Q: I am suffering from chronic pancreatitis with dilated pancreati duct with calculi in the head and neck. Calculus in the head region measures 11.8 mm and tail measures 7 mm. The main pancreatic duct measures 8 mm. There is no peripancreatic collection. My doctor has recommended distal pancreatectomy. What are the chances of recovery, its risks and any other side effects?

A:The exact procedure suitable is only possible to ascertain upon looking at the MRCP/ERCP film. However, a lateral pancreatico-jejunostomy (LPJ) or a combined distal pancreatectomy plus LPJ with clearance of stones would probably be the right procedure. In general, for long-term, it is better if pancreatic tissue can be preserved, as in a LPJ alone. There is 80% chance of relief of pain if the procedure is well chosen.