Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Dec 27, 2021; 13(12): 1673-1684
Published online Dec 27, 2021. doi: 10.4240/wjgs.v13.i12.1673
‘Short’ pancreaticojejunostomy might be a valid option for treatment of chronic pancreatitis in many cases
Marko Murruste, Ülle Kirsimägi, Karri Kase, Tatjana Veršinina, Peep Talving, Urmas Lepner
Marko Murruste, Ülle Kirsimägi, Karri Kase, Tatjana Veršinina, Urmas Lepner, Department of Surgery, Tartu University Hospital, Tartu 50406, Estonia
Marko Murruste, Karri Kase, Tatjana Veršinina, Peep Talving, Urmas Lepner, Faculty of Medicine, University of Tartu, Tartu 50411, Estonia
Peep Talving, Division of Acute Care Surgery, Department of Surgery, North-Estonia Medical Centre, Tallinn 13419, Estonia
Author contributions: Murruste M, Kirsimägi Ü, Kase K, Veršinina T, Talving P and Lepner U designed the study; Murruste M, Kirsimägi Ü, Kase K and Veršinina T performed the study; Murruste M and Kirsimägi Ü produced statistics and wrote the paper.
Institutional review board statement: The Research Ethics Committee of the University of Tartu approved this study (approval No. N 291/T-1).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Marko Murruste, MD, Doctor, Surgeon, Department of Surgery, Tartu University Hospital, 8 Puusepa str, Tartu 50406, Estonia. marko.murruste@kliinikum.ee
Received: May 28, 2021
Peer-review started: May 28, 2021
First decision: June 26, 2021
Revised: July 7, 2021
Accepted: November 3, 2021
Article in press: November 3, 2021
Published online: December 27, 2021
Core Tip

Core Tip: Pancreaticojejunostomy (PJ) is an essential management option in patients with chronic pancreatitis associated with intractable pain and a dilated pancreatic duct (PD). Our retrospective study demonstrated that in the setting of a uniformly dilated PD, short PJ provides adequate decompression of the PD. As the clinical outcomes following short PJ are not inferior to those of long PJ, short PJ should be preferred as a surgical option in the case of a uniformly dilated PD. The use of short PJ is beneficial to patients due to shorter operating time, lower need for blood transfusion and lower rate of surgical complications.