In patient with chronic pancreatitis limited to tail and body with MPD diameter 4mm, ideal treatment would be: (A) Stenting, (B) Puestow's operation, (C) Frey's operation, (D) Distal pancreatectomy
Answer is D. Surgical procedures in chronic pancreatitis Ideal procedure : DPPHR (Beger's) In presence of poal vein thrombosis : Frey's Small duct disease : V-shaped excision Disease recurrence in body and tail (after DPPHR, Whipple's or Longmire-Transverso procedure) : V-shaped drainage Disease limited to tail : Spleen - preserving distal pancreatectomy Ref: Sabiston 20th edition Pgno :1534