Surgeries for Pancreatitis SOD: Puestow Procedure (Lateral Pancreaticojejunostomy)

During a Puestow procedure, also known as a lateral pancreatico-jejunostomy, the abdomen is opened with an incision from the lower breastbone to the umbilicus. The pancreas is exposed and the main pancreatic duct is opened from the head to the tail of the pancreas. The opened pancreatic duct is then connected to a loop of small intestine so that the pancreas drains directly into the intestines. This procedure has been done with much success in treating pain associated with chronic pancreatitis for over 50 years. With a success rate of 70 - 90 percent, this procedure has a low operative complication rate and a very low mortality rate. Dr. Adams' experience with this operation has been published and reported at national meetings in the past.