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]
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.
Eponym
[edit]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
[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
[edit]- Bapat 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
[edit]- Frey's procedure (drawing) - Bombay Hospital Journal.
