Now we are confusing the discussion ! Didn't we talk on cholecysto-jejunostomy? who is talking on CBD-bowel anastomosis?
I do not have a large personal experience with the surgical management of pain or jaundice in chronic pancreatitis. My understanding however is that when severe pain is combined with jaundice something more than biliary bypass should be done at the same time. The patients under discussion presented with pain and jaundice-thus, I suggested that simple bypass won't suffice. I am sure that you are aware about the large experience with the DUODENAL PRESERVING partial resection of the head -combined with a pancreatico-jejunostomy- pioneered by Frey from Michigan and Beger from Ulm. Izbiki from Hamburg wrote a very large series with Begers operation. Many experts believe that this is the best operation for the painful/jaundiced/ chronic pancreatitis.
Now you are shooting indiscriminately-as a GI send to shoot the Iraqis, firing instead on the Israelis. Did I mention any outdated surgery from outdated books? Please update yourself with recent developments on chronic pancreatitis.