ABSTRACT
Objective To sum up the experience in the diagnosis and treatment of pancreatic duct stone developed as a result of long-term chronic pancreatitis. Methods The clinical data of 11 patients with pancreatolithiasis treated in our hospital from 1996 to 2002 were retrospectively analyzed. Results The main clinical manifestations included abdominal pain, back pain as well as exocrine and endocrine functional disturbance. The disease can be diagnosed by B-mode ultrasonography, CT and ERCP. Nine of 11 cases were treated by pancreaticojejunostomy, 1 case suffering from concurrent carcinoma of the head of the pancreas received pancreaticodudenectomy and 1 case underwent distal pancreatetomy. Ten patients who were followed up were free of pain . Conclusions B-mode ultrasonography is the best choice for the diagnosis of panceatolithiasis, and pancreaticojejunostomy should always be attempted for cases with duct dilatation .