Pancreatico-duodenectomy is not indicated in:: (A) Multiple cyst and calcifications in head of pancreas, (B) Narrow pancreatic duct, (C) Failed drainage procedure for chronic pancreatitis, (D) Possibility of malignancy in head
Answer is B. Ans. (b) Narrow Pancreatic ductRef: Blumgart 6th ed; pg. 932The most frequent indications for Pancreatico-duodenectomy in patients with Chronic Pancreatitis:* Head of Pancreas is enlarged with cysts and calcification.* Previous endoscopic procedure or drainage procedure was ineffective.* Possibility of Malignancy in head.V shaped Excision procedure (Izbicki procedure) is done for Small Duct disease <3mm diameter Duct