejunostomy. Follow up of the operated patients was done over three years either in person or by telephonic interview. Data was analysed using chi-square test. RESULTS- Immediate Post-op morbidity rate was 13.3%; mortality rate was 7.14%. 1 patient died later secondary to chronic pancreatitis. Rehospitalization for recurrent attacks of pancreatitis and pain was necessary in 16.7% of patients. 7% patients required revision surgery for chronic pancreatitis. Overall Health status was characterized as good in 16, fair in 20 and poor in 6 patients. Insulin/oral hypoglycemics use continued in 11.9% patients; however the daily dose was decreased following surgery. One patient was diagnosed as having Diabetes Mellitus 3 months after surgery. Pancreatic enzyme supplementation was required in 31%. CONCLUSION- Adequate major pancreatic duct decompression is the key to successful surgery. Morbidity and mortality rate was comparable to other studies. Pain relief is near complete in the first year. However the pain recurs as the years pass due to progression of the disease. Overall health status post-surgery improved.