Pancreatico-duodenectomy is not indicated in:
Correct Answer: Narrow pancreatic duct
Description: Ans. (b) Narrow Pancreatic ductRef: Blumgart 6th ed; pg. 932The most frequent indications for Pancreatico-duodenectomy in patients with Chronic Pancreatitis:* Head of Pancreas is enlarged with cysts and calcification.* Previous endoscopic procedure or drainage procedure was ineffective.* Possibility of Malignancy in head.V shaped Excision procedure (Izbicki procedure) is done for Small Duct disease <3mm diameter Duct
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Surgery
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