1. MOHAMMED HAMDY KHATTAB - Lecturer of General Surgery, Department of General and Laparoscopic Surgery, Faculty of Medicine,
Cairo University, Kasr Al-Aini Hospitals, Cairo, Egypt.
2. SAMI MUFEED SAID - Professor, General Surgery and Head of Hepato-Pancreatico-Biliary Surgery Unit, Department of
General and Laparoscopic Surgery, Faculty of Medicine, Cairo University, Kasr Al-Aini Hospitals, Cairo,
Egypt.
3. HANY MAURICE SABRY - Professor of General Surgery, Department of General and Laparoscopic Surgery, Faculty of Medicine,
Cairo University, Kasr Al-Aini Hospitals, Cairo, Egypt.
4. AHMED MAGED ABDELHAMID AMMAR - Hepato-Pancreatico-Biliary Surgery Unit, Department of General and Laparoscopic Surgery, Faculty of
Medicine, Cairo University, Kasr Al-Aini Hospitals, Cairo, Egypt.
5. HAITHAM HASSAN MOHY - Lecturer of General Surgery, Department of General and Laparoscopic Surgery, Faculty of Medicine,
Cairo University, Kasr Al-Aini Hospitals, Cairo, Egypt.
6. AHMED NABIL AHMED ALI - Assistant Professor of General Surgery, Department of General and Laparoscopic Surgery, Faculty of
Medicine, Cairo University, Kasr Al-Aini Hospitals, Cairo, Egypt.
A Puestow procedure is an option for patients suffering from chronic pancreatitis with ductal dilation and severe intractable pain. Objectives: To evaluate the effect of the procedure on pain, endocrine and exocrine function through a period of one year in a high volume tertiary center. Methods: The study
included fourteen patients undergoing Puestow procedure who were followed up for the improvement of pain, blood glucose level and steatorrhea over a period of one year. Results: A dramatic response in pain (intensity/ frequency/consequences) and fasting blood glucose level occurred after one year. While for the postprandial blood glucose level, it showed an improvement that reflects a remarkable control of blood glucose level. Regarding the steatorrhea, the improvement was not statistically significant. There was a rise in percentage of patients with no fat detected in stool; however, some
patients with ‘few’ fat in stool showed an increased fecal fat at the end of the year. Conclusion: The dramatic relief of pain after the Puestow procedure is a life-changing step for patients suffering from a painful experience. The disability that this disease causes could be reversed through a procedure that is less invasive than other pancreatic surgeries, carrying less morbidity and mortality.
Chronic Pancreatitis- Puestow Procedure - Pancreatic Surgery - Pancreas – Steatorrhea.