- Frey's procedure
Frey's procedure is a surgical technique used in the treatment of chronic
pancreatitisin which the diseased portions of the pancreashead 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 ductto allow better drainage of the pancreas, including its head. [cite journal |author=Gourgiotis S, Germanos S, Ridolfini MP |title=Surgical management of chronic pancreatitis |journal=HBPD INT |volume=6 |issue=2 |pages=121–33 |year=2007 |pmid=17374569 |doi=]
Frey's operation is indicated on patients with chronic pancreatitis who have "head dominant" disease.
Comparison to Puestow procedure
Compared with a
Puestow procedure, a Frey's procedure allows for better drainage of the pancreatic head.
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. [cite journal |author=Chaudhary A, Negi SS, Masood S, Thombare M |title=Complications after Frey's procedure for chronic pancreatitis |journal=Am. J. Surg. |volume=188 |issue=3 |pages=277–81 |year=2004 |pmid=15450834 |doi=10.1016/j.amjsurg.2004.06.012]
* 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 http://www.bhj.org/journal/2001_4301_jan/reviews_175.htm] . Accessed on: October 15, 2007.
* [http://www.bhj.org/journal/2001_4301_jan/images/fig14_pg179.jpgFrey's procedure (drawing)] - Bombay Hospital Journal.
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