Decompression surgery for pain

Posted by cj on August 19, 2007 at 13:34:06:
In Reply to: decompression surgery for pain posted by Lori on August 19, 2007 at 12:47:55:


Treatment
Patients with disabling abdominal pain, evidence of chronic pancreatitis, and pancreatic ductal dilatation are best managed by pseudocyst decompression or ductal decompression (Puestow panceraticojejunostomy procedure), while patients without ductal dilatation are best treated with resection. Biliary-enteric decompression may also be required in patients with chronic pancreatitis and bile duct obstruction. Although preservation of pancreatic tissue is desired to maintain both exocrine and endocrine function, partial pancreatic resection (such as distal pancreatectomy ,pancreaticoduodenectomy, or duodenal preserving pancreatic head resection/decompression [i.e. Beger or Frey procedures]) is at times the preferred treatment. While alternative procedures such as endoscopic sphincterotomy, short-term stent placement in the major pancreatic duct or pancreatic pseudocyst, may provide short-term relief of symptoms; long-term results are as yet unknown.

http://www.ssat.com/cgi-bin/chrpanc6.cgi

AS far as barring you from further surgery (ie.TP/ICT) you could still have it done but with less islet cells to harvest. ALL Surgeries to pancreas reduce outcome of TP/ICT surgery. ALSO it is been told to us that the surgery for a Whipple/puestow is more rigorous on the body than just having the tp done. I would guess that being that the pancreas is so sensitive (just ercps can cause horrific attacks) that cutting on it would totally TICK the pancreas to the Nth degree on top of trying to heal from the surgery itself