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]
Frey's operation is indicated on patients with chronic pancreatitis who have "head dominant" disease.
Comparison to Puestow procedureedit
Compared with a Puestow procedure, a Frey's procedure allows for better drainage of the pancreatic head.
Complicationsedit
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.
Eponymedit
It is named for the American surgeon Charles Frederick Frey (b.1929) of Michigan, who first described it in 1987.[3] Dr Frey passed away on February 7th, 2022[4][5]
^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.
^Frey, CF; Smith GJ (1987). "Description and rationale of a new operation for chronic pancreatitis". Pancreas. 2 (6): 701–7. doi:10.1097/00006676-198711000-00014. PMID 3438308.
^"Charles F. Frey, M.D. Lectureship |UC Davis Department of Surgery". health.ucdavis.edu. Retrieved 2023-09-22.
^"Charles Frey Obituary (1929 - 2022) - Rescue, CA - The Sacramento Bee". Legacy.com. Retrieved 2023-09-22.
Further readingedit
Bapat RD, Satish R R, Kantharia CV. Choice Of Surgical Procedures for Chronic Pancreatitis. Bombay Hospital Journal. January 2001. Available at: . Accessed on: October 15, 2007.
External linksedit
- Bombay Hospital Journal.
December 18, 2023
frey, procedure, surgical, technique, used, treatment, chronic, pancreatitis, which, diseased, portions, pancreas, head, cored, lateral, pancreaticojejunostomy, lrlpj, then, performed, which, loop, jejunum, then, mobilized, attached, over, exposed, pancreatic,. 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 Pancreas Contents 1 Indication 2 Comparison to Puestow procedure 3 Complications 4 Eponym 5 References 6 Further reading 7 External linksIndication editFrey s operation is indicated on patients with chronic pancreatitis who have head dominant disease Comparison to Puestow procedure editCompared with a Puestow procedure a Frey s procedure allows for better drainage of the pancreatic head Complications editPostoperative 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 Eponym editIt is named for the American surgeon Charles Frederick Frey b 1929 of Michigan who first described it in 1987 3 Dr Frey passed away on February 7th 2022 4 5 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 Frey CF Smith GJ 1987 Description and rationale of a new operation for chronic pancreatitis Pancreas 2 6 701 7 doi 10 1097 00006676 198711000 00014 PMID 3438308 Charles F Frey M D Lectureship UC Davis Department of Surgery health ucdavis edu Retrieved 2023 09 22 Charles Frey Obituary 1929 2022 Rescue CA The Sacramento Bee Legacy com Retrieved 2023 09 22 Further reading editBapat RD Satish R R Kantharia CV Choice Of Surgical Procedures for Chronic Pancreatitis Bombay Hospital Journal January 2001 Available at https web archive org web 20120207122247 http www bhj org journal 2001 4301 jan reviews 175 htm Accessed on October 15 2007 External links editFrey s procedure drawing Bombay Hospital Journal Retrieved from https en wikipedia org w index php title Frey 27s procedure amp oldid 1176585344, wikipedia, wiki, book, books, library,
