Sections View Full Chapter Figures Tables Videos Full Chapter Figures Tables Videos Supplementary Content +++ Longitudinal Pancreaticojejunostomy ++ Severe persistent pain from chronic pancreatitis. Refractory to medical therapy.Repeated hospital admissions.Dilated pancreatic duct > 8 mm in diameter. +++ Pancreatic Pseudocyst-Gastrostomy and Pseudocyst-Jejunostomy ++ Persistent pancreatic pseudocyst present for > 6 weeks (ie, at which time the wall should be mature enough to hold sutures). +++ Longitudinal Pancreaticojejunostomy +++ Absolute ++ Absence of pain.Pancreatic cancer.Cirrhosis. +++ Relative ++ Cardiopulmonary comorbidities. +++ Pancreatic Pseudocyst-Gastrostomy and Pseudocyst-Jejunostomy +++ Absolute ++ Cystadenocarcinoma is a contraindication to enteric drainage and should be resected.Pseudocyst that has been present for < 6 weeks. +++ Relative ++ Cardiopulmonary comorbidities. ++ The patient should be supine.The abdomen is entered through a midline incision. ++ Nothing by mouth with nasogastric tube decompression.Oral diet is advanced following removal of the nasogastric tube and resolution of the postoperative ileus. ++ Pancreatic leak.Surgical site infections.Bleeding from within the pseudocyst cavity. Can occur intraoperatively or postoperatively and be very difficult to control.Angiographic techniques (eg, embolization) can sometimes be effective in controlling hemorrhage from the pseudocyst cavity. Your MyAccess profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth