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Surgery Pancreas 6f28849a

Pancreatico-duodenectomy is not indicated in:

A
Multiple cyst and calcifications in head of pancreas
B
Narrow pancreatic duct
C
Failed drainage procedure for chronic pancreatitis
D
Possibility of malignancy in head
High-Yield Explanation
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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