[Unusual treatment of late complications of acute pancreatitis]. / Neobvyklé riesenie neskorej komplikácie akútnej pankreatitídy.

AIM OF THE STUDY: To present the case of 28 years old man operated on acutely for gastric bleeding. Pancreatic pseudocyst and portal hypertension was diagnosed intraoperatively. METHODS: For this reason the Jurasz procedure (pseudocystogastrostomy) was performed. In emergency reoperation for recurrent bleeding total gastrectomy had to be performed. The situation was solved by creating the oesophago-jejunostomy and pseudocystojejunostomy on the Roux-Y limb as a single anastomosis. RESULTS: Postoperative course was uneventful. After 5 years time the patient was readmitted for secondary malabsorbtive syndrome. The conservative treatment was used successfully. CONCLUSION: Unusual solving of above mentioned complication was successful in this case. The follow up and substitutive treatment is necessary following the total gastrectomy.