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resection&#44; resection with extended drainage&#44; pancreatic denervation alone&#44; or islet autotransplantation&#46; The choice of the procedure depends on the morphologic changes of the pancreas &#40;dilation of the MPD&#44; stricture&#44; lithiasis&#41;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Studies conclude that surgical treatment is more efficacious and longer lasting than endoscopic treatment<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7&#8211;9</span></a>&#46; At present&#44; the ideal time for surgical intervention is not known&#46; Nealon et al&#46; suggest that early surgical decompression of the MPD delays the progressive destruction of the pancreas<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a>&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The modified Puestow procedure consists of a side-to-side longitudinal pancreaticojejunostomy of at least 10&#160;cm&#44; with no resection of the pancreatic tail or the pancreas&#46; It is indicated in patients with MPD dilation &#62; 7&#160;mm&#44; a &#8220;chain of lakes&#8221;&#44; and no inflammatory mass in the pancreatic head&#46; Pain relief resulting from that surgery has been shown to be around 60&#8211;70&#37;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a>&#46;</p><span id="sec1040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect1100">Case 1</span><p id="par0045" class="elsevierStylePara elsevierViewall">A 47-year-old man had a past medical history of chronic alcoholism and type 2 diabetes mellitus&#44; both of 10-year progression&#46; He presented with a high risk for choledocholithiasis&#46; Endoscopic retrograde cholangiopancreatography &#40;ERCP&#41; was performed&#44; revealing common bile duct stricture&#44; and an endostent was placed&#46; Later&#44; the patient presented with pain&#44; and an endoscopic ultrasound &#40;EUS&#41; study was carried out that identified a dilated MPD &#40;10&#160;mm&#41;&#44; with multiple intraductal stones&#44; calcifications in the pancreatic parenchyma&#44; atrophy of the pancreatic head and tail&#44; and dilation of the intrahepatic and extrahepatic bile ducts&#46; Laparoendoscopic modified Puestow procedure plus cholecystectomy was performed&#46; Oral diet was started the same day and the patient was released from the hospital 48&#160;h after the procedure&#44; with no complications&#46;</p></span><span id="sec1140" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect1110">Case 2</span><p id="par0050" class="elsevierStylePara elsevierViewall">A 22-year-old man had a past medical history of numerous hospital admissions due to severe acute pancreatitis of biliary origin&#44; from 2017 to the present date &#40;eight hospital admissions&#41;&#46; EUS identified signs of CP&#44; MPD dilation&#44; and intraparenchymal calcifications in the head&#44; body&#44; and tail of the pancreas and inside the MPD &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A1&#8211;A3&#41;&#46; Contrast-enhanced abdominal computed tomography scan revealed CP with multiple calcifications &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B1&#8211;B2&#41;&#46; The laparoendoscopic modified Puestow procedure with pancreatic biopsy was performed on September 2&#44; 2021&#44; confirming CP&#44; with extensive fibrosis&#44; associated with chronic inflammation &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46; Oral diet was started the same day&#44; in the afternoon&#44; and the patient was released from the hospital 48&#160;h after the procedure&#44; with no complications&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">For the approach&#44; a 12&#160;mm supraumbilical camera port was placed&#59; two 12&#160;mm trocars were placed in the left and right midline of the clavicle&#59; and two 5&#160;mm trocars were placed in the anterior axillary line of both flanks &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#41;&#46; The gastrocolic ligament was cut with a Harmonic Ace&#174; scalpel &#40;Ethicon Endo-Surgery Inc&#46;&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>B&#41;&#44; the omentum was accessed by cutting the short vessels&#44; and the posterior gastric surface was fixed to the parietal peritoneum with a polypropylene GEA extracorporeal knot&#44; to enable exposure &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>C&#41;&#46; The atrophic and hardened pancreas was observed &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>D&#41; and the main pancreatic duct was punctured&#44; releasing pancreatic fluid &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>E&#41;&#46; A 7&#160;cm long pancreatotomy was made from the neck to the tail and the pancreatic duct was deroofed with a monopolar hook &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>F&#41;&#46; Pancreatoscopy &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>G&#41; revealed intraductal stones &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>H&#41; that were then removed&#46; Irrigation with physiologic solution was carried out through a 5 Fr catheter &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>I&#41;&#46; Repeat pancreatoscopy corroborated the absence of ductal stones&#46; A Roux-en-Y 60&#160;cm biliary loop and 50&#160;cm feeding loop were made utilizing an Endo-GIA&#8482; stapler &#40;Covidien&#44; Minnesota&#44; USA&#41; &#40;60&#160;mm staples&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>J&#41;&#46; The jejunal isoperistaltic loop was lifted in front of the colon &#40;antecolic&#41; and a manual side-to-side pancreaticojejunostomy was performed&#46; Continuous two-layer suturing was carried out with 2-0 polypropylene and reinforced with 2-0 barbed suture at the posterior surface &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>K&#41; and with continuous 2-0 barbed suture at the anterior surface &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>L&#41;&#46; Jackson Pratt drains were then placed at the posterior and anterior surfaces of the stomach&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical