Pancreatojejunostomy Treatment in India
About Pancreatojejunostomy
Key Highlights
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Provides effective and long-lasting relief from chronic, severe abdominal pain associated with pancreatitis.Helps preserve remaining pancreatic function by facilitating proper drainage of enzymes.Can prevent recurrent attacks of pancreatitis and the development of further complications like pseudocysts.Often performed using minimally invasive (laparoscopic) techniques, leading to smaller scars and potentially faster recovery.Addresses the root cause of pain related to ductal obstruction or dilation, offering a more definitive solution than pain management alone.
Who is this surgery for?
- Chronic pancreatitis with a dilated pancreatic duct (>7mm) causing intractable pain.
- Pancreatic duct obstruction or stricture not amenable to endoscopic treatment.
- Recurrent episodes of acute pancreatitis on a background of chronic disease.
- Complications of chronic pancreatitis, such as a persistent pancreatic pseudocyst communicating with the duct.
- Pancreatic divisum causing recurrent pancreatitis when other therapies fail.
- Pre-operative preparation for a planned pancreatic resection in certain cases.
How to prepare
- Comprehensive evaluation including blood tests, imaging (CT scan, MRI/MRCP), and sometimes endoscopic ultrasound (EUS).
- Consultation with the surgical gastroenterologist, anesthesiologist, and possibly a pain management specialist.
- Discontinuation of certain medications like blood thinners (aspirin, warfarin) as advised, usually 5-7 days prior.
- Fasting for 8-12 hours before the surgery, with clear instructions on drinking water.
- Pre-operative counseling on the procedure, risks, benefits, and expected recovery pathway.
- Arranging for support at home and planning for the required hospital stay and recovery period.
Risks & possible complications
- Bleeding during or after the surgery.
- Infection at the surgical site or intra-abdominal infection.
- Leakage from the pancreatojejunal anastomosis, which is a serious but manageable complication.
- Formation of a pancreatic fistula.
- Injury to nearby structures like blood vessels, the bile duct, or the intestine.
- Delayed gastric emptying (temporary slowing of stomach function).
- Risk of developing new-onset or worsening diabetes if significant pancreatic tissue is affected.
- General risks of major surgery and anesthesia, including blood clots and pneumonia.
Recovery & hospital stay
- Initial hospital stay focuses on pain control, monitoring for complications, and gradual advancement of diet from liquids to solids.
- Drains may be placed near the surgical site to remove any fluid and are typically removed before discharge.
- Patients are encouraged to walk soon after surgery to promote circulation and healing.
- Post-discharge, a period of rest at home is essential, with gradual increase in light activities.
- Follow a specific dietary plan, often low in fat initially, as advised by the doctor or dietitian.
- Attend all scheduled follow-up appointments to monitor healing, pancreatic function, and pain relief.
- Avoid heavy lifting and strenuous exercise for the period specified by the surgeon, typically 6-8 weeks.
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Typical hospital stay:
7-14 days
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Expected recovery time:
6-8 weeks for initial recovery; 3-6 months for full recovery and return to normal activities
Frequently Asked Questions
If you are considering pancreatojejunostomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for pancreatojejunostomy in India include Miot Hospital Chennai, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform pancreatojejunostomy. MediFyr helps you compare surgical gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for pancreatojejunostomy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 250 Thousand – 600 Thousand | 7-14 days | ~ 6-8 weeks for initial recovery; 3-6 months for full recovery and return to normal activities | Know More |
| Turkey | TRY 875 Thousand – 2.1 Million | 7-14 days | ~ 6-8 weeks for initial recovery; 3-6 months for full recovery and return to normal activities | Know More |
Top hospitals for Pancreatojejunostomy in India
These partner hospitals in India have dedicated surgical gastroenterology teams and experience managing patients undergoing pancreatojejunostomy.
Chennai, India
250 DoctorsVivaan Verma, a 48-year-old software engineer...
Vivaan Verma, a 48-year-old software engineer and father of two, had been battling recurrent episodes of severe upper abdominal pain for over a year. The pain, often radiating to his back, was accompanied by nausea and was triggered by meals. He had lost a significant amount of weight and was constantly fatigued. After multiple ER visits and scans, he was diagnosed with chronic pancreatitis, likely due to a combination of genetic predisposition and past lifestyle factors. His surgical gastroenterologist, Dr. Sharma, explained that Vivaan's pancreatic duct was severely dilated and blocked, causing digestive enzymes to damage the organ itself. Dr. Sharma recommended a pancreatojejunostomy (a Puestow procedure) to drain the pancreatic duct and relieve the pressure and pain. The surgery was complex and took several hours. Post-operatively, Vivaan experienced significant pain managed with an epidural and later oral medication. His recovery in the hospital was slow but steady over 10 days, focusing on pain control and gradually advancing his diet from liquids to soft foods. Six months later, Vivaan's debilitating pain episodes have ceased. He has regained 15 pounds, can enjoy meals with his family again, and has returned to work part-time. Emotionally, he journeyed from frustration and despair over his declining health and inability to be present for his family, to immense relief and cautious optimism. He now feels he has his life back and is profoundly grateful for the surgical intervention.
Surgical Gastroenterologists for Pancreatojejunostomy
Explore experienced surgical gastroenterologists who regularly perform pancreatojejunostomy and provide pre- and post-operative care in India.
- 35 Years Experience
- Surgical Gastroenterologist
Miot Hospital Chennai, Chennai
- 10 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Sarjapur Road, Bangalore
- 33 Years Experience
- Surgical Gastroenterologist
- 19 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Whitefield, Bangalore
- 17 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Old Airport Road, Bangalore
- 25 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Vijayawada, vijayawada
- 11 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Vijayawada, vijayawada
- 16 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Malleshwaram, Bangalore
- 13 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Malleshwaram, Bangalore
- 13 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Jayanagar, Bangalore
- 12 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Jayanagar, Bangalore
- 30 Years Experience
- Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 25 Years Experience
- Surgical Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 29 Years Experience
- Surgical Gastroenterologist
SIMS Hospital Vadapalani, Chennai
- 18 Years Experience
- Surgical Gastroenterologist
Manipal Hospital Hebbal, Bangalore
- 22 Years Experience
- Surgical Gastroenterologist
Kamineni Hospital, Tadigadapa, vijayawada
- 4 Years Experience
- Surgical Gastroenterologist
Kamineni Hospital, King Koti, Hyderabad
- 14 Years Experience
- Surgical Gastroenterologist