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Frey's procedure

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Pancreas

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]

Indication

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Frey's operation is indicated on patients with chronic pancreatitis who have "head dominant" disease.

Comparison to Puestow procedure

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Compared with a Puestow procedure, a Frey's procedure allows for better drainage of the pancreatic head.

Complications

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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.

Eponym

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It is named for the American surgeon Charles Frederick Frey (b.1929) of Michigan, who first described it in 1987.[3] Dr Frey died on February 7, 2022[4][5]

References

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  1. ^ Gourgiotis S, Germanos S, Ridolfini MP (2007). "Surgical management of chronic pancreatitis". Hbpd Int. 6 (2): 121–33. PMID 17374569.
  2. ^ 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.
  3. ^ 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.
  4. ^ "Charles F. Frey, M.D. Lectureship |UC Davis Department of Surgery". health.ucdavis.edu. Retrieved 2023-09-22.
  5. ^ "Charles Frey Obituary (1929 - 2022) - Rescue, CA - The Sacramento Bee". Legacy.com. Retrieved 2023-09-22.

Further reading

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