2008 Volume 28 Issue 6 Pages 847-850
A 51-year-old male with chronic alcoholic pancreatitis had been admitted several times due to acute exacerbations for several months. At the end of 2003, a pancreatic stent was placed for stenosis of the main pancreatic duct in the head of the pancreas, with stent exchange being performed every 2-4 months. In 2005 an endoscopic examination was carried out for the stent exchange and migration of the stent was found. At first we tried to remove the stent endoscopically but failed, so the pancreatic stent was removed operatively and a pancreatojejunal anastomosis was performed. The postoperative course has been uneventful for 2 years. Endoscopic pancreatic stenting is minimally invasive and effective for stenosis of the main pancreatic duct, but some complications may occur including the necessity of stent exchange within a short period. Pancreatojejunal anastomosis seems to be effective in some cases of chronic pancreatitis associated with pancreatic duct stenosis.