considerations</span><p id="par0060" class="elsevierStylePara elsevierViewall">A written statement of informed consent was obtained from the patients and responsible relatives&#44; with two witnesses&#44; before the surgical procedure was performed&#46; Given that the present article is a case report and not a research study&#44; authorization from the ethics committee of the <span class="elsevierStyleItalic">Hospital General Dr&#46; Manuel Gea Gonz&#225;lez</span> was not requested&#46; The authors declare that this article contains no personal information of any type that could identify the patients&#46;</p></span></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as&#58; Brito-Carmona RD&#44; Cuendis-Vel&#225;zquez A&#44; Carri&#243;n-Astudillo CM&#44; Bozada-Guti&#233;rrez KE&#44; Garc&#237;a-Manzano RA&#46; Procedimiento de Puestow modificado laparoendosc&#243;pico&#46; Reporte de dos casos&#46; Rev Gastroenterol M&#233;x&#46; 2022&#59;87&#58;501&#8211;503&#46;</p>"
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      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
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            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiology of chronic pancreatitis&#58; burden of the disease and consequences"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "P&#46; Levy"
                            1 => "E&#46; Dom&#237;nguez-Mu&#241;oz"
                            2 => "C&#46; Imrie"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/2050640614548208"
                      "Revista" => array:6 [
                        "tituloSerie" => "United European Gastroenterol J"
                        "fecha" => "2014"
                        "volumen" => "2"
                        "paginaInicial" => "345"
                        "paginaFinal" => "354"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25360312"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pancreatitis&#58; TIGAR-O Version 2 risk&#47;etiology checklist with topic reviews&#44; updates&#44; and use primers"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;C&#46; Whitcomb"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.14309/ctg.0000000000000027"
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Transl Gastroenterol"
                        "fecha" => "2019"
                        "volumen" => "10"
                        "paginaInicial" => "e00027"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31166201"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "English language version of the S3-consensus guidelines on chronic pancreatitis&#58; Definition&#44; aetiology&#44; diagnostic examinations&#44; medical&#44; endoscopic and surgical management of chronic pancreatitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "A&#46; Hoffmeister"
                            1 => "J&#46; Mayerle"
                            2 => "C&#46; Beglinger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-0041-107379"
                      "Revista" => array:6 [
                        "tituloSerie" => "Z Gastroenterol"
                        "fecha" => "2015"
                        "volumen" => "53"
                        "paginaInicial" => "1447"
                        "paginaFinal" => "1495"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26666283"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical presentation and outcome of endoscopic therapy in patients with symptomatic chronic pancreatitis associated with pancreas divisum"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "D&#46;K&#46; Bhasin"
                            1 => "S&#46;S&#46; Rana"
                            2 => "R&#46;S&#46; Sidhu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.6092/1590-8577/1218"
                      "Revista" => array:6 [
                        "tituloSerie" => "JOP"
                        "fecha" => "2013"
                        "volumen" => "14"
                        "paginaInicial" => "50"
                        "paginaFinal" => "56"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23306335"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic treatment of chronic pancreatitis&#58; European Society of Gastrointestinal Endoscopy &#40;ESGE&#41; guideline - updated august 2018"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;-M&#46; Dumonceau"
                            1 => "M&#46; Delhaye"
                            2 => "A&#46; Tringali"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/a-0822-0832"
                      "Revista" => array:6 [
                        "tituloSerie" => "Endoscopy"
                        "fecha" => "2019"
                        "volumen" => "51"
                        "paginaInicial" => "179"
                        "paginaFinal" => "193"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30654394"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Duodenum-preserving resection of the head of the pancreas in chronic pancreatitis with inflammatory mass in the head"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46;G&#46; Beger"
                            1 => "M&#46; B&#252;chler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/BF01670550"
                      "Revista" => array:7 [
                        "tituloSerie" => "World J Surg"
                        "fecha" => "1990"
                        "volumen" => "14"
                        "paginaInicial" => "83"
                        "paginaFinal" => "87"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2305590"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1933287416302343"
                          "estado" => "S300"
                          "issn" => "19332874"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of early surgery vs endoscopy-first approach on pain in patients with chronic pancreatitis&#58; The ESCAPE randomized clinical trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "Y&#46; Issa"
                            1 => "M&#46;A&#46; Kempeneers"
                            2 => "M&#46;J&#46; Bruno"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.2019.20967"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2020"
