Frey's procedure
Frey's procedure is a surgical technique used in the treatment of chronic pancreatitis in which the diseased portions of the pancreas head are cored out. A lateral pancreaticojejunostomy (LRLPJ) is then performed in which a loop of the jejunum is then mobilized and attached over the exposed pancreatic duct to allow better drainage of the pancreas, including its head.[1]
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Indication[edit]
Frey's operation is indicated on patients with chronic pancreatitis who have "head dominant" disease.
Comparison to Puestow procedure[edit]
Compared with a Puestow procedure, a Frey's procedure allows for better drainage of the pancreatic head.
Complications[edit]
Postoperative complications after LRLPJ are usually septic in nature and are likely to occur more often in patients in whom endoscopic pancreatic stenting has been performed before surgical intervention.[2] Pancreatic endocrine insufficiency occurs in 60% of patients.
References[edit]
- ^ Gourgiotis S, Germanos S, Ridolfini MP (2007). "Surgical management of chronic pancreatitis". Hbpd Int 6 (2): 121–33. PMID 17374569.
- ^ Chaudhary A, Negi SS, Masood S, Thombare M (2004). "Complications after Frey's procedure for chronic pancreatitis". Am. J. Surg. 188 (3): 277–281. doi:10.1016/j.amjsurg.2004.06.012. PMID 15450834.
Additional reading[edit]
- Bapat RD, Satish R R, Kantharia CV. Choice Of Surgical Procedures for Chronic Pancreatitis. Bombay Hospital Journal. January 2001. Available at: http://www.bhj.org/journal/2001_4301_jan/reviews_175.htm. Accessed on: October 15, 2007.
External links[edit]
- Frey's procedure (drawing) - Bombay Hospital Journal.
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