A total of 60 patients were admitted for surgery, however, surgery was not performed in five due to medical reasons. Indications for surgery was pain in 51patients

, gastric outlet obstruction in 2 and bleeding in 2 patients. Results: 38/60 were males and mean age was 37(SD± 12.94).22 patients were alcoholics and 17 were smokers.47 patients were on oral and 10 patients were on intravenous analgesics while 3 did not require regular analgesics.10 patients had diabetes mellitus and 11 had steatorrhea preoperatively.39 patients underwent Frey’s procedure while Whipple’s procedure was done in 6 and Izbicki’s procedure was done in two. LPJ was done in two while BAY 80-6946 chemical structure bipolar ligation and distal pancreatectomy with splenectomy(for splenic artery pseudo aneurysm) was done in another two. Roux-en-y cystojejunostomyperformed in 2. Three patients underwent reoperationsfor poor pain control; 2patient with LPJ done previously underwent Frey’s procedure after 2 years while one patientwho had undergone Frey’s procedure underwent Whipple’s procedure after 4 years. There were no in hospital mortalities.4 patients died during follow up; cause being alcoholic PLX4032 clinical trial cirrhosis in 2, suicide in 1 and diabetic ketoacidosis with sepsis in another. Two patients had postoperative intraluminal bleed and one needed re-exploration.

After a mean follow up of 23.9 months ± SE 23.6 months (median: 13 months; range 1 to 84 months) ; 54 % of patients reported excellent pain relief, 20% patients reported good pain relief and 11.4%

patients had fair pain relief(on regular oral pain killers). Two patients developed new onset diabetes controlled by diet and medications, while in 4 patients diabetes worsened.5 patients had new onset stetorrhea which was transient in all and settled with dietarymodification in two and enzyme supplementation in Miconazole another three. Conclusion: Tailored surgery for chronic pancreatitis has excellent benefit in pain relief without significant increase in functional abnormalities. Frey’s procedure was the commonest surgery performed in the present study. Key Word(s): 1. Chronic ; 2. Pancreatitis; 3. Surgery; 4. Outcome; Presenting Author: RAKESH KOCHHAR Additional Authors: MANISH MANRAI, JAHANGEERBASHA MEDARAPALEM, SREEKANTH APPASANI, PRADEEPKUMAR SIDDAPPA, THAKURDEEN YADAV, NIRANJAN KHANDELWAL, KARTAR SINGH Corresponding Author: RAKESH KOCHHAR Affiliations: Post Graduate Institute of Medical Education and Research Objective: To evaluate whether the site of fluid collections alters the clinical course of acute pancreatitis. Methods: Consecutive patients of acute pancreatitis &gt12 yrs of age between July 2011 and December 2012 were subjected to complete demographic profile, clinical and laboratory evaluation.