                        "volumen" => "323"
                        "paginaInicial" => "237"
                        "paginaFinal" => "247"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31961419"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Progressive loss of pancreatic function in chronic pancreatitis is delayed by main pancreatic duct decompression&#46; A longitudinal prospective analysis of the modified puestow procedure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "W&#46;H&#46; Nealon"
                            1 => "J&#46;C&#46; Thompson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/00000658-199305010-00005"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Surg"
                        "fecha" => "1993"
                        "volumen" => "217"
                        "paginaInicial" => "458"
                        "paginaFinal" => "466"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8489308"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "D&#46;L&#46; Cahen"
                            1 => "D&#46;J&#46; Gouma"
                            2 => "Y&#46; Nio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMoa060610"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2007"
                        "volumen" => "356"
                        "paginaInicial" => "676"
                        "paginaFinal" => "684"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17301298"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Current Surgical Treatment Options in Chronic Pancreatitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;G&#46; D&#8216;Haese"
                            1 => "D&#46;L&#46; Cahen"
                            2 => "J&#46; Werner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3998/panc.2016.26"
                      "Libro" => array:2 [
                        "titulo" => "Pancreapedia&#58; Exocrine Pancreas Knowledge Base"
                        "fecha" => "2016"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
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Scientific letter
Laparoendoscopic modified Puestow procedure. A report on two cases
Procedimiento de Puestow modificado laparoendoscópico. Reporte de dos casos
R.D. Brito-Carmona
Corresponding author
ronniedamian@hotmail.com

Corresponding author at: Calz. de Tlalpan 4800, Belisario Domínguez Secc 16, Tlalpan, 14080, Mexico City, Mexico. Tel.: 5543152027.
, A. Cuendis-Velázquez, C.M. Carrión-Astudillo, K.E. Bozada-Gutiérrez, R.A. García-Manzano
Departamento de Cirugía General y endoscópica, Hospital General “Dr. Manuel Gea González”, SSA, Mexico City, Mexico
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calcification&#44; pseudocysts&#44; and irregularities in the main pancreatic duct &#40;MPD&#41; and its branches&#46; Complications of CP are stricture of the MPD and&#47;or bile ducts&#44; pseudocysts&#44; pancreatolithiasis&#44; duodenal stricture&#44; malnutrition&#44; vascular complications&#44; and recurrent pain<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Stones in the MPD cause an increase in the pressure of the parenchyma&#44; as well as ischemia and chronic abdominal pain<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a>&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">Endoscopic management focuses on resolving MPD obstruction through dilation or stent placement&#44; in the case of MPD stricture&#44; or through the removal of stones<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a>&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Surgical options include drainage&#44; resection&#44; resection with extended drainage&#44; pancreatic denervation alone&#44; or islet autotransplantation&#46; The choice of the procedure depends on the morphologic changes of the pancreas &#40;dilation of the MPD&#44; stricture&#44; lithiasis&#41;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Studies conclude that surgical treatment is more efficacious and longer lasting than endoscopic treatment<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7&#8211;9</span></a>&#46; At present&#44; the ideal time for surgical intervention is not known&#46; Nealon et al&#46; suggest that early surgical decompression of the MPD delays the progressive destruction of the pancreas<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">8</span></a>&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The modified Puestow procedure consists of a side-to-side longitudinal pancreaticojejunostomy of at least 10&#160;cm&#44; with no resection of the pancreatic tail or the pancreas&#46; It is indicated in patients with MPD dilation &#62; 7&#160;mm&#44; a &#8220;chain of lakes&#8221;&#44; and no inflammatory mass in the pancreatic head&#46; Pain relief resulting from that surgery has been shown to be around 60&#8211;70&#37;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a>&#46;</p><span id="sec1040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect1100">Case 1</span><p id="par0045" class="elsevierStylePara elsevierViewall">A 47-year-old man had a past medical history of chronic alcoholism and type 2 diabetes mellitus&#44; both of 10-year progression&#46; He presented with a high risk for choledocholithiasis&#46; Endoscopic retrograde cholangiopancreatography &#40;ERCP&#41; was performed&#44; revealing common bile duct stricture&#44; and an endostent was placed&#46; Later&#44; the patient presented with pain&#44; and an endoscopic ultrasound &#40;EUS&#41; study was carried out that identified a dilated MPD &#40;10&#160;mm&#41;&#44; with multiple intraductal stones&#44; calcifications in the pancreatic parenchyma&#44; atrophy of the pancreatic head and tail&#44; and dilation of the intrahepatic and extrahepatic bile ducts&#46; Laparoendoscopic modified Puestow procedure plus cholecystectomy was performed&#46; Oral diet was started the same day and the patient was released from the hospital 48&#160;h after the procedure&#44; with no complications&#46;</p></span><span id="sec1140" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect1110">Case 