Pancreatolithiasis with Puestow Procedure in Rural Hospital: Case Report Dewa Putu Satria Juristiasa¹*, Ida Bagus Wisnu Parbawa Kusuma², Herman Wambrauw³ Abstract Background: Pancreatolithiasis represents a significant challenge in gastroenterological surgery, particularly when complicated by metabolic disorders and lifestyle factors. This rural setting often results in limited access to specialized medical