Scientific paperComplications after Frey's procedure for chronic pancreatitis
Section snippets
Patients and methods
Between January 1990 and June 2003, 41 Frey's procedures were either performed or supervised by the principal author (A.C.). The records of these patients were reviewed to assess the incidence, types, presentation, and outcome of complications after the LRLPJ. The presumed diagnosis in all these patients was chronic pancreatitis, and the principal indication of surgery was abdominal pain. The diagnosis of chronic pancreatitis was established on the basis of clinical history, physical
Results
The study includes 34 males (83%) and 7 females (17%) with a mean age of 36.73 ± 10.47 years (range 7 to 53). Alcoholism was the etiology in 22 patients (54%), and in 19 patients (46%) the cause of pancreatitis could not be determined. The mean interval between the first episode of pancreatitis and surgery was 5.49 ± 2.53 years (range 1.5 to 11). Abdominal pain was present in all patients. Nine patients (22%) had history of jaundice; 1 had history of hematemesis and cyanoacrylate glue had been
Comments
The operation of LRLPJ for chronic pancreatitis was described by Frey in 1987 [3] and is comparatively a newer procedure in the complex field of pancreatic surgery. The procedure is technically demanding and needs both skill and experience in pancreatic surgery. As already mentioned, there is no available information about the postoperative complications after this operation and regarding the factors that might be responsible for the development of these complications. This knowledge about the
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Predictors of 90-day morbidity and mortality after Frey procedure for chronic pancreatitis
2023, American Journal of SurgeryCitation Excerpt :Most of the published literature on FP reported either the technical details or the long-term outcomes without in-depth discussion of the postoperative complications.6–16 Literature addressing in-detail of postoperative complications after FP is sparse.17,18 The purpose of this study is to report the 90-day outcomes and analyze risk factors predictive of early postoperative morbidity and mortality after the FP.
Short- and long-term outcome of Frey procedure for chronic pancreatitis in adults
2021, American Journal of SurgeryReporting of longitudinal pancreatojejunostomy with partial pancreatic head resection (the Frey procedure) for chronic pancreatitis: A systematic review
2021, Hepatobiliary and Pancreatic Diseases InternationalCitation Excerpt :The NHS HRA deemed that this study was not research as the participants were not randomized to different groups, there was no change in treatment or patient care and the findings could not be regarded as wholly generalizable [9]. The final dataset provides information on 1205 patients with a median of 33 (range: 6-141) cases per report (Table 1) [10–42]. Etiology of chronic pancreatitis (alcohol) was reported in 26 of 28 (93%) studies.
Frey procedure for chronic pancreatitis in children: A single center experience
2015, Journal of Pediatric SurgeryCitation Excerpt :For this reason, Frey procedure is now our preferred method for surgical management of chronic pancreatitis. The operative mortality for Frey procedure is typically thought to be less than 1% and the morbidity rates range from 9% to 39% [1,2,13,14]. In our study, perioperative mortality was nil, and complications occurred in 21% cases.
Frey procedure for the treatment of chronic pancreatitis associated with common bile duct stricture
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