2</span><p id="par0050" class="elsevierStylePara elsevierViewall">A 22-year-old man had a past medical history of numerous hospital admissions due to severe acute pancreatitis of biliary origin&#44; from 2017 to the present date &#40;eight hospital admissions&#41;&#46; EUS identified signs of CP&#44; MPD dilation&#44; and intraparenchymal calcifications in the head&#44; body&#44; and tail of the pancreas and inside the MPD &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A1&#8211;A3&#41;&#46; Contrast-enhanced abdominal computed tomography scan revealed CP with multiple calcifications &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B1&#8211;B2&#41;&#46; The laparoendoscopic modified Puestow procedure with pancreatic biopsy was performed on September 2&#44; 2021&#44; confirming CP&#44; with extensive fibrosis&#44; associated with chronic inflammation &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>C&#41;&#46; Oral diet was started the same day&#44; in the afternoon&#44; and the patient was released from the hospital 48&#160;h after the procedure&#44; with no complications&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">For the approach&#44; a 12&#160;mm supraumbilical camera port was placed&#59; two 12&#160;mm trocars were placed in the left and right midline of the clavicle&#59; and two 5&#160;mm trocars were placed in the anterior axillary line of both flanks &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#41;&#46; The gastrocolic ligament was cut with a Harmonic Ace&#174; scalpel &#40;Ethicon Endo-Surgery Inc&#46;&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>B&#41;&#44; the omentum was accessed by cutting the short vessels&#44; and the posterior gastric surface was fixed to the parietal peritoneum with a polypropylene GEA extracorporeal knot&#44; to enable exposure &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>C&#41;&#46; The atrophic and hardened pancreas was observed &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>D&#41; and the main pancreatic duct was punctured&#44; releasing pancreatic fluid &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>E&#41;&#46; A 7&#160;cm long pancreatotomy was made from the neck to the tail and the pancreatic duct was deroofed with a monopolar hook &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>F&#41;&#46; Pancreatoscopy &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>G&#41; revealed intraductal stones &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>H&#41; that were then removed&#46; Irrigation with physiologic solution was carried out through a 5 Fr catheter &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>I&#41;&#46; Repeat pancreatoscopy corroborated the absence of ductal stones&#46; A Roux-en-Y 60&#160;cm biliary loop and 50&#160;cm feeding loop were made utilizing an Endo-GIA&#8482; stapler &#40;Covidien&#44; Minnesota&#44; USA&#41; &#40;60&#160;mm staples&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>J&#41;&#46; The jejunal isoperistaltic loop was lifted in front of the colon &#40;antecolic&#41; and a manual side-to-side pancreaticojejunostomy was performed&#46; Continuous two-layer suturing was carried out with 2-0 polypropylene and reinforced with 2-0 barbed suture at the posterior surface &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>K&#41; and with continuous 2-0 barbed suture at the anterior surface &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>L&#41;&#46; Jackson Pratt drains were then placed at the posterior and anterior surfaces of the stomach&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical considerations</span><p id="par0060" class="elsevierStylePara elsevierViewall">A written statement of informed consent was obtained from the patients and responsible relatives&#44; with two witnesses&#44; before the surgical procedure was performed&#46; Given that the present article is a case report and not a research study&#44; authorization from the ethics committee of the <span class="elsevierStyleItalic">Hospital General Dr&#46; Manuel Gea Gonz&#225;lez</span> was not requested&#46; The authors declare that this article contains no personal information of any type that could identify the patients&#46;</p></span></span>"
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      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
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            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiology of chronic pancreatitis&#58; burden of the disease and consequences"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "P&#46; Levy"
                            1 => "E&#46; Dom&#237;nguez-Mu&#241;oz"
                            2 => "C&#46; Imrie"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1177/2050640614548208"
                      "Revista" => array:6 [
                        "tituloSerie" => "United European Gastroenterol J"
                        "fecha" => "2014"
                        "volumen" => "2"
                        "paginaInicial" => "345"
                        "paginaFinal" => "354"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25360312"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pancreatitis&#58; TIGAR-O Version 2 risk&#47;etiology checklist with topic reviews&#44; updates&#44; and use primers"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "D&#46;C&#46; Whitcomb"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.14309/ctg.0000000000000027"
                      "Revista" => array:5 [
                        "tituloSerie" => "Clin Transl Gastroenterol"
                        "fecha" => "2019"
                        "volumen" => "10"
                        "paginaInicial" => "e00027"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31166201"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "English language version of the S3-consensus guidelines on chronic pancreatitis&#58; Definition&#44; aetiology&#44; diagnostic examinations&#44; medical&#44; endoscopic and surgical management of chronic pancreatitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "A&#46; Hoffmeister"
                            1 => "J&#46; Mayerle"
                            2 => "C&#46; Beglinger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-0041-107379"
                      "Revista" => array:6 [
                        "tituloSerie" => "Z Gastroenterol"
                        "fecha" => "2015"
                        "volumen" => "53"
                        "paginaInicial" => "1447"
                        "paginaFinal" => "1495"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26666283"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical presentation and outcome of endoscopic therapy in patients with symptomatic chronic pancreatitis associated with pancreas divisum"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "D&#46;K&#46; Bhasin"
                            1 => "S&#46;S&#46; Rana"
                            2 => "R&#46;S&#46; Sidhu"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.6092/1590-8577/1218"
                      "Revista" => array:6 [
                        "tituloSerie" => "JOP"
                        "fecha" => "2013"
                        "volumen" => "14"
                        "paginaInicial" => "50"
                        "paginaFinal" => "56"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23306335"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic treatment of chronic pancreatitis&#58; European Society of Gastrointestinal Endoscopy &#40;ESGE&#41; guideline - updated august 2018"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "J&#46;-M&#46; Dumonceau"
                            1 => "M&#46; Delhaye"
                            2 => "A&#46; Tringali"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/a-0822-0832"
                      "Revista" => array:6 [
                        "tituloSerie" => "Endoscopy"
                        "fecha" => "2019"
                        "volumen" => "51"
                        "paginaInicial" => "179"
                        "paginaFinal" => "193"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30654394"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Duodenum-preserving resection of the head of the pancreas in chronic pancreatitis with inflammatory mass in the head"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "H&#46;G&#46; Beger"
                            1 => "M&#46; B&#252;chler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/BF01670550"
                      "Revista" => array:7 [
                        "tituloSerie" => "World J Surg"
                        "fecha" => "1990"
                        "volumen" => "14"
                        "paginaInicial" => "83"
                        "paginaFinal" => "87"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2305590"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S1933287416302343"
                          "estado" => "S300"
                          "issn" => "19332874"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effect of early surgery vs endoscopy-first approach on pain in patients with chronic pancreatitis&#58; The ESCAPE randomized clinical trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "Y&#46; Issa"
                            1 => "M&#46;A&#46; Kempeneers"
                            2 => "M&#46;J&#46; Bruno"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/jama.2019.20967"
                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
                        "fecha" => "2020"
                        "volumen" => "323"
                        "paginaInicial" => "237"
                        "paginaFinal" => "247"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31961419"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Progressive loss of pancreatic function in chronic pancreatitis is delayed by main pancreatic duct decompression&#46; A longitudinal prospective analysis of the modified puestow procedure"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "W&#46;H&#46; Nealon"
                            1 => "J&#46;C&#46; Thompson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/00000658-199305010-00005"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Surg"
                        "fecha" => "1993"
                        "volumen" => "217"
                        "paginaInicial" => "458"
                        "paginaFinal" => "466"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8489308"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "D&#46;L&#46; Cahen"
                            1 => "D&#46;J&#46; Gouma"
                            2 => "Y&#46; Nio"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1056/NEJMoa060610"
                      "Revista" => array:6 [
                        "tituloSerie" => "N Engl J Med"
                        "fecha" => "2007"
                        "volumen" => "356"
                        "paginaInicial" => "676"
                        "paginaFinal" => "684"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17301298"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Current Surgical Treatment Options in Chronic Pancreatitis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;G&#46; D&#8216;Haese"
                            1 => "D&#46;L&#46; Cahen"
                            2 => "J&#46; Werner"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3998/panc.2016.26"
                      "Libro" => array:2 [
                        "titulo" => "Pancreapedia&#58; Exocrine Pancreas Knowledge Base"
                        "fecha" => "2016"
                      ]
                    ]
                  ]
                ]
              ]
            ]
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Article information
ISSN: 2255534X
Original language: English
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2022 November 166 56 222
2022 October 97 55 152
2022 September 83 51 134
2022 August 70 65 135
2022 July 64 80 144
2022 June 138 82 220
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Revista de Gastroenterología de México
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