PARTINGTON-ROCHELLE SURGERY: A CASE REPORT

• DOI: 10.22533/at.ed.1592682214117

• Palavras-chave: Pancreatitis; Chronic disease; Pancreas, surgery; Abdomen, Surgery; pancreatojejunostomy

• Keywords: Pancreatitis; Chronic disease; Pancreas, surgery; Abdomen, Surgery; pancreatojejunostomy

• Abstract:

  Chronic pancreatitis is a progressive inflammatory disorder characterized by the irreversible destruction of the pancreatic parenchyma, which may be associated with disabling chronic pain and permanent loss of endocrine and exocrine function. The management of suspected patients remains a challenge nowadays due to the limited understanding of the pathophysiological process of the disease, the unpredictability of the clinical course in a given individual and the controversies between diagnostic criteria and therapeutic options. The surgical treatment of chronic pancreatitis has undergone a drastic transformation over the last few decades, contributed by the finding that the head of the pancreas was the focus of chronic inflammation and the prospective trials that have repeatedly demonstrated the superiority of treatment over conservative approaches. in the treatment of chronic pancreatitis. Despite the wide availability of medical, endoscopic and surgical procedures, pain management in chronic pancreatitis remains a medical challenge, mainly due to the lack of evidence-based treatment protocols.