Introduction:

chronic pancreatitis includes a chronic progressive inflammatory syndrome of the pancreas, with irreversible damage and loss of exocrine and endocrine function. Pain is the most frequent symptom. Surgical treatment is superior in comparison to conservative or endoscopic therapies.

Objective:

Learn the results obtained when performing a Puestow procedure for the management of chronic pancreatitis.

Material and methods:

All patients who underwent a Puestow Procedure in the National Institute of Medical Sciences and Nutrition “Salvador Zubirán” between 2000 and 2019, were included.

Results:

45 patients with a lateral pancreaticojejunostomy were found. The mean age was 46 years. There were 24 (53%) men and 21 (47%) women. Alcoholism and/or smoking history was found in 42.2% of the patients. The most frequent indications for surgery were: pain (46.7%) and acute recurrent pancreatitis (37.8%). Eighteen patients (40%) had recurrence of pain with a mean follow-up of 4.4 years.

Conclusions:

At the time, there is no ideal surgical procedure for patients with chronic pancreatitis, the type of intervention to be chosen should reflect a balance between the success of the procedure and the inherent